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Erschienen in: Der Orthopäde 2/2017

20.01.2017 | Hüft-TEP | Leitthema

Luxation nach Hüfttotalendoprothesenrevision

Analyse von Risikofaktoren und Lösungsstrategien

verfasst von: Dr. Dr. P. M. Prodinger, J. Schauwecker, H. Mühlhofer, N. Harrasser, F. Pohlig, C. Suren, R. von Eisenhart-Rothe

Erschienen in: Die Orthopädie | Ausgabe 2/2017

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Zusammenfassung

Mit einer Prävalenz von bis zu 35 % ist die Instabilität des Hüftgelenks mit resultierender Luxation die praktisch wichtigste Komplikation nach Revisionsalloarthroplastik der Hüfte. Neben nicht beeinflussbaren Faktoren wie Alter und Geschlecht oder der Art der Revision spielen der Zugangsweg, die Auswahl des Implantates, die Gleitpaarung und die Implantatpositionierung eine entscheidende Rolle für die Stabilität des Revisionsimplantates. Zudem stehen dem Chirurgen mit dem Einsatz großer Köpfe und des Double-Mobility (DM)-Prinzips wirksame Maßnahmen zur Reduktion der Luxationsrate zur Verfügung. Nach einer entsprechenden Ursachenanalyse können diese technischen Mittel bedarfsgerecht und effektiv zur Luxationsprophylaxe eingesetzt werden.
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Metadaten
Titel
Luxation nach Hüfttotalendoprothesenrevision
Analyse von Risikofaktoren und Lösungsstrategien
verfasst von
Dr. Dr. P. M. Prodinger
J. Schauwecker
H. Mühlhofer
N. Harrasser
F. Pohlig
C. Suren
R. von Eisenhart-Rothe
Publikationsdatum
20.01.2017
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/s00132-016-3377-z

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