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Erschienen in: Der Orthopäde 5/2013

01.05.2013 | CME Zertifizierte Fortbildung

Update Metall-Metall-Gleitpaarungen

verfasst von: Prof. Dr. K.-P. Günther, J. Lützner, F. Hannemann, J. Schmitt, S. Kirschner, J. Goronzy, M. Stiehler, C. Lohmann, A. Hartmann

Erschienen in: Die Orthopädie | Ausgabe 5/2013

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Zusammenfassung

Mittlerweile gibt es zunehmende Hinweise auf die potenzielle Entwicklung lokaler bzw. systemischer Nebenwirkungen beim Einsatz von Metall-Metall-Gleitpaarungen. Ihre Häufigkeit bzw. klinische Relevanz sind noch umstritten, und implantat- bzw. operationsbedingte sowie patientenspezifische Risikofaktoren beeinflussen das Ausmaß der Freisetzung von Metallprodukten. Während Kleinkopfprothesen (maximaler Durchmesser bis 32 mm) und Subgruppen beim Oberflächenersatz gute Ergebnisse aufweisen können, wird vom Einsatz gestielter Großkopfprothesen (Durchmesser ab 36 mm) inzwischen abgeraten.
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Zurück zum Zitat Agence Francaise de Securité Sanitaire des Produits de Santé (Afssaps) (2012) Prothèses de hanche ASR du fabricant DePuy rappelées en juillet 2010. Recommandations de l′Afssaps. http://ansm.sante.fr/content/download/39685/518877/version/3/file/pi-120229-protheses-DePuy.pdf. Zugegriffen: 14.04.2012 Agence Francaise de Securité Sanitaire des Produits de Santé (Afssaps) (2012) Prothèses de hanche ASR du fabricant DePuy rappelées en juillet 2010. Recommandations de l′Afssaps. http://​ansm.​sante.​fr/​content/​download/​39685/​518877/​version/​3/​file/​pi-120229-protheses-DePuy.​pdf.​ Zugegriffen: 14.04.2012
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Zurück zum Zitat Arbeitsgemeinschaft Endoprothetik (2012) Konsensus-Empfehlungen zur Handhabung von Metall-Metall-Gleitpaarungen. Arbeitsgemeinschaft Endoprothetik, Freiburg. http://www.ae-germany.com/index.php?option=com_phocadownload&view=category&id=13&ltemid=380. Zugegriffen: 22.11.2012 Arbeitsgemeinschaft Endoprothetik (2012) Konsensus-Empfehlungen zur Handhabung von Metall-Metall-Gleitpaarungen. Arbeitsgemeinschaft Endoprothetik, Freiburg. http://​www.​ae-germany.​com/​index.​php?​option=​com_​phocadownload&​view=​category&​id=​13&​ltemid=​380.​ Zugegriffen: 22.11.2012
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Zurück zum Zitat British Hip Society (BHS) (2012) BHS statements on large diameter metal on metal bearing total hip replacements. BHS, London. http://www.britishhipsociety.com/uploaded/BHS_MOM_THR.pdf. Zugegriffen: 15.03.2012 British Hip Society (BHS) (2012) BHS statements on large diameter metal on metal bearing total hip replacements. BHS, London. http://​www.​britishhipsociet​y.​com/​uploaded/​BHS_​MOM_​THR.​pdf.​ Zugegriffen: 15.03.2012
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Zurück zum Zitat European Federation of National Associations of Orthopaedics and Traumatology (EFORT) (2012) Consensus statement „current evidence on the management of metal-on-metal bearings“. EFORT, Rolle. http://www.efort.org/communications/pdf/2012_05_10_MoM_Consensus_statement.pdf. Zugegriffen: 22.11.2012 European Federation of National Associations of Orthopaedics and Traumatology (EFORT) (2012) Consensus statement „current evidence on the management of metal-on-metal bearings“. EFORT, Rolle. http://​www.​efort.​org/​communications/​pdf/​2012_​05_​10_​MoM_​Consensus_​statement.​pdf.​ Zugegriffen: 22.11.2012
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Zurück zum Zitat Health Products and Food Branch Inspectorate HC (2012) Important safety information regarding metal-on-metal hip implant surgery. April 11, 2012. HC, Ottawa. http://www.hc-sc.gc.ca/dhp-mps/alt_formats/pdf/medeff/advisories-avis/prof/2012/metal_implant_hpc-cps-eng.pdf. Zugegriffen: 14.04.2012 Health Products and Food Branch Inspectorate HC (2012) Important safety information regarding metal-on-metal hip implant surgery. April 11, 2012. HC, Ottawa. http://​www.​hc-sc.​gc.​ca/​dhp-mps/​alt_​formats/​pdf/​medeff/​advisories-avis/​prof/​2012/​metal_​implant_​hpc-cps-eng.​pdf.​ Zugegriffen: 14.04.2012
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Zurück zum Zitat Medicines and Healthcare Products Regulatory Agency (MHRA) (2012) Medical device alert. All metal-on-metal (MoM) hip replacements. MDA/2012/008. MHRA, London. http://www.mhra.gov.uk/home/groups/dts-bs/documents/medicaldevicealert /con155767.pdf. Zugegriffen: 15.07.2012 Medicines and Healthcare Products Regulatory Agency (MHRA) (2012) Medical device alert. All metal-on-metal (MoM) hip replacements. MDA/2012/008. MHRA, London. http://​www.​mhra.​gov.​uk/​home/​groups/​dts-bs/​documents/​medicaldeviceale​rt /con155767.pdf. Zugegriffen: 15.07.2012
Metadaten
Titel
Update Metall-Metall-Gleitpaarungen
verfasst von
Prof. Dr. K.-P. Günther
J. Lützner
F. Hannemann
J. Schmitt
S. Kirschner
J. Goronzy
M. Stiehler
C. Lohmann
A. Hartmann
Publikationsdatum
01.05.2013
Verlag
Springer-Verlag
Erschienen in
Die Orthopädie / Ausgabe 5/2013
Print ISSN: 2731-7145
Elektronische ISSN: 2731-7153
DOI
https://doi.org/10.1007/s00132-013-2100-6

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