Skip to main content
Erschienen in: Der Orthopäde 2/2017

17.01.2017 | Hüft-TEP | Leitthema

Einsatz von Dual-Mobility-Pfannen beim Hüftprothesenwechsel

verfasst von: PD Dr. E. Röhner, Prof. G. Matziolis

Erschienen in: Die Orthopädie | Ausgabe 2/2017

Einloggen, um Zugang zu erhalten

Zusammenfassung

Dual-Mobility-Pfannen (DMP) werden sowohl bei Primär- als auch bei Revisionsoperationen zunehmend eingesetzt, um das Luxationsrisiko zu minimieren. So konnten verschiedene Studien Überlebensraten von DMP bis zu 100 % bei einer durchschnittlichen Dislokationsrate von weniger als 1,5 % nach Primärimplantation bei einer Follow-up-Zeit von 10 Jahren belegen. Für Prothesenwechseloperationen wurden Überlebensraten von bis zu 99 % mit Dislokationsraten zwischen 0 und 10 % nach einer durchschnittlichen Follow-up-Zeit von 5 Jahren beschrieben. Der vorliegende Beitrag soll einen Überblick liefern über die technischen Grundlagen inklusive des Funktionsprinzips von Dual-Mobility-Pfannen. Weiter sollen Indikationen und spezifische Komplikationen dieses Pfannensystems anhand der aktuellen Datenlage aufgezeigt werden.
Literatur
1.
Zurück zum Zitat Acker A, Fischer JF, Aminian K, Lécureux E, Jolles BM (2016) Total hip arthroplasty using a cementless dual-mobility cup provides increased stability and favorable gait parameters at five years follow-up. Orthop Traumatol Surg Res. doi:10.1016/j.otsr.2016.09.020 PubMed Acker A, Fischer JF, Aminian K, Lécureux E, Jolles BM (2016) Total hip arthroplasty using a cementless dual-mobility cup provides increased stability and favorable gait parameters at five years follow-up. Orthop Traumatol Surg Res. doi:10.​1016/​j.​otsr.​2016.​09.​020 PubMed
2.
Zurück zum Zitat Adam P, Philippe R, Ehlinger M, Roche O, Bonnomet F, Mole D, Fessy MH (2012) Dual mobility cups hip arthroplasty as a treatment for displaced fracture of the femoral neck in the elderly. A prospective, systematic, multicenter study with specific focus on postoperative dislocation. Orthop Traumatol Surg Res 98:296–300CrossRefPubMed Adam P, Philippe R, Ehlinger M, Roche O, Bonnomet F, Mole D, Fessy MH (2012) Dual mobility cups hip arthroplasty as a treatment for displaced fracture of the femoral neck in the elderly. A prospective, systematic, multicenter study with specific focus on postoperative dislocation. Orthop Traumatol Surg Res 98:296–300CrossRefPubMed
3.
Zurück zum Zitat Alberton GM, High WA, Morrey BF (2002) Dislocation after revision total hip arthroplasty: an analysis of risk factors and treatment options. J Bone Joint Surg Am 84-A:1788–1792CrossRefPubMed Alberton GM, High WA, Morrey BF (2002) Dislocation after revision total hip arthroplasty: an analysis of risk factors and treatment options. J Bone Joint Surg Am 84-A:1788–1792CrossRefPubMed
4.
Zurück zum Zitat Aubriot JH, Lesimple P, Leclercq S (1993) Etude du cotyle nonscellé de Bousquet dans cent prothèses totales de hanche hybrides. Recul moyen de 5 ans. Acta Orthop Belg 59(Suppl 1):267–271PubMed Aubriot JH, Lesimple P, Leclercq S (1993) Etude du cotyle nonscellé de Bousquet dans cent prothèses totales de hanche hybrides. Recul moyen de 5 ans. Acta Orthop Belg 59(Suppl 1):267–271PubMed
5.
Zurück zum Zitat Berry DJ, von Knoch M, Schleck CD, Harmsen WS (2004) The cumulative long-term risk of dislocation after primary Charnley total hip arthroplasty. J Bone Joint Surg Am 86-A:9–14CrossRefPubMed Berry DJ, von Knoch M, Schleck CD, Harmsen WS (2004) The cumulative long-term risk of dislocation after primary Charnley total hip arthroplasty. J Bone Joint Surg Am 86-A:9–14CrossRefPubMed
6.
Zurück zum Zitat Berry DJ, von Knoch M, Schleck CD, Harmsen WS (2005) Effect of femoral head diameter and operative approach on risk of dislocation after primary total hip arthroplasty. J Bone Joint Surg Am 87:2456–2463PubMed Berry DJ, von Knoch M, Schleck CD, Harmsen WS (2005) Effect of femoral head diameter and operative approach on risk of dislocation after primary total hip arthroplasty. J Bone Joint Surg Am 87:2456–2463PubMed
7.
Zurück zum Zitat Bousquet G, Argenson C, Godeneche JL, Cisterne JP, Gazielly DF, Girardin P, Debiesse JL (1986) Recovery after aseptic loosening of cemented total hip arthroplasties with Bousquet’s cementless prosthesis. Apropos of 136 cases. Rev Chir Orthop Reparatrice Appar Mot 72(Suppl 2):70–74PubMed Bousquet G, Argenson C, Godeneche JL, Cisterne JP, Gazielly DF, Girardin P, Debiesse JL (1986) Recovery after aseptic loosening of cemented total hip arthroplasties with Bousquet’s cementless prosthesis. Apropos of 136 cases. Rev Chir Orthop Reparatrice Appar Mot 72(Suppl 2):70–74PubMed
8.
Zurück zum Zitat Boyer B, Philippot R, Geringer J, Farizon F (2011) Primary total hip arthroplasty with dual mobility socket to prevent dislocation: a 22-year follow-up of 240 hips. Int Orthop 36(3):511–518CrossRefPubMedPubMedCentral Boyer B, Philippot R, Geringer J, Farizon F (2011) Primary total hip arthroplasty with dual mobility socket to prevent dislocation: a 22-year follow-up of 240 hips. Int Orthop 36(3):511–518CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Civinini R, Carulli C, Matassi F, Nistri L, Innocenti M (2012) A dual-mobility cup reduces risk of dislocation in isolated acetabular revisions. Clin Orthop Relat Res 470(12):3542–3548CrossRefPubMedPubMedCentral Civinini R, Carulli C, Matassi F, Nistri L, Innocenti M (2012) A dual-mobility cup reduces risk of dislocation in isolated acetabular revisions. Clin Orthop Relat Res 470(12):3542–3548CrossRefPubMedPubMedCentral
10.
11.
Zurück zum Zitat Fabry C, Langlois J, Hamadouche M, Bader R (2016) Intra-prosthetic dislocation of dual-mobility cups after total hip arthroplasty: potential causes from a clinical and biomechanical perspective. Int Orthop 40(5):901–906CrossRefPubMed Fabry C, Langlois J, Hamadouche M, Bader R (2016) Intra-prosthetic dislocation of dual-mobility cups after total hip arthroplasty: potential causes from a clinical and biomechanical perspective. Int Orthop 40(5):901–906CrossRefPubMed
12.
Zurück zum Zitat Farizon F, de Lavison R, Azoulai JJ, Bousquet G (1998) Results with a cementless alumina-coated cup with dual-mobility. A twelve-year follow-up study. Int Orthop 22:219–224CrossRefPubMedPubMedCentral Farizon F, de Lavison R, Azoulai JJ, Bousquet G (1998) Results with a cementless alumina-coated cup with dual-mobility. A twelve-year follow-up study. Int Orthop 22:219–224CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Guyen O, Chen QS, Bejui-Hugues J, Berry DJ, An KN (2007) Unconstrained tripolar hip implants: effect on hip stability. Clin Orthop Relat Res 455:202–208CrossRefPubMed Guyen O, Chen QS, Bejui-Hugues J, Berry DJ, An KN (2007) Unconstrained tripolar hip implants: effect on hip stability. Clin Orthop Relat Res 455:202–208CrossRefPubMed
15.
Zurück zum Zitat Guyen O, Pibarot V, Vaz G, Chevillotte C, Bejui-Hugues J (2009) Use of a dual mobility socket to manage total hip arthroplasty instability. Clin Orthop Relat Res 467:465–472CrossRefPubMed Guyen O, Pibarot V, Vaz G, Chevillotte C, Bejui-Hugues J (2009) Use of a dual mobility socket to manage total hip arthroplasty instability. Clin Orthop Relat Res 467:465–472CrossRefPubMed
16.
Zurück zum Zitat Hailer NP, Weiss RJ, Stark A, Kärrholm J (2012) Dual-mobility cups for revision due to instability are associated with a low rate of re-revisions due to dislocation: 228 patients from the Swedish Hip Arthroplasty Register. Acta Orthop 83:566–571CrossRefPubMedPubMedCentral Hailer NP, Weiss RJ, Stark A, Kärrholm J (2012) Dual-mobility cups for revision due to instability are associated with a low rate of re-revisions due to dislocation: 228 patients from the Swedish Hip Arthroplasty Register. Acta Orthop 83:566–571CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Hamadouche M, Biau DJ, Huten D, Musset T, Gaucher F (2010) The use of a cemented dual mobility socket to treat recurrent dislocation. Clin Orthop Relat Res 468:3248–3254CrossRefPubMedPubMedCentral Hamadouche M, Biau DJ, Huten D, Musset T, Gaucher F (2010) The use of a cemented dual mobility socket to treat recurrent dislocation. Clin Orthop Relat Res 468:3248–3254CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Hamadouche M, Ropars M, Rodaix C, Musset T, Gaucher F, Biau D, Courpied JP, Huten D (2016) Five to thirteen year results of a cemented dual mobility socket to treat recurrent dislocation. Int Orthop. doi:10.1007/s00264-016-3343-8 Hamadouche M, Ropars M, Rodaix C, Musset T, Gaucher F, Biau D, Courpied JP, Huten D (2016) Five to thirteen year results of a cemented dual mobility socket to treat recurrent dislocation. Int Orthop. doi:10.​1007/​s00264-016-3343-8
19.
Zurück zum Zitat Hernigou P, Dubory A, Potage D, Roubineau F, Flouzat Lachaniette CH (2016) Dual-mobility arthroplasty failure: a rationale review of causes and technical considerations for revision. Int Orthop. doi:10.1007/s00264-016-3328-7 Hernigou P, Dubory A, Potage D, Roubineau F, Flouzat Lachaniette CH (2016) Dual-mobility arthroplasty failure: a rationale review of causes and technical considerations for revision. Int Orthop. doi:10.​1007/​s00264-016-3328-7
20.
Zurück zum Zitat Jameson SS, Lees D, James P, Serrano-Pedraza I, Partington PF, Muller SD, Meek RM, Reed MR (2011) Lower rates of dislocation with increased femoral head size after primary total hip replacement: a five-year analysis of NHS patients in England. J Bone Joint Surg Br 93:876–880CrossRefPubMed Jameson SS, Lees D, James P, Serrano-Pedraza I, Partington PF, Muller SD, Meek RM, Reed MR (2011) Lower rates of dislocation with increased femoral head size after primary total hip replacement: a five-year analysis of NHS patients in England. J Bone Joint Surg Br 93:876–880CrossRefPubMed
21.
Zurück zum Zitat Jolles BM, Zangger P, Leyvarz PF (2002) Factors predisposing to dislocation after primary total hip arthroplasty. A multivariate analysis. J Arthroplasty 17:282–288CrossRefPubMed Jolles BM, Zangger P, Leyvarz PF (2002) Factors predisposing to dislocation after primary total hip arthroplasty. A multivariate analysis. J Arthroplasty 17:282–288CrossRefPubMed
23.
Zurück zum Zitat Langlais FL, Ropars M, Gaucher F, Musset T, Chaix O (2008) Dual mobility cemented cups have low dislocation rates in THA revisions. Clin Orthop Relat Res 466:389–395CrossRefPubMedPubMedCentral Langlais FL, Ropars M, Gaucher F, Musset T, Chaix O (2008) Dual mobility cemented cups have low dislocation rates in THA revisions. Clin Orthop Relat Res 466:389–395CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Lautridou C, Lebel B, Burdin G, Vielpeau C (2008) Survival of the cementless bousquet dual mobility cup: minimum 15-year follow-up of 437 total hip arthroplasties. Rev Chir Orthop Reparatrice Appar Mot 94:731–739CrossRefPubMed Lautridou C, Lebel B, Burdin G, Vielpeau C (2008) Survival of the cementless bousquet dual mobility cup: minimum 15-year follow-up of 437 total hip arthroplasties. Rev Chir Orthop Reparatrice Appar Mot 94:731–739CrossRefPubMed
25.
Zurück zum Zitat Leclercq S, Benoit JY, de Rosa JP, Euvrard P, Leteurtre C, Girardin P (2008) Results of the evora dual-mobility socket after a minimum follow-up of five years. Rev Chir Orthop Reparatrice Appar Mot 94:e17–e22CrossRefPubMed Leclercq S, Benoit JY, de Rosa JP, Euvrard P, Leteurtre C, Girardin P (2008) Results of the evora dual-mobility socket after a minimum follow-up of five years. Rev Chir Orthop Reparatrice Appar Mot 94:e17–e22CrossRefPubMed
26.
Zurück zum Zitat Lecuire F, Benareau I, Rubini J, Basso M (2004) Intraprosthetic dislocation of the Bousquet dual-mobility socket. Rev Chir Orthop Reparatrice Appar Mot 90(3):249–255CrossRefPubMed Lecuire F, Benareau I, Rubini J, Basso M (2004) Intraprosthetic dislocation of the Bousquet dual-mobility socket. Rev Chir Orthop Reparatrice Appar Mot 90(3):249–255CrossRefPubMed
27.
Zurück zum Zitat Leiber-Wackenheim F, Brunschweiler B, Ehlinger M, Gabrion A, Mertl P (2011) Treatment of recurrent THR dislocation using of a cementless dual-mobility cup: a 59 cases series with a mean 8 years’ follow-up. Orthop Traumatol Surg Res 97:8–13CrossRefPubMed Leiber-Wackenheim F, Brunschweiler B, Ehlinger M, Gabrion A, Mertl P (2011) Treatment of recurrent THR dislocation using of a cementless dual-mobility cup: a 59 cases series with a mean 8 years’ follow-up. Orthop Traumatol Surg Res 97:8–13CrossRefPubMed
28.
Zurück zum Zitat Martz P, Maczynski A, Elsair S, Labattut L, Viard B, Baulot E (2016) Total hip arthroplasty with dual mobility cup in osteonecrosis of the femoral head in young patients: over ten years of follow-up. Int Orthop. doi:10.1007/s00264-016-3344-7 Martz P, Maczynski A, Elsair S, Labattut L, Viard B, Baulot E (2016) Total hip arthroplasty with dual mobility cup in osteonecrosis of the femoral head in young patients: over ten years of follow-up. Int Orthop. doi:10.​1007/​s00264-016-3344-7
29.
Zurück zum Zitat Massin P, Besnier L (2010) Acetabular revision using a press-fit dual mobility cup. Orthop Traumatol Surg Res 96:9–13CrossRefPubMed Massin P, Besnier L (2010) Acetabular revision using a press-fit dual mobility cup. Orthop Traumatol Surg Res 96:9–13CrossRefPubMed
30.
Zurück zum Zitat Massin P, Orain V, Philippot R, Farizon F, Fessy MH (2012) Fixation failures of dual mobility cups: a mid-term study of 2601 hip replacements. Clin Orthop Relat Res 470(7):1932–1940CrossRefPubMed Massin P, Orain V, Philippot R, Farizon F, Fessy MH (2012) Fixation failures of dual mobility cups: a mid-term study of 2601 hip replacements. Clin Orthop Relat Res 470(7):1932–1940CrossRefPubMed
31.
Zurück zum Zitat Mohammed R, Cnudde P (2012) Severe metallosis owing to intra-prosthetic dislocation in a failed dual-mobility cup primary total hip arthroplasty. J Arthroplasty 27(3):493.e1–493.e3CrossRef Mohammed R, Cnudde P (2012) Severe metallosis owing to intra-prosthetic dislocation in a failed dual-mobility cup primary total hip arthroplasty. J Arthroplasty 27(3):493.e1–493.e3CrossRef
32.
Zurück zum Zitat Philippeau JM, Durand JM, Carret JP, Leclercq S, Waast D, Gouin F (2010) Dual mobility design socket use in preventing total hip replacement dislocation following tumor resection. Orthop Traumatol Surg Res 96:2–8CrossRefPubMed Philippeau JM, Durand JM, Carret JP, Leclercq S, Waast D, Gouin F (2010) Dual mobility design socket use in preventing total hip replacement dislocation following tumor resection. Orthop Traumatol Surg Res 96:2–8CrossRefPubMed
33.
Zurück zum Zitat Philippot R, Adam P, Farizon F, Fessy MH, Bousquet G (2006) Survival of cementless dual mobility sockets: ten-year follow-up. Rev Chir Orthop Reparatrice Appar Mot 92:326–331CrossRefPubMed Philippot R, Adam P, Farizon F, Fessy MH, Bousquet G (2006) Survival of cementless dual mobility sockets: ten-year follow-up. Rev Chir Orthop Reparatrice Appar Mot 92:326–331CrossRefPubMed
34.
Zurück zum Zitat Philippot R, Farizon F, Camilleri JP, Boyer B, Derhi G, Bonnan J, Fessy MH, Lecuire F (2008) Survival of cementless dual mobility socket with a mean 17 years follow-up. Rev Chir Orthop Reparatrice Appar Mot 94:e23–e27CrossRefPubMed Philippot R, Farizon F, Camilleri JP, Boyer B, Derhi G, Bonnan J, Fessy MH, Lecuire F (2008) Survival of cementless dual mobility socket with a mean 17 years follow-up. Rev Chir Orthop Reparatrice Appar Mot 94:e23–e27CrossRefPubMed
35.
Zurück zum Zitat Philippot R, Camilleri JP, Boyer B, Adam P, Farizon F (2009) The use of a dual-articulation acetabular cup system to prevent dislocation after primary total hip arthroplasty: analysis of 384 cases at a mean follow-up of 15 years. Int Orthop 33:927–932CrossRefPubMed Philippot R, Camilleri JP, Boyer B, Adam P, Farizon F (2009) The use of a dual-articulation acetabular cup system to prevent dislocation after primary total hip arthroplasty: analysis of 384 cases at a mean follow-up of 15 years. Int Orthop 33:927–932CrossRefPubMed
36.
Zurück zum Zitat Philippot R, Adam P, Reckhaus M, Delangle F, Verdot FX, Curvale G, Farizon F (2009) Prevention of dislocation in total hip revision surgery using a dual mobility design. Orthop Traumatol Surg Res 95:407–413CrossRefPubMed Philippot R, Adam P, Reckhaus M, Delangle F, Verdot FX, Curvale G, Farizon F (2009) Prevention of dislocation in total hip revision surgery using a dual mobility design. Orthop Traumatol Surg Res 95:407–413CrossRefPubMed
37.
Zurück zum Zitat Pineau V, Lebel B, Gouzy S, Dutheil JJ, Vielpeau C (2010) Dual mobility hip arthroplasty wear measurement: experimental accuracy assessment using radiostereometric analysis (RSA). Orthop Traumatol Surg Res 96:609–615CrossRefPubMed Pineau V, Lebel B, Gouzy S, Dutheil JJ, Vielpeau C (2010) Dual mobility hip arthroplasty wear measurement: experimental accuracy assessment using radiostereometric analysis (RSA). Orthop Traumatol Surg Res 96:609–615CrossRefPubMed
40.
Zurück zum Zitat Preininger B, Haschke F, Perka C (2014) Diagnostics and therapy of luxation after total hip arthroplasty. Orthopäde 43(1):54–63CrossRefPubMed Preininger B, Haschke F, Perka C (2014) Diagnostics and therapy of luxation after total hip arthroplasty. Orthopäde 43(1):54–63CrossRefPubMed
41.
Zurück zum Zitat Puch JM, Derhi G, Descamps L, Verdier R, Caton JH (2016) Dual-mobility cup in total hip arthroplasty in patients less than fifty five years and over ten years of follow-up: A prospective and comparative series. Int Orthop. doi:10.1007/s00264-016-3325-x PubMed Puch JM, Derhi G, Descamps L, Verdier R, Caton JH (2016) Dual-mobility cup in total hip arthroplasty in patients less than fifty five years and over ten years of follow-up: A prospective and comparative series. Int Orthop. doi:10.​1007/​s00264-016-3325-x PubMed
42.
Zurück zum Zitat Schmalzried TP, Callaghan JJ (1999) Wear in total hip and knee replacements. J Bone Joint Surg Am 81:115–136CrossRefPubMed Schmalzried TP, Callaghan JJ (1999) Wear in total hip and knee replacements. J Bone Joint Surg Am 81:115–136CrossRefPubMed
43.
Zurück zum Zitat Schneider L, Philippot R, Boyer B, Farizon F (2011) Revision total hip arthroplasty using a reconstruction cage device and a cemented dual mobility cup. Orthop Traumatol Surg Res 97(8):807–813CrossRefPubMed Schneider L, Philippot R, Boyer B, Farizon F (2011) Revision total hip arthroplasty using a reconstruction cage device and a cemented dual mobility cup. Orthop Traumatol Surg Res 97(8):807–813CrossRefPubMed
44.
Zurück zum Zitat Scifert CF, Noble PC, Brown TD, Bartz R, Kadakia N, Sugano N, Johnston RC, Pedersen DR, Callaghan JJ (2001) Experimental and computational simulation of total hip arthroplasty dislocation. Orthop Clin North Am 32:553–567CrossRefPubMed Scifert CF, Noble PC, Brown TD, Bartz R, Kadakia N, Sugano N, Johnston RC, Pedersen DR, Callaghan JJ (2001) Experimental and computational simulation of total hip arthroplasty dislocation. Orthop Clin North Am 32:553–567CrossRefPubMed
45.
Zurück zum Zitat Simian E, Chatellard R, Druon J, Berhouet J, Rosset P (2015) Dual mobility cup in revision total hip arthroplasty: dislocation rate and survival after 5 years. Orthop Traumatol Surg Res 101(5):577–581CrossRefPubMed Simian E, Chatellard R, Druon J, Berhouet J, Rosset P (2015) Dual mobility cup in revision total hip arthroplasty: dislocation rate and survival after 5 years. Orthop Traumatol Surg Res 101(5):577–581CrossRefPubMed
46.
Zurück zum Zitat Swedish Hip Arthroplasty Register. Annual Report 2011 Swedish Hip Arthroplasty Register. Annual Report 2011
47.
Zurück zum Zitat Tarasevicius S, Busevicius M, Robertsson O, Wingstrand H (2010) Dual mobility cup reduces dislocation rate after arthroplasty for femoral neck fracture. BMC Musculoskelet Disord 11:175CrossRefPubMedPubMedCentral Tarasevicius S, Busevicius M, Robertsson O, Wingstrand H (2010) Dual mobility cup reduces dislocation rate after arthroplasty for femoral neck fracture. BMC Musculoskelet Disord 11:175CrossRefPubMedPubMedCentral
48.
Zurück zum Zitat Trousdale RT, Cabanela ME, Berry DJ (1995) Anterior iliopsoas impingement after total hip arthroplasty. J Arthroplasty 10:546–549CrossRefPubMed Trousdale RT, Cabanela ME, Berry DJ (1995) Anterior iliopsoas impingement after total hip arthroplasty. J Arthroplasty 10:546–549CrossRefPubMed
49.
Zurück zum Zitat Vandenbussche E, Saffarini M, Delogé N, Moctezuma JL, Nogler M (2007) Hemispheric cups do not reproduce acetabular rim morphology. Acta Orthop 78:327–332CrossRefPubMed Vandenbussche E, Saffarini M, Delogé N, Moctezuma JL, Nogler M (2007) Hemispheric cups do not reproduce acetabular rim morphology. Acta Orthop 78:327–332CrossRefPubMed
50.
Zurück zum Zitat Vielpeau C, Lebel B, Ardouin L, Burdin G, Lautridou C (2011) The dual mobility socket concept: experience with 668 cases. Int Orthop 35:225–230CrossRefPubMed Vielpeau C, Lebel B, Ardouin L, Burdin G, Lautridou C (2011) The dual mobility socket concept: experience with 668 cases. Int Orthop 35:225–230CrossRefPubMed
Metadaten
Titel
Einsatz von Dual-Mobility-Pfannen beim Hüftprothesenwechsel
verfasst von
PD Dr. E. Röhner
Prof. G. Matziolis
Publikationsdatum
17.01.2017
Verlag
Springer Medizin
Schlagwörter
Hüft-TEP
Hüft-TEP
Erschienen in
Die Orthopädie / Ausgabe 2/2017
Print ISSN: 2731-7145
Elektronische ISSN: 2731-7153
DOI
https://doi.org/10.1007/s00132-016-3383-1

Weitere Artikel der Ausgabe 2/2017

Der Orthopäde 2/2017 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.