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Biomechanik der prothetisch versorgten Hüfte

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AE-Manual der Endoprothetik

Zusammenfassung

Hüftendoprothesen werden mit dem Ziel implantiert, die Schmerzfreiheit sowie eine sofortige und langfristige Stabilität zu gewährleisten. Ein Knochenverlust im Bereich des proximalen Femur ist ein regelmäßig auftretendes Phänomen nach Implantation von Hüfttotalendoprothesenstielen, was den Langzeiterfolg des operativen Eingriffs gefährdet. Es tritt bei allen Prothesensystemen und Materialkombinationen auf, die in der Hüftendoprothetik eingesetzt werden. Für einen periprothetischen Knochenverlust lassen sich in der Regel drei Gründe finden:

  1. 1.

    fremdkörperinduzierte Osteolysen,

  2. 2.

    ein Knochenabbau als Konsequenz der natürlichen Alterung,

  3. 3.

    Knochenverluste aufgrund einer biomechanischen Entlastung des Knochens, bedingt durch die Gestaltung, die Materialeigenschaften und die Oberflächencharakteristik der Implantate (Rubash et al. 1998).

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Authors and Affiliations

  1. Klinik für Orthopädie, St. Franziskus-Hospital, Schönsteinstraße 63, 50825, Köln-Ehrenfeld, Deutschland

    Priv.-Doz. Dr. med. Ralf Decking

  2. Institut für Unfallchirurgische Forschung und Biomechanik, Universität Ulm, Helmholtzstraße 14, 89081, Ulm, Deutschland

    Prof. em. Dr. biol. hum. Lutz Claes

Authors
  1. Priv.-Doz. Dr. med. Ralf Decking
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  2. Prof. em. Dr. biol. hum. Lutz Claes
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Correspondence to Ralf Decking .

Editor information

Editors and Affiliations

  1. Forschung und Biomechanik, Universität Ulm / Inst. für Unfallchir., Helmholtzstraße 14, Ulm, 89081, Germany

    Lutz Claes

  2. St. Vinzenz- und Elisabeth-Hospital, Katholisches Klinikum Mainz, An der Goldgrube 11, Mainz, 55131, Germany

    Peter Kirschner

  3. Campus Charité Mitte (CCM), Centrum f. Muskuloskeletale Chirurgie, Charitéplatz 1, Berlin, 10117, Germany

    Carsten Perka

  4. Orthopädische Klinik, König Ludwig Haus, Universität Würzburg, Brettreichstraße 11, Würzburg, 97074, Germany

    Maximilian Rudert

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© 2012 Arbeitsgemeinschaft Endoprothetik

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Decking, R., Claes, L. (2012). Biomechanik der prothetisch versorgten Hüfte. In: Claes, L., Kirschner, P., Perka, C., Rudert, M. (eds) AE-Manual der Endoprothetik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-14646-6_4

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  • DOI: https://doi.org/10.1007/978-3-642-14646-6_4

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