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2015 | OriginalPaper | Buchkapitel

3. Gelenkerhaltende Maßnahmen

verfasst von : Jürgen Heisel, Prof. Dr. med. Dr. h. c. mult., Jörg Jerosch, Prof. Dr. med. Dr. h. c.

Erschienen in: Knieendoprothetik

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Ein operatives Vorgehen bei degenerativen Veränderungen des Kniegelenkes – hier insbesondere der alloplastische Ersatz – steht immer erst am Ende der Behandlungskette, dann wenn die konservativen Behandlungsstrategien ausgeschöpft sind. Hier gilt es neben medikamentösen Maßnahmen vor allem physikalische, bewegungstherapeutische und auch (apparativ-)technische Strategien zu berücksichtigen.

ACR Recommendations for the medical management of osteoarthritis of the hip and knee (2000) Arth Rheum 43 1905–1915

Aihara S, Murakami N, Ishii R, Kariya K, Azuma Y, Hamada K, Umemoto J, Maeda S (1992) Effects of sodium hyaluronate on the nociceptive response of rats with experimentally induced arthritis. Nippon Yakurigaku Zasshi 100:359–65PubMed

Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, Christy W, Cooke TD, Greenwald R, Hochberg M et al (1986) Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum 29(8):1039–49PubMed

American Academy of Orthopaedic Surgeons AAOS (2004) Osteoarthritis of the knee: treatment

Balazs E (1982) The physical properties of synovial fluid and the specific role of hyaluronic acid. In: Helfet AJ (Hrsg) Disorders of the knee. Lippincott, Philadelphia, S 61–74

Barnes CL, Clark AE, Thornhill T (1993) Patient selection and indications for total knee replacement. In: Rand JA (Hrsg) Total knee arthroplasty. Raven Press, New York, S 85–92

Behrens P (2005) Matrixgekoppelte Mikrofrakturierung. Arthroskopie 18:193–197

Bellamy N, Campbell J, Robinson V, Gee T, Bourne R, Wells G (2006) Viscosupplementation for the treatment of osteoarthritis of the knee. Cochrane Library 2006 Issue 2

Bert JM, Maschka K (1989) The arthroscopic treatment of uni-compartmental gonarthrosis: follow-up-study of abrasion osteoplasty plus arthroscopic debridement and arthroscopic debridement alone. Arthroscopy 5(1):25–32PubMed

Bischof HH, Heisel J, Locher H (2007) Praxis der konservativen Orthopädie. Thieme, Stuttgart New York

Bobic V (1996) Arthroscopic osteochondral autograft transplantation in anterior cruciate ligament reconstruction. Knee Surgery Sports Traumatology Arthroscopy 3:262

Bochner R (1991) Indications and alternatives to total knee replacement. In: Laskin RS (Hrsg) Total knee replacement. Springer, London Berlin New York, S 17–24

Brittberg M, Winalski CS (2003) Evaluation of cartilage injuries and repair. J Bone Joint Surg Am 85-A(Suppl 2):58–69PubMed

Brittberg M, Lindahl A, Nilsson A, Ohlsson G, Isaksson O, Peterson L (1994) Treatment of deep cartilage defects in the knee with autologous chonrocyte transplantation. NEJM 331:889–895PubMed

Bruyere O, Pavelka K, Rovati LC et al (2004) Glucosamine sulfate reduces osteoarthritis progression in postmenopausal women with knee osteoarthritis: evidence from two 3-year studies. Menopause 11(2):138–143PubMed

Buckwalter JA, Lohmander S (1994) Operative treatment of osteoarthrosis. Current practice and future development. J Bone Joint Surg Am 76(9):1405–1418PubMed

Campbell ED (1991) Abrasion osteoplasty. In: Goldberg VM (Hrsg) Controversies of total knee arthroplasty. Raven Press, New York, S 269–271

Cass JR, Bryan RS (1988) High tibial osteotomy. Clin Orthop 230:196–199PubMed

Chen H, Sun J, Hoemann CD, Lascau-Coman V, Ouyang W, McKee MD, Shive MS, Buschmann MD (2009) Drilling and microfracture lead to different bone structure and necrosis during bone-marrow stimulation for cartilage repair. J Orthop Res 27(11):1432–1438PubMed

Chillag KJ, Nicholls PJ (1984) High tibial osteotomy, a retrospektive analysis of 30 cases. Orthopedics 7:1821–1822PubMed

Clegg DO, Reda DJ, Harris CL et al (2005) The efficacy of glucosamine and chondroitinsulfate in patients with painful knee osteoarthritis: The Glucosamine/chondroitin Arthritis Intervention Trial (GAIT) Annual Scientific Meeting of the American College of Rheumatology, San Diego (CA), November 12–17.

Conrozier T, Balblanc JC et al (2012) Early effect of hyaluronic acid intra-articular injections on serum and urine biomarkers in patients with knee osteoarthritis: An openlabel observational prospective study. J Orthop Res 30(5):679–85. doi: 10.1002/jor.21580. Epub 2011 Oct 24

Coventry MB (1965) Osteotomy of the upper portion of the tibia for degenerative arthritis of the knee. Bone J Joint Surg 47 A:984–990

Coventry MB (1973) Osteotomy about the knee for degenerative and rheumatoid arthritis. Bone J Joint Surg 55 A:23–48

Coventry MB (1979) Upper tibial osteotomy for gonarthrosis. Orthop Clin N Am 182:191–210

Coventry MB (1985) Upper tibial osteotomy for osteoarthritis. Bone J Joint Surg 67 A:1136–1140

Coventry MB (1993) Alternatives to total knee arthroplasty. In: Rand JA (Hrsg) Total knee arthroplasty. Raven Press, New York, S 67–84

Coventry MB, Bowman PW (1982) Long term result of upper tibial osteotomy for degenerative arthritis of the knee. Acta Orthop Belg 48:139PubMed

Czitrom AA, Langer F, McKee N, Gross AE (1986) Bone and cartilage allotransplantation: a review of 14 years of research and clinical studies. Clin Orthop 208:141–145PubMed

Czitrom AA, Keating S, Gross AE (1989) Articular cartilage viability after allotransplantation. Presented at the 44 th Meeting of the Canadian Orthopedic Association, Toronto, May 31

De Angelis PL (1999) Hyaluronan synthetases: Fascinating glycosyltransferases from vertrebrates, bacterial pathogens and algal viruses. Cell Mol Life Sci 56:670–682

Eular Recommendations (2003) Ann Rheum Dis 62:1145–1155

Evanko SP, Wight TN (1999) Intracellular localisation of hyaluronan in proliferating cells. J Histochem Cytochem 47:1331–1342PubMed

Felson DT, Zhang Y, Anthony JM, Naimark A, Anderson JJ (1992) Weight loss reduces the risk for symptomatic knee osteoarthritis in women. The Framingham Study Ann Intern Med 116(7):535–539PubMed

Forrester JV, Balsz EA (1980) Inhibition of phagozytosis by high molecular weight hyaluronate. Immuniology 40:435–446

Frean SP, Abraham LA, Lees P (1999) In vitro stimulation of equine articular cartilage proteoglycan synthesis by hyaluronan and carprofen. Res Vet Sci 67:183–190PubMed

Friedman MJ, Berasi CC, Fox JM, Del Pizzo W, Snyder SJ, Ferkel RD (1984) Preliminary results with abrasion arthroplasty in the osteoarthritic knee. Clin Orthop 182:200–205PubMed

Fujisawa Y, Masuhara K, Shiomi S (1979) The effect of high tibial osteotomy on osteoarthritis of the knee. Orthop Clin North Am 10:585PubMed

Garret J (1987) Osteochondral allografts for treatment of chondral defects of the femoral condyles: early results. Proceeding of the Knee Society. Am J Sports Med 15:387

Gillespie WJ (1974) The results of tibial osteotomy for osteoarthritis of the knee. Surg J Coll Surg Edin 19:222

Gomis A, Pawlak M, Balazs EA, Schmidt RF, Belmonte C (2004) Effects of different molecular weight elastoviscous Hyaluronan solutioons on articular nociceptive afferents. Arthritis Rheumatism 50:314–326PubMed

Gomis A, Miralles A, Schmidt RF, Belmonte C (2007) Nozizeptive nerve activity in an experimental model of knee joint osteoarthritis of the guinea pig: Effect of intraarticular hyaluronan application. Pain 130:126–36PubMed

Gomis A, Miralles A, Schmidt RF, Belmonte C (2007) Nociceptive nerve activity in an experimental model of knee joint osteoarthritis of the guinea pig: Effect of intraarticular hyaluronan application. 130(1–2):126–36. Epub 2007

Goto M, Hanyu T, Yoshio T, Matsuno H, Shimuzu M, Murata N, Shiozawa S, Matsubara T, Yamana S, Matsuda T (2001) intra-articular injection of hyaluronate (SI-6601D) improves joint pain and prostaglandin E2 Levels in rheumatoid arthritis: a multicenter clinical trial. Clin Exp Rheumatol 19:377–83PubMed

Grifka J (1994) Kniegelenksarthrose. Epidemiologie, arthroskopische Therapie, Kernspintomographie, Knieschule. Thieme, Stuttgart New York

Gross AE, Silverstein EA, Falk J et al (1975) The allotransplantation of the partial joint in the treatment of osteoarthritis in the knee. Clin Orthop 108:7–14PubMed

Gross AE, Langer F, Houpt J, Pritzker KPH, Friedlander G (1976) Allotransplantation of partial joints in the treatment of osteoarthritis of the knee. Transplant PrOL 8:129

Gross AE, McKee NH, Pritzer KPH, Langer F (1983) Reconstruction of scelettal deficits at the knee. A comprehensive osteochondral transplantat program. Clin Orthop 174:96PubMed

Gross AE, McKee NH, Farine I, Czitrom A, Langer F (1984) Reconstruction of sceletal defects following en bloc excision of bone tumors. In: Current concepts of diagnosis and treatment of bone and soft tissue tumors. Springer, Berlin, S 163–174

Hangody L, Kárpáti Z (1994) A new surgical treatment of localized cartilaginious defects of the knee. Hungarian Journal of Orthopedic Trauma 37:237

Harris WR, Kostuik JP (1970) High tibial osteotomy for osteoarthritis of the knee. Bone J Joint Surg 52 A:330

Hart DJ, Spector TD (1993) The relationship of obesity, fat distribution and osteoarthritis in women in the general population: the Chingford Study. J Rheumatol 20(2):331–5PubMed

Heisel J (2003) Physikalische Medizin. Thieme, Stuttgart New York

Hempfling H (2007) Intra-articular hyaluronic acid after knee arthroscopy: a two year study. Knee Surg Sports Traumatol Arthrose 15:537–46

Hofmann M, Fieber C, Assmann V, GottlicherM, Sleeman J, Plug R, Howells N, von Stein O, Ponta H, Herrlich P (1998) Identification of IHABP a 95 kDa intracellular hyaluronate binding protein. J Cell Sci 111:1673–1684PubMed

Homandberg GA, Hui F, Wen C, Kuettner KE, Williams JM (1997) Hyaluronic acid suppresses fibronectin fragment mediated cartilage chondrolysis. Osteoarth Cartilage 5:309–19

Insall JN (1967) Intra-articular surgery for degenerative arthritis of the knee. A report of the work of the late Pridie KH. Bone J Joint Surg 49B:211–228

Insall JN (1974) The Pridie debridement operation for osteoarthritis of the knee joint. Clin Orthop 101:61PubMed

Insall JN, Schoji H, Mayer Y (1974) High tibial osteotomy, a five year evaluation. Bone J Joint Surg (Am) 56:1397–1405

Insall JN, Joseph DM, Msika E (1984) High tibial osteotomy for varus gonarthrosis. Bone J Joint Surg 66 A:1040–1048

Ivey M, Cantrell JS (1985) Lateral tibial plateau fracture as a postoperative complication of high tibial osteotomy. Orthopedics 8:1009–1013PubMed

Jackson RW (1985) The septic knee-arthroscopic treatment. Arthroscopy 1:194–197PubMed

Jäger M, Wirth CJ (1986) Praxis der Orthopädie, 1. Aufl. Thieme, Stuttgart New York, S 980

Johnson L (1986a) Arthroscopic surgery, 3. Aufl. Mosby, St. Louis Toronto Princeton

Johnson L (1986b) Arthroscopic operation arthroplasty historical and pathological perspective: present status. Arthroscopy 2:54–69PubMed

Johnson L (1992) Personliche Mitteilung anläßlich einer Hospitation im Juni 1992, zitiert nach Gächter 1994

Kandel RA, Gross AE, Ganel A, McDermott AGP, Langer F, Pritzger KPH (1985) Histopathology of failed osteoarticular shell allografts. Clin Orthop 197(1985):103PubMed

Karpman RR, Volz RG (1982) Osteotomy versus unicompartment prosthetic replacement in the treatment of unicompartment arthritis of the knee. Orthopedics 5:989–991PubMed

Katz MM, Hungerford DS, Krackow KA, Lennox DW (1987) Results of total knee arthroplasty after failed proximal tibial osteotomy for osteoarthritis. Bone J Joint Sur 69 A:225–233

Kawasaki K, Ochi M, Uchio Y, Adachi N, Matsusaki M (1999) Hyaluronic acid enhances proliferation and chondroitin sulphate synthesis in cultured chondrocytes embedded in collagen gels. J Cell Physiol 179:142–148PubMed

Kellgren JH, Lawrence JS (1957) Radiological assessment of osteoarthrosis. Ann Rheum Dis 16:494–501PubMedCentralPubMed

Kettlekamp DB (1979) A review of proximal tibial osteotomy. JCE Orthop 7:11–19

Kirkley A, Birmingham TB, Litchfield RB et al (2008) A randomized trial of arthroscopic surgery for osteoarthritis of the knee. N Eng J Med 359:1097–107

Klein W (1988) Die maschinelle arthroskopische Chirurgie der Gonarthrose. Arthroskopie 1:109–115

Kobayashi K, Amiel M, Harwood FL, healey RM, Sonoda M, Moriya H, Amiel D (2000) The long term effects of hyaluronan during development of osteoarthritis following partial meniscectomy in a rabbit model. Osteoarthritis and Cartilage 8:359–365PubMed

Krackow KA (1990) The technique of total knee arthroplasty. St. Louis, Baltimore

Kreuz PC, Steinwachs MR, Erggelet C et al (2006) Results after microfracture of full-thickness chondral defects in different compartments in the knee. Osteoarthritis Cartilage 14:1119–1125PubMed

Kujawa MJ, Caplan AI (1986) Hyaluronic acid bonded to cell-culture surfaces stimulates chondrogenesis in stage 24 limb mesenchyme cell cultures. Dev Biol 114:504–518PubMed

Langer F, Gross AE, West M, Urovitz EP (1978) The immunogenicity of allograft knee joint transplants. Clin Orthop 132:155PubMed

Laskin RS (1984) Alignment of total knee components. Orthopedics 7:62–72PubMed

Lee DH, Lee KB, Jung ST et al (2012) Comparison of early versus delayed weightbearing outcomes after microfracture for small to midsized osteochondral lesions of the talus. Am J Sports Med 40:2023–2028PubMed

Lee JY, Spicer AP (2000) Hyaluronan: a multifunctional, mega Dalton, stealth molecule. Curr Opinion Cell Biol 12:581–86PubMed

Dt Gesellschaft für Orthopädie und orthopädische Chirurgie (2002) Leitlinien der DGOOC. Dt. Ärzte Verlag, Köln

Löhnert J, Raunest J (1990) Arthroskopische Operationslehre des Kniegelenks. Biermann, Zülpich

Magnuson BP (1941) Joint debridement: surgical treatment of degenerative arthritis. Surg Gynec Obstet 1:73

Mankin HJ (1982) The response of articular cartilage to mechanical injury. Bone J Joint Surg 64 A:460

Maquet PGJ (1984) Mechanics of the knee. In: Maquet PGJ (Hrsg) Biomechanics of the knee. Springer, New York Berlin, S 9–74

Marder RA, Hopkins G, Timmermann LA (2005) Arthroscopic microfracture of chondral defects of the knee: a comparison of two postoperative treatments. Arthroscopy 21:152–158PubMed

Marshall KW, Manolopoulos V, Mancer K, Staples J, Damyanovich A (2000) Amelioration of disease severity by intraarticular hylan therapy in bilateral canine osteoarthritis. J Orthop Res 18:416–425PubMed

Maschka K (1988) Arthroscopic treatment of unicompartmental gonarthrosis: a four year follow-up of abrasion arthroplastv versus arthroscopic debridement. Am Acad Orthop Surg, Atlanta

Matsunaga D, Akizuki S, Takizawa T et al (2007) Repair of articular cartilage and clinical outcome after osteotomy with microfracture or abrasion arthroplasty for medial gonarthrosis. Knee 14(6):465–471PubMed

Matthews LS, Goldstein SA, Malvitz TA, Katz BP, Kaufer H (1988) Proximal tibia osteotomie, factors that influence the duration of satisfactory function. Clin Orthop 229:193–200PubMed

McDermott GP, Langer R, Pritzber KP, Gross AE (1975) Fresch small fragment osteochondral allografts. Long-term follow-up of first 100 cases. Clin Orthop 197:96

Meyers MH, Akeson W, Convery R (1989) Resurfacing the knee with fresch osteochondral allograft. Bone J Joint Surg 71 A:704–713

Milhoefer K, McAdam T, William RJ et al (2009) Clinical efficacy of mikrofracture technique for the artiicular cartailage repair in the knee: an evidence based systematic analysis. Am J Sport Med 37:2053–2063

Misra S, Ghatak S, Toole BP (2005) Regulation of MDR1 expression and drug resistance by positive feedback loop involving hyaluronan, phosphoinositide 3-kinase and ERB2. J Biol Chem 280:20310–15PubMed

Mnaymneh W, Malinin TI, Makley JT, Dick HM (1985) Massive osteoarticular allografts in the reconstruction of extremities following resection of tumors not requiring chemotherapy and radiation. Clin Orthop 197:76–87PubMed

Moreland LW (2003) Intra-articular hyaluronan (hyaluronic acid) and hylans for the treatment of osteoarthritis: mechanisms of action. Arthritis Res Ther 5(2):54–67PubMedCentralPubMed

Morrey BE (1988) Long term study of tibial osteotomy in patients under age of fourty. Orthop Trans 12:655

Moseley JB, O’Malley K, Petersen NJ et al (2002) A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med 347:81–88PubMed

Moskowitz RW (2000) Role of collagen hydrolysate in bone and joint disease. Semin Arthritis Rheum 30(2):87–99

Mülller W (1982) Das Knie. Form, Funktion und ligamentäre Wiederherstellungschirurgie. Springer, Berlin Heidelberg New York

Orth P, Goebel L, Wolfram U et al (2012) Effect of subchondral drilling on the microarchitecture of subchondral bone: analysis in a large animal model at 6 months. Am J Sports Med 40(4):828–836PubMed

Paacola C, Xavier C, Goncalves R (1979) Fresh immature articular cartilage allografts: a study on the integration of chondral and osteochondral grafts both in normal and in papain treated knee joints of rabbits. Arch Orthop Trauma Surg 93:253–259

Peluso GF, Perbellini A, Tajana GF (1990) The effect of high and low molecular weight hyaluronic acid on mitogen induced lymphocyte proliferation. Curr Ther Res 47:437–443

Piper SL, Kim HT (2008) Comparison of ropivacaine and bupivacaine toxicity in human articular chondrocytes. J Bone Joint Surg Am 90(5):986–91. doi: 10.2106/JBJS.G.01033

Prehm P (1984) Hyaluronate is synthezised at plasma membranes. Biochem J220:597–600

Punzi L, Schiavon F, Cavasin F, Ramonda R, Gambari PF, Todesco S (1989) the influence of intra-articular hyaluronic acidon PGE2 and cAMP of synovial fluid. Clin Exp Rheumatol 7:247–250PubMed

Ravaud P, Moulinier L, Giraudeau B et al (1999) Effects of joint lavage and steroid injection in patients with osteoarthritis of the knee: results of a multicenter, randomized, controlled trial. Arthritis Rheum 42:475–82PubMed

Richards RN, Lonergan RP (1984) Arthroscopic surgery for relief of pain in the osteoarthritic knee. Orthopedics 7:1705–1707PubMed

Russlies M, Behrens P, Ehlers EM, Bröhl C, Vindigni C, Spector M, Kurz B (2005) Periosteum stimulates subchondral bone densification in autologous chondrocyte transplantation in a sheep model. Cell Tissue Res 319(1):133–42PubMed

Schachar NS, McGann LE (1986) Investigations of low-temperature storage of articular cartilage for transplantation. Clin Orthop 208:146–150PubMed

Schönholtz GJ, Ling B (1985) Arthroscopic chondroplasty of the patella. Arthroscopy 1:92–96PubMed

Shea JD (1973) Osteoarthritis of the knee: diagnosis and complications of treatment by high tibial osteotomy. South Med J 66:1030–1034PubMed

Sim EH, Chao EYS (1991) Mechanical Interaction. In: Goldberg VM (Hrsg) Controversies of total knee arthroplasty. Raven Press, New York, S 253–262

Skolnick MD, Bryan RS, Persson BM (1988) Non union after high tibial osteotomy in osteoarthritis. Bone J Joint Surg 60 A:973–977

Smith MM, Gosh P (1987) The synthesis of hyaluronic acid by human synovial fibroblasts is influenced by the nature of the hyaluronate in the extracellular environment. Rheumatol Int 7(3):113–22PubMed

Steadman JR, Rodkey WG, Rodrigo JJ (2001) „Microfracture”: surgical technique and rehabilitation to treat chondral defects. Clin Orthop Relat Res 391:362–369

Stern R, Asari AA, Sugahara KN (2006) Hyaluronan fragments: An information rich system. Eur J Cell Biol 85:699–715PubMed

Tjornstrand B, Hagstedt B, Persson BM (1978) Results of treatment for non union after high tibial osteotomy in osteoarthritis of the knee. Bone J Joint Surg 60 A:973

Tobetto K, Kasai K, Akatsuka M, Yasui T, Ando T, Hirano S (1993) Inhibitory effects of hyaluronan on neutrophil-mediated cartilage degradation. Connect Tissue Res 29:181–90PubMed

Tomford WW, Mankin HJ (1983) Investigational approaches to articular cartilage preservation. Clin Orthop 174:22–27PubMed

Tomford WW, Duff GP, Mankin HJ (1985) Experimental freeze preservation of chondrocytes. Clin Orthop 197:11–14PubMed

Wardle EN (1962) Osteotomy of the tibia and fibula. Surg Gynecol Obstet 115:61–64PubMed

Wang XZ, Zheng YX, Cao YL et al (2012) Study on the diagnostic value of whole-organ magnetic resonance imaging score (WORMS) in knee osteoarthritis. Zhongguo Gu Shang 25(5):364–8. Chinese

Windsor RE, Insall JN, Vince KG (1988) Technical considerations of total knee arthroplasty after proximal tibial osteotomy. Bone J Joint Surg 70 A:547–555

Zukor DJ, Paitich B, Oakeshott RD, Brooks PJ, McAuley JP, Rudan JE, Langer F, Gross AE (1989) Reconstruction of posttraumatic articular surface defects using fresh small-fragment osteochondral allografts. In: Bone Transplantation. Springer, Berlin Heidelberg New York, S 293–305

Zukor DJ, Oakeshott RD, Gross AE (1991) Fresh osteochondral allografts for post-traumatic defects of the knee. In: Goldberg VM (Hrsg) Controversies of total knee arthroplasty. Lippincott Williams and Wilkins, New York, S 273–290

Titel: Gelenkerhaltende Maßnahmen
verfasst von: Jürgen Heisel, Prof. Dr. med. Dr. h. c. mult.
Jörg Jerosch, Prof. Dr. med. Dr. h. c.
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_3

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Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

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