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Endoprothetischer Totalersatz von Femur, Humerus und Tibia

  • U. LenzeEmail author
  • C. Knebel
  • F. Lenze
  • S. Consalvo
  • I. Lazic
  • S. Breden
  • H. Rechl
  • R. von Eisenhart-Rothe
Leitthema

Zusammenfassung

Durch Fortschritte in der Diagnostik und Therapie primär maligner Knochentumoren kann heute in den allermeisten Fällen ein Extremitätenerhalt erreicht werden. Mithilfe moderner modularer Tumorprothesen können hierbei alle großen Gelenke und sogar ganze Extremitätenabschnitte wie das Femur, der Humerus oder die Tibia endoprothetisch ersetzt werden. In diesem Beitrag werden die jeweils individuellen Voraussetzungen und Herausforderungen bei Durchführung eines endoprothetischen Totalersatzes an vorgenannten anatomischen Lokalisationen herausgearbeitet. Des Weiteren wird ein Überblick über das zu erwartende Outcome sowie Probleme und Komplikationsraten gegeben.

Schlüsselwörter

Oberarmknochen Knochenkrebs Tumorendoprothese Künstliches Gelenk Beinknochen 

Abkürzungen

HHMR

Howmedica Humerus Modular Replacement

MSTS

Musculoskeletal Tumor Society

Total endoprosthetic replacement of femur, humerus and tibia

Abstract

Improvements in diagnostics and effectiveness of chemotherapy have resulted in most patients with primary malignant bone tumours being candidates for limb salvage surgery. Herewith, the use of modern modular tumour endoprostheses allows for the replacement of all big joints and even entire long bones such as the femur, humerus and tibia. In this article, we focus on individual prerequisites for and challenges with performing a total endoprosthetic reconstruction of the above-mentioned anatomic structures. Additionally, data from the literature with regards to functional outcome, problems and complications are presented.

Keywords

Upper arm bone Bone cancer Tumour endoprosthesis Artificial joint Leg bones 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

U. Lenze, C. Knebel, F. Lenze, S. Consalvo, I. Lazic, S. Breden, H. Rechl und R. von Eisenhart-Rothe geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  • U. Lenze
    • 1
    Email author
  • C. Knebel
    • 1
  • F. Lenze
    • 1
  • S. Consalvo
    • 1
  • I. Lazic
    • 1
  • S. Breden
    • 1
  • H. Rechl
    • 1
  • R. von Eisenhart-Rothe
    • 1
  1. 1.Klinik für Orthopädie und Sportorthopädie, Klinikum rechts der IsarTU MünchenMünchenDeutschland

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