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Praxis der Knieendoprothetik pp 129–136Cite as

Vor- und Nachteile mobiler Komponenten in der Kniegelenktotalendoprothetik

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Zusammenfassung

Der klinische Erfolg von Kniegelenksprothesen ist abhängig von der präoperativen Stabilität des Kniegelenks sowie vom spezifischen Bewegungsumfang des verwendeten Prothesenmodells. Stabilität ist die wichtigste Voraussetzung für ein funktionierendes Kniegelenk. Es ist jedoch entscheidend, auf welchem Wege diese Stabilität erreicht wird. Ein Teil der Kniegelenksstahilität wird bedingt durch extrinsschen Strukturen wie Kap sei-Band-Apparat und Muskulatur, der Rest wird von der intrinsischen Stabilität der Prothese beeinflusst Wird der freie Bewegungablauf durch die intrinsische Stabilität behindert, werden erhebliche StauchungsRotations- und Scherkräfte aus dem Gelenk direkt auf das Prothesenlager übertragen. Lockerungen insbesondere der tibialen Komponente treten daher häufiger auf wenn der freie Bewegungsumfang des Kniegelenks durch die Prothese eingeschränkt wird. Ein anatomischer Bewegungsumfang ist nicht nur Voraussetzung für eine gute klinische Funktion, sondern ebenfalls entscheidend, um Prothesenlockerungen zu vermeiden.

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Literatur

  • Argenson JN, O’Connor JJ (1992) Polyethylene wear in meni scal knee replacement. A one to nine year retrieval analysis. J Bone Jt Surg 74-B:228–232

    Google Scholar 

  • Bert JM (1990) Dislocation/Subluxation of meniscal bearing elements after New Jersey low contact stress total knee arthroplasty. Clin Orthop 254:211–215

    PubMed  Google Scholar 

  • Büchel FF, Pappas MJ (1984) New Jersey integrated total knee replacement system. Biomechanical analysis and clinical evaluation of 918 cases. Food and Drug Aministration panel presentation, Silver Springs MD

    Google Scholar 

  • Büchel FF, Pappas MJ (1986) The New Jersey low contact stress knee replacement system: Biomechanical rationale and review of the first 123 cemented cases. Arch Orthop Trauma Surg 105:197–204

    Article  Google Scholar 

  • Büchel FF, Pappas MJ (1989) New Jersey LCS knee replacement system: 10 year evaluation of meniscal bearings. Orthop Clin North Am 20:147–177

    Google Scholar 

  • Büchel FF, Pappas MJ, Peoples S, Davenport JM, Friddle NM (1990) New Jersey posterior cruciate retaining total knee replacement: clinical, radiographic, Statistical and survivorship analysis of 395 cementless cases performed by 13 surgeons. Food and Drug Administration panel presentation, Rockville MD

    Google Scholar 

  • Büchel FF, Pappas MJ (1990) Long term survivorship analysis of cruciate-sparing versus cruciate-sacrificing knee pro- theses using mobile bearings Clin Orth Rel Res: 220

    Google Scholar 

  • Büchel FF, Sorrels B, Pappas MJ (19919 New Jersey rotating platform total knee replacement: clinical, radiographic, Statistical and survivorship analysis of 346 cases performed by 16 surgeons. Food and Drug Administration panel presentation, Gaithersburg MD

    Google Scholar 

  • Collier JB (1994) Relative wear lates of mobile bearing knees versus fixed bearing knees. Report of Dartmouth Biomedical Engineering Center

    Google Scholar 

  • Collier J, Mayor MB, McNamara JL, Suprenant VA, Jensen RE (1991) Analysis of the failure 122 Polyethylene inserts from uncemented tibial knee components. Clin Orthop Rel Res: 273

    Google Scholar 

  • Goodfellow JW, O’Connor JJ (1978) The mechanics of the knee and the prosthetic design. J Bone Jt Surg 60-B:358–369

    Google Scholar 

  • Hamelynck KJ, Reinders K, Wöring R (1993) Seven years of clinical experience with the low contact stress total knee system in rheumatoid and Osteoarthritis. A prospective study. J Bone Jt Surg 75 B (Suppl 2 )

    Google Scholar 

  • Hamelynck KJ (1995) Cruciate ligament retaining total knee arthroplasty in patients with rheumatoid arthritis. In: Rheumatoid Arthritis. Current trends in diagnostics. Conservative treatment and surgical reconstruction. Thieme, Stuttgart, pp 109–117

    Google Scholar 

  • Jordan LR, Olivo JL, Voorhorst PE (1997) Survivorship analysis of cementless meniscal bearing total knee arthroplasty. Clin Orthop and Rel Res 338:119–123

    Article  Google Scholar 

  • Keblish PA (1991) Results and complications of the LCS (Low Contact Stress) knee system. Acta Orthop Belg 57:124–127

    PubMed  Google Scholar 

  • Keblish PA, Schrei C, Ward M (1993) Evaluation of 275 low contact stress (LCS) total knee replacements with 2 to 8 year follow-up. Orthopaedics Int Edition 2

    Google Scholar 

  • Pappas MJ, Makris G, Büchel FF (1987) Biomaterials for hard tissue applications. In: Pizzoferrato PG et al. (eds) Biomaterials and clinical applications. Evaluation of contact stresses in metal-plastic total knee replacements. Elsevier, Amsterdam, pp 259–264

    Google Scholar 

  • Pappas MJ (1994) Two articulating surface wear of VHMWPe bearings. LCS White Paper no. 1, Biomedical Engineering Trust

    Google Scholar 

  • Postak PD, Matejczyk MB, Greenwald AS (1989) Stability characteristics of total knee replacements. AAOS 56th Annual meeting in Las Vegas, Nevada (scientific exhibit)

    Google Scholar 

  • Sorrels RB et al. (1992) Clinical results and survivorship of cemented and uncemented cruciate sacrificing total knee replacements. AAOS 59th Annual meeting, Washington DC (scientific exhibit)

    Google Scholar 

  • Weaver JK, Derkash RS, Greenwald AS (1993) Difficulties with bearing dislocation and breakage using a morable bearing total knee system. Clin Orthop 290:244–252

    PubMed  Google Scholar 

Download references

Authors
  1. K. J. Hamelynck
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© 2001 Springer-Verlag Berlin Heidelberg

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Hamelynck, K.J. (2001). Vor- und Nachteile mobiler Komponenten in der Kniegelenktotalendoprothetik. In: Praxis der Knieendoprothetik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59518-9_10

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  • DOI: https://doi.org/10.1007/978-3-642-59518-9_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64006-3

  • Online ISBN: 978-3-642-59518-9

  • eBook Packages: Springer Book Archive

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