Endoprosthetics (eBook)

Manfred Georg Krukemeyer, Gunnar Möllenhoff (Herausgeber)

eBook Download: PDF | EPUB

2014
229 Seiten
De Gruyter (Verlag)
978-3-11-037057-7 (ISBN)

Infos

This book describes the whole field of endoprosthetics, with all its potential, for practicing clinicians. The following aspects are dealt with in particular: indications and contraindications, surgical procedures (pros and cons), pain therapy, post-operative problems, infections, risks, necessary medication, length of medication, and post-operative patient care.

M. G. Krukemeyer, Paracelsus-Klinik Osnabrück; G. Möllenhoff, Raphaelsklinik Münster, Germany.

Autor

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M. G. Krukemeyer, Paracelsus-Klinik Osnabrück; G. Möllenhoff, Raphaelsklinik Münster, Germany.

Inhalt

Preface 5
List of contributing authors 7
Abbreviations 8
1 Shoulder Endoprosthetics 15
1.1 Introduction 15
1.2 History and Development of Shoulder Endoprosthetics 15
1.3 Anatomy 20
1.4 Biomechanics and Prosthesis Design 20
1.4.1 Humeral Head Prosthesis 20
1.4.2 Glenoid Replacement 23
1.4.3 Resurfacing 26
1.4.4 Reverse Shoulder Prosthesis 30
1.4.5 Perspective 32
1.5 Indications and Contraindications 33
1.5.1 Primary Shoulder Arthrosis 33
1.5.2 Humeral Head Necrosis 34
1.5.3 Rheumatoid Arthritis 35
1.5.4 Instability Arthrosis 36
1.5.5 Post-traumatic Shoulder Arthrosis 36
1.5.6 Defect Arthropathy 37
1.5.7 Contraindications 38
1.6 Surgical Technique 38
1.6.1 Surgical Planning 38
1.6.2 Total Shoulder Endoprosthesis 39
1.7 Results 42
1.8 Complications 43
1.9 Postoperative Rehabilitation 44
2 Primary Endoprosthetics of the Hip Joint 47
2.1 Introduction 47
2.2 Anatomy of the Hip Joint 47
2.3 Implant Materials 49
2.4 Cemented Versus Cementless Implantation 50
2.5 Cemented Implants 52
2.5.1 Polyethylene Socket 52
2.5.2 The Cemented Stem 52
2.6 Cementless Implants 53
2.6.1 Threaded Cup and Press Fit Sockets 53
2.6.2 The Bipolar Prosthesis (Dual-Head Prosthesis) 422.6.3 Epiphyseal Fixation (Surface Replacement) 57
2.6.4 Metaphyseal Stem Fixation 59
2.7 Surgical Approaches 63
2.8 Prophylaxis of Heterotopic Ossification 64
2.9 Thrombosis Prophylaxis 66
2.10 Autologous Transfusions 69
2.11 Rehabilitation after Implantation of a Hip Joint Endoprosthesis 70
3 Endoprosthetics of the Knee Joint 73
3.1 Introduction 73
3.2 Anatomical and Biomechanical Principles 73
3.3 Gonarthrosis 75
3.3.1 Epidemiology 75
3.3.2 Etiology and Classification 76
3.3.3 Clinic 78
3.3.4 Imaging Diagnostics 79
3.4 Indications and Contraindications 79
3.5 Surgical Goals 80
3.6 Risk and Success Factors 80
3.7 Preoperative Measures 81
3.7.1 Surgical Planning 81
3.7.2 Informing Patients 82
3.7.3 Anesthetic Procedures 82
3.8 Perioperative Measures 83
3.9 Postoperative Measures 83
3.9.1 General Postoperative Measures 83
3.9.2 Postoperative Pain Therapy 84
3.9.3 Medical Thrombosis Prophylaxis 85
3.10 Prosthesis Design 86
3.10.1 Unicondylar Joint Replacement (Sled Prosthesis) 87
3.10.2 Unconstrained Bicondylar Resurfacing 91
3.10.3 Semi-Constrained Prostheses 94
3.10.4 Hinged Prostheses 94
3.10.5 Modular Revision Implants/Tumor Prostheses 96
3.10.6 Patellofemoral Prostheses 96
3.11 Surgical Technique 97
3.11.1 Alternative Surgical Approaches 98
3.12 Complications 100
3.12.1 General Complications 100
3.12.2 Specialized Complications 100
3.13 Rehabilitation 104
3.14 Outlook 104
4 Ankle Endoprosthetics 107
4.1 Introduction 107
4.2 History 108
4.3 Implants 109
4.4 Indication/Contraindication 113
4.4.1 Patient Selection 115
4.4.2 Bone Situation 115
4.4.3 Ligamentous Situation 116
4.4.4 General Contraindications 116
4.5 Alternative Operations at the Upper Ankle 118
4.5.1 Alternative Operations Before Ankle Endoprosthesis Implantation 118
4.5.2 Alternatives to Total Endoprosthesis 120
4.6 Surgical Technique 121
4.7 Additional Interventions 124
4.7.1 Tibiotalar Malalignment (Varus/Valgus) 125
4.7.2 Subtalar Malalignment (Varus/Valgus) 127
4.7.3 Club Foot Deformity 128
4.7.4 Arthrosis of the Adjacent Joints 129
4.8 Radiological Diagnosis 131
4.9 Complications 133
4.9.1 Impingement 133
4.9.2 Incorrect Sizing of the Prosthesis Parts 135
4.9.3 Fractures 136
4.9.4 Aseptic Loosening 136
4.9.5 Infections 137
4.9.6 Treatment of Prosthesis-Associated Infections of the Upper Ankle 137
4.9.7 Postoperative Movement Limitations 140
4.10 After Care 140
4.10.1 In the Clinic 142
4.10.2 Outpatients 145
4.10.3 Rehabilitation Measures 145
5 Tumor Endoprosthetics 149
5.1 Indications 149
5.2 Preoperative Planning 150
5.3 Current Tumor Endoprosthesis Systems 150
5.3.1 Soft Tissue Reconstruction 155
5.4 Postoperative Management 158
5.5 Function 159
5.6 Special Prostheses 1495.6.1 Growth Prostheses 163
5.6.2 Stump Construction Grafts 164
5.7 Complications 164
6 Minimally Invasive Hip Endoprosthetics 169
6.1 General 169
6.2 Patient Selection 172
6.3 The Posterolateral Approach 172
6.4 The Anterolateral Approach 175
6.5 The Anterior Approach 178
6.6 Effect of the Approach on the Choice of Implant 179
6.7 Marketing or Benefit? 179
6.8 Summary 181
7 Navigation in Endoprosthetics 187
7.1 Introduction 187
7.2 Navigation Technology 188
7.3 Navigation in Knee Endoprosthetics 190
7.3.1 Principles 190
7.3.2 Surgical Procedure 192
7.3.3 Special Aspects 202
7.4 Navigation in Hip Endoprosthetics 204
7.4.1 Principles 204
7.4.2 Surgical Process 206
7.4.3 Special Aspects 214
7.5 Outlook 215
Appendix: Information on the individual joint prostheses 219
Index 225

Produkt-Details

• Erscheint lt. Verlag: 1.4.2014
• Zusatzinfo: 141 col. ill., 21 b/w tbl.
• Verlagsort: Berlin/Boston
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete
• Themenwelt: Medizin / Pharmazie ► Pflege
• Themenwelt: Medizin / Pharmazie ► Physiotherapie / Ergotherapie ► Orthopädie
• Themenwelt: Technik ► Medizintechnik
• Schlagworte: Endoprosthesis • Endoprothese • Hüftgelenk • Implantat • Implantation • Infection • Kniegelenk • Künstliches Gelenk • Orthopedics • Pain Therapy
• ISBN-10: 3-11-037057-3 / 3110370573
• ISBN-13: 978-3-11-037057-7 / 9783110370577