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Computerassistierte Druckmessung im patellofemoralen Gelenk mit elektronischen Drucksensoren

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Book cover Navigation und Robotic in der Gelenk- und Wirbelsäulenchirurgie

Zusammenfassung

Die Patella stellt ein Sesambein im Quadrizepsmuskel dar und hat im Alltag verschiedene Funktionen. Neben Kraftübertragung und Hebelarm für den Quadrizeps beeinflusst sie gleichzeitig den Reibkoeffizienten zwischen Quadrizeps und Femur. Ihr Fehlen macht sich nicht zuletzt auch kosmetisch bemerkbar. Die ersten entwickelten Knieendoprothesen berücksichtigten die patellofemorale Gelenkfläche noch wenig. Im Rahmen der Nachuntersuchungen von eingebauten Knieendoprothesen zeigte sich, dass dem Peripatellarbereich mit durchschnittlich 10% der geklagten Patientenbeschwerden eine wichtige Rolle zukommt [1, 2, 5, 7, 16, 18, 20, 28, 34]. Diagnose, Operateur und Prothese haben einen Einfluss auf die Wahl für oder gegen einen Patellaersatz. Als Hauptprobleme im patellofemoralen Bereich gelten Schmerzen, Lateralisations- und Verkippungstendenzen der Patella und seltener auch Weichteilimpingement, Frakturen und Lockerungen der Patellaprothese.

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Literatur

  1. Ayers DC et al. (1997) Common complications of total knee arthroplasty. JBJS 79-A: 278–311

    Google Scholar 

  2. Barrack RL, Burak C (2001) Patella in total knee arthroplasty. Clin Orthop 389: 62–73

    Article  PubMed  Google Scholar 

  3. Barrack RL et al. (1997) Resurfacing of the patella in total knee arthroplasty. A prospective, randomized, double blind study. JBJS 79-A: 1121–1131

    Google Scholar 

  4. Bayley JC et al. (1988) Failure ofthe metal-backed patellar components after total knee arthroplasty. JBJS 70-A: 668–674

    Google Scholar 

  5. Bindelglass DF et al. (1993) Patellar tilt and subluxation in total knee arthroplasty. Clin Orthop 286: 103–109

    PubMed  Google Scholar 

  6. Boyd AD et al. (1993) Long-term complications after total knee arthroplasty with or without resurfacing of the patella. JBJS 75-A: 674–681

    Google Scholar 

  7. Brick GW, Scott RD (1988) The patellofemoral component of total knee arthroplasty. Clin Orthop 231: 163–178

    PubMed  Google Scholar 

  8. Chew JT et al. (1997) Differences in patellar tracking and knee kinematics among three different total knee designs. Clin Orthop 345: 87–98

    PubMed  Google Scholar 

  9. Feiler JA et al. (1996) Patellar resurfacing versus retention in total knee arthroplasty. JBJS 78-B: 226–228

    Google Scholar 

  10. Fuchs S et al. (2000a) Welche retropatellaren Veränderungen entstehen durch die Implantation einer Oberflächenkniegelenkprothese? Unfallchirurg 103: 972–976

    Article  PubMed  CAS  Google Scholar 

  11. Fuchs S et al. (2000b) Retropatellar contact characteristics in total knee arthroplasty with and without patellar resurfacing. Int Orthop 24: 191–193

    Article  PubMed  CAS  Google Scholar 

  12. Fuchs S et al. (2002) Welchen Einfluss haben die Größe und die Platzierung des Patellarückflächenersatzes bei Knieendoprothesen? Unfallchirurg 105: 44–48

    Article  PubMed  CAS  Google Scholar 

  13. Glaser FE et al. (1999) Edge loading of patellar components after total knee arthroplasty. J Arthroplasty 14: 493–499

    Article  PubMed  CAS  Google Scholar 

  14. Goldstein SA et al. (1986) Patellar surface strain. J Orthop Res 4: 372–377

    Article  PubMed  CAS  Google Scholar 

  15. Gomes LSM et al. (1988) Patellar prosthesis positioning in total knee arthroplasty. Clin Orthop 236: 72–81

    PubMed  Google Scholar 

  16. Grace JN, Rand JA (1988) Patellar instability after total knee arthroplasty. Clin Orthop 237: 184–189

    PubMed  Google Scholar 

  17. Heegaard JH et al. (2001) A computer model to simulate patellar biomechanics following total knee replacement: the effects of femoral component alignment. Clin Biomech 16: 415–423

    Article  CAS  Google Scholar 

  18. Hsu HP, Walker PS (1988) Wear and deformation of patellar components in total knee arthroplasty. Clin Orthop 246: 260–265

    Google Scholar 

  19. Huberti HH, Hayes WC (1984) Patello-femoral contact pressures. JBJS 66-A: 715–724

    Google Scholar 

  20. Johnson DP, Eastwood DM (1992) Patellar complications after knee arthroplasty. Acta Orthop Scand 63: 74–79

    Article  PubMed  CAS  Google Scholar 

  21. Kajino A et al. (1997) Comparison of the results of bilateral total knee arthroplasty with and without patellar replacement for rheumatoid arthritis. JBJS 79-A: 570–574

    Google Scholar 

  22. Keblish PA et al. (1994) Patellar resurfacing or retention in total knee arthroplasty. JBJS 76-B: 930–937

    Google Scholar 

  23. Koh JS et al. (2002) Influence of patellar thickness on results of total knee arthroplasty. J Arthroplasty 17: 56–61

    Article  PubMed  CAS  Google Scholar 

  24. Lee TQ et al. (1997) Patellofemoral joint kinematics and contact pressures in total knee arthroplasty. Clin Orthop 340: 257–266

    Article  PubMed  Google Scholar 

  25. Lee TQ et al. (1999) Patellar component positioning in total knee arthroplasty. Clin Orthop 366: 274–281

    Article  PubMed  Google Scholar 

  26. Ranawat CS (1986) The patellofemoral joint in total condylar knee arthroplasty. Clin Orthop 205: 93–99

    PubMed  Google Scholar 

  27. Rand JA (1990) Patellar resurfacing in total knee arthroplasty. Clin Orthop 260: 110–117

    PubMed  Google Scholar 

  28. Rhoads DD et al. (1990) The effect of femoral component position on patellar tracking after total knee arthroplasty. Clin Orthop 260: 43–51

    PubMed  Google Scholar 

  29. Schroeder-Boersch H et al. (1998) Advantages ofpatellar resurfacing in total knee arthroplasty. Two year results of a prospective randomized study. Arch Orthop Trauma Surg 117: 73–78

    Article  PubMed  CAS  Google Scholar 

  30. Stulberg SD et al. (1988) Failure mechanisms of metal backed patellar components. Clin Orthop 236: 88–105

    PubMed  Google Scholar 

  31. Tanzer M et al. (2001) Effect of femoral component designs on the contact and tracking characteristics of the unresurfaced patella in total knee arthroplasty. Can J Surg 44: 127–133

    PubMed  CAS  Google Scholar 

  32. Von Spreckelsen L et al. (1998) Patellofemorale Kontaktzonen bei Knieendoprothesen. Z Orthop 136: 560–565

    Article  Google Scholar 

  33. Wood DJ et al. (2002) Patellar resurfacing in total knee arthroplasty: a prospective, randomized trial. JBJS 84-A: 187–193

    Google Scholar 

  34. Yoshi I et al. (1992) The effect of patellar button placement and femoral component design on patellar tracking in total knee arthroplasty. Clin Orthop 275: 211–219

    Google Scholar 

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Authors
  1. J. Mortier
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  2. L. Zichner
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Editor information

Editors and Affiliations

  1. Klinik für Orthopädie und Traumatologie Am Mühlenberg, D-37235, Hessisch-Lichtenau, Deutschland

    Werner Konermann

  2. Klinik für Orthopädie und Rheumatologie, St. Vincenz-Hospital, Danziger Str. 17, D-33034, Brakel, Deutschland

    Rolf Haaker

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© 2003 Springer-Verlag Berlin Heidelberg

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Mortier, J., Zichner, L. (2003). Computerassistierte Druckmessung im patellofemoralen Gelenk mit elektronischen Drucksensoren. In: Konermann, W., Haaker, R. (eds) Navigation und Robotic in der Gelenk- und Wirbelsäulenchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55784-2_53

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  • DOI: https://doi.org/10.1007/978-3-642-55784-2_53

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62799-6

  • Online ISBN: 978-3-642-55784-2

  • eBook Packages: Springer Book Archive

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