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Erschienen in:

2015 | OriginalPaper | Buchkapitel

7. Grundzüge der Operationstechnik

verfasst von : Carsten O. Tibesku, Prof. Dr. med.

Erschienen in: Knieendoprothetik

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Das Kapitel beinhaltet die wichtigsten Prinzipien der Operationstechnik eines Oberflächenersatzes am Kniegelenk. Verschiedene Optionen der aktuellen Systeme werden mit ihren Vor- und Nachteilen beschrieben. Hierzu zählen intra- und extramedulläre Ausrichtung, Ausrichtung der tibialen und femoralen Komponenten in Bezug auf Varus/Valgus, Flexion/Slope und Rotation, jeweils mit den gebräuchlichsten anatomischen Landmarken. Die konkurrierenden Operationssequenzen „tibia first“ und „femur first“ werden miteinander verglichen. Darüber hinaus werden die patientenspezifischen Instrumentarien und Implantate, die verschiedenen Kopplungsgrade in Abhängigkeit der vorhandenen Bänder, die operativen Techniken des Patellarückflächenersatzes und das Balancing des Patellofemoralgelenks beschrieben. Abschließend werden die Verankerung (zementiert und zementfrei) und das sog. „ligament balancing“ dargestellt.

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Titel: Grundzüge der Operationstechnik
verfasst von: Carsten O. Tibesku, Prof. Dr. med.
Verlag: Springer Berlin Heidelberg
Buch: Knieendoprothetik
Print ISBN: 978-3-642-38422-6

Electronic ISBN: 978-3-642-38423-3

Copyright-Jahr: 2015
DOI: https://doi.org/10.1007/978-3-642-38423-3_7

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Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Zwei neue Alternativen zu TNF-Inhibitoren bei axSpA

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Update Orthopädie und Unfallchirurgie