Zemententfernung in der Femurschaftrevision mit dem ROBODOC-System

  • M. Nogler
  • M. Krismer


Ist aufgrund einer septischen oder aseptischen Lockerung eines zementierten Femurschafts der Wechsel der Prothese indiziert, so muss zunächst der Schaft inklusive des alten Zements entfernt werden [5]. Nach Entfernung der Prothese, die meist problemlos gelingt, verbleiben im Femur zwei unterschiedliche Zementanteile (Abb. 19.1). Im Bereich des Prothesenlagers liegt meist ein relativ dünner Zementmantel. Unterhalb der Prothesenspitze findet sich ein Zementpfropfen unterschiedlicher Länge. Die Entfernung des proximalen Mantelanteils gelingt üblicherweise mit einfachen Werkzeugen, wogegen die Entfernung distaler Mantelanteile und des Zementpfropfens häufig eine komplexe Aufgabe ist.


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© Springer-Verlag Berlin Heidelberg 2003

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  • M. Nogler
  • M. Krismer

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