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Komplikationen

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Praxis der Knieendoprothetik

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Zusammenfassung

Periprothetische Frakturen nach dem Einbau von Knieprothesen stellen eine potentiell verheerende Komplikation für den Patienten und den Operateur dar. In der Literatur wird die Komplikationsraie selbst bei erfahrenen Operateuren mit 25–75% angegeben (Figgie et al. 1990; Merkel u. Johnson 1986), Zur Therapie dieser komplizierten Frakturen werden verschiedene Verfahren eingesetzt Häufigkeit, Pathogenese, Verletzungsmechanismen, Risikofaktoren und Behandlungsmöglichkeiten dieser Frakturen sollen in diesem Beitrag dargestellt werden.

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Literatur

  • Cain PR, Rubash HE, Wissinger HA, McClain EJ (1986) Peri- prosthetic femoral fractures following total knee arthroplasty. Clin Orthop 208:205–214

    PubMed  Google Scholar 

  • Chen F, Mont MA, Bachner RS (1994) Management of ipsilateral supracondylar femur fractures following total knee arthroplasty. J Arthroplasty 9:521–526

    Article  PubMed  CAS  Google Scholar 

  • Culp RW, Schmidt RG, Hanks G et. al. (1987) Supracondylar fracture of the femur following prosthetic knee arthroplasty. Clin Orthop 222:212–222

    PubMed  Google Scholar 

  • Delport PH, Van Audekercke R, Martens M, Mulier JC (1984) Conservative treatment of ipsilateral supracondylar femoral fracture after total knee arthroplasty. J Trauma 24:846–849

    Article  PubMed  CAS  Google Scholar 

  • Dennis DA (1999) Periprosthetic fractures folling total knee arthroplasty. J Trauma 24:846–849

    Google Scholar 

  • Dennis DA (1998) Periprosthetic fractures folling total knee arthroplasty: The good, bad an ugly. Orthopedics 21:1048–1050

    Google Scholar 

  • Figgie MP, Goldberg VN, Figgie HE, Sobel M (1990) The results of treatment of supracondylar fracture above total knee arthroplasty. J Arthroplasty 5:267–276

    Article  PubMed  CAS  Google Scholar 

  • Harlow ML, Hofmann AA (1994) Periprosthetic fractures. In: Scott WN (ed) The Knee. Mosby, St. Louis, MO, pp 1405–1417

    Google Scholar 

  • Hopf C, Hopf T, Rompe JD (1997) Fractures after total knee joint endoprosthesis. Results of treatment with various stabilizing methods. Unfallchirurgie 23:92–99

    Article  PubMed  CAS  Google Scholar 

  • Lesh ML, Schneider DJ, Pellegrini VD (1998) Biomechanical evaluation of the effects of anterior cortical notehing of the femur in total knee arthroplasty. 65A Annual Meeting of the American Academy of Orthopaedic Surgeons, New Orleans

    Google Scholar 

  • LA, March 19-23 Madsen F, Kjaersgaard-Andersen P, Juhl M, Sneppen O (1989) A custom-made prosthesis for the treatment of supracondylar femoral fractures after total knee arthroplasty: Report of four cases. J Orthop Trauma 3:333–337

    Article  Google Scholar 

  • McLaren AC, Dupont JA, Schroeber DC (1994) Open reduetion internal fixation of supracondylar fractures above total knee arthroplasties using the intramedullary supracondylar rod. Clin Orthop 302:194–198

    PubMed  Google Scholar 

  • Merkel KD, Johnson EW (1986) Supracondylar fracture of the femur after total knee arthroplasty. J Bone Jt Surg 68-A:29–43

    Google Scholar 

  • Moran MC, Brick GW, Sledge CB, Dysart SH, Chien EP (1996) Supracondylar femoral fracture following total knee arthroplasty. Clin Orthop 324:196–209

    Article  PubMed  Google Scholar 

  • Ritter MA, Faris PM, Keating EM (1988) Anterior femoral not ching and ipsilateral supracondylar femur fracture in total knee arthroplasty. J Arthroplasty 3:185–187

    Article  PubMed  CAS  Google Scholar 

  • Ritter MA, Keating EM, Faris PM, Mending JB (1995) Rush rod fixation of supracondylar fractures above total knee arthroplasties. J Arthroplasty 10:213–216

    Article  PubMed  CAS  Google Scholar 

  • Rolston LR, Christ DJ, Halpern A et. al. (1995) Treatment of supracondylar fractures of the femur proximal to a total knee arthroplasty. J Bone Jt Surg 77-A:924–931

    Google Scholar 

  • Short WH, Hottnick DR., Murray DG (1981) Ipsilateral supracondylar femur fractures following knee arthroplasty. Clin Orthop 158:111–116

    PubMed  Google Scholar 

  • Sisto DJ, Lachiewicz PF, Insall JN (1985) Treatment of supra-condylar fractures following prosthetic arthroplasty of the knee. Clin Orthop 196:265–272

    PubMed  Google Scholar 

  • Zehntner MK, Ganz R (1993) Internal fixation of supracondylar fracture after condylar total knee arthroplasty. Clin Orthop 293:219–224

    PubMed  Google Scholar 

  • Achauer BM, Black KS, Litke DK (1980) Transcutaneous P02 in flaps: A new method of survival prediction. Plast Reconster Surg 65:738–745

    Article  CAS  Google Scholar 

  • Bengtson S, Carlsson A, Relander M et. al. (1987) Treatment of the exposed knee prosthesis. Acta Orthop Scand 58:662–666

    Article  PubMed  CAS  Google Scholar 

  • Bridges SL Jr, Lopez Mendez A, Tracy I et. al. (1989) Should methotrexate be discontinued prior to total joint arthroplasty in rheumatoid arthritis patients? Arthritis Rheum 32 [Suppl 4]: 543

    Google Scholar 

  • Craig SM (1987) Soft tissue considerations. In: Scott WN (ed) Total knee revision arthroplasty. Grüne & Stratton, Orlando, FL, pp 99–112

    Google Scholar 

  • Dennis DA (1997a) Wound complications in total knee arthroplasty. Instr Course Lect 46:165–169

    CAS  Google Scholar 

  • Dennis DA (1997b) Wound complications in total knee arthroplasty. Orthopedics 20:837–840

    CAS  Google Scholar 

  • Ecker ML, Lotke PA (1989) Postoperative care of the total knee patient. Orthop Clin North Am 20:55–62

    PubMed  CAS  Google Scholar 

  • Ecker ML, Lotke PA (1993) Wound healing complications. In: Rand JA (ed) Total knee arthroplasty. Raven Press, New York, pp 403–407

    Google Scholar 

  • Gerwin M, Rothaus KO, Windsor RE et. al. (1993) Gastrocnemius muscle Aap coverage of exposed or infected knee prostheses. Clin Orthop 286:64–70

    PubMed  Google Scholar 

  • Gold DA, Scott SC, Scott WN (1996) Soft tissue expansion prior to arthroplasty in the multiply-operated knee. A new method of preventing catastrophic skin problems. J Arthroplasty 11:512–21

    Article  PubMed  CAS  Google Scholar 

  • Green JP (1965) Steroid therapy and wound healing in surgical patients. Br J Surg 52:523–525

    Article  PubMed  CAS  Google Scholar 

  • Hallock GG (1990) Salväge of total knee arthroplasty with local fasciocutaneous flaps. J Bone Jt Surg 72-A:1236–1239

    Google Scholar 

  • Johnson DP, Eastwood DM (1992) Lateral patellar release in knee arthroplasty: Effect on wound healing. J Arthroplasty 7 [Suppl]: 427–431

    Article  PubMed  Google Scholar 

  • Johnson DP (1990) The effect of continuous passive motion on wound-healing and joint mobility after knee arthroplasty. J Bone Jt Surg 72-A:421–426

    Google Scholar 

  • Klein NE, Cox CV (1994) Wound problems in total knee arthroplasty. In: Fu FH, Harner CD, Vince KG et. al. (eds) Knee surgery, vol 2. Williams & Wilkins, Baltimore, MD, pp 1539–1552

    Google Scholar 

  • McGrath MH (1982) The effect of Prostaglandin inhibitors on wound contraction an the myofibroblast. Plast Reconstr Surg 69:74–85

    Article  PubMed  CAS  Google Scholar 

  • Mosely LH, Finseth F, Goody M (1978) Nicotine and ist effect on wound healing. Plast Reconstr Surg 61:570–575

    Article  PubMed  CAS  Google Scholar 

  • Santore RF, Kaufmann D, Robbins AJ, Dabezies EJ Jr (1997) Tissue expansion prior to revision total knee arthroplasty. J Arthroplasty 12:475–478

    Article  PubMed  CAS  Google Scholar 

  • Weiß AP, Krackow KA (1993) Persistent wound drainage after primary total knee arthroplasty. J Arthroplasty 8:285–289

    Article  PubMed  Google Scholar 

  • Winiarsky R, Barth P, Lotke P (1998) Total knee arthroplasty in morbidly obese patients. J Bone Jt Surg 80-A:1770–1774

    Google Scholar 

  • Abdel-Salam, Eytes K (1995) Effects of tourniquet during total knee arthroplasty. J Bone Jt Surg 77:250–254

    CAS  Google Scholar 

  • Brandjes DPM, Heljbor H, Büller HR, De Rik M, Jagt J, Ten Cate JW (1992) Acenocoumarol and heparin compared with acenocoumarol alone in the initial treatment of proximal- vein thrombosis. N Engl J Med 327:1485–1489

    Article  PubMed  CAS  Google Scholar 

  • Cohen JR, Grella L, Citron M (1992) Greenfield filter instead of heparin as primary treatment for deep venous thrombosis or pulmonary embolism in patients with cancer. Cancer 70:1993–1996

    Article  PubMed  CAS  Google Scholar 

  • Greinacher A (1999) Heparin-induzierte Thrombozytopenie. In: Müller-Berghaus G, Pötsch B (Hrsg) Hämostaseologie. Springer, Berlin, S 83–94

    Google Scholar 

  • Haas S, Haas P (1996) Niedermolekulare Heparine — Die Anwendung in Klinik und Praxis. ZEIT-Verlag, Steinen

    Google Scholar 

  • Habscheidt W (1991) Die bildgebende Sonographie in der Diagnostik der tiefen Beinvenenthrombose, Schattauer, Stuttgart

    Google Scholar 

  • Kemkes-Mattes B, Oehler G (1996) Blutgerinnung und Throm-bose. Thieme, Stuttgart New York

    Google Scholar 

  • Koopman MMW, Prandoni P, Piovella et. al. (1996) Treatment of venous thrombosis with intravenous unfractionated heparin administered in the hospital as compared with subcutaneous low-molecular weight heparin administered at home. N Engl J Med 334:682–687

    Article  PubMed  CAS  Google Scholar 

  • Leyvraz PF, Bachmann F, Hoek J, Büller HR, Postel M, Samama M, Vandenbroek MD (1991) Prevention of deep vein thrombosis after hip replacement: randomised comparison between unfractionated heparin and low molecular weight heparin. Br Med J 303:543–548

    Article  CAS  Google Scholar 

  • Lynch AJ, Baker PL, Polly RE, Lepse PS, Wallace BE, Roudybsush D, Sund K, Lynch NM (1990) Mechanical measures in the Prophylaxis of postoperative thromboembolism in total knee arthroplasty. Clin Orthop 260:24–29

    PubMed  Google Scholar 

  • Murray DW, Britton AR, Bulstrode CJK (1996) Thrombopro- phylaxis and death after total hip replacement. J Bone Jonit Surg. 78-B:863–870

    Google Scholar 

  • National Institutes of Health Consensus Development Conference Statement (1986) Prevention of venous thrombosis and pulmonary embolism. J Am Med Ass 256:744–749

    Article  Google Scholar 

  • Partsch H (1996) Diagnose und Therapie der tiefen Venenthrombose. Vasa 46 [Suppl]:l–53

    Google Scholar 

  • Rader GP, Kramer C, Hendrich C, König A, Gohlke F, Eulert J (1998) Erfahrungen mit einer Sprunggelenksbewegungsschiene in der Thromboseprophylaxe bei Patienten nach totalendoprothetischem Kniegelenksersatz. Z Orthop 138:52–57

    Google Scholar 

  • Rader CP, Kramer C, Hendrich C, König A, Eulert J (1998) Low molecular weight heparin and PTT adjusted unfractioned heparin in thromboprophylaxis after total knee and total hip arthroplasty. J Arthroplasty 13:180–185

    Article  PubMed  CAS  Google Scholar 

  • Rader CP, Kramer C, König A, Gohlke F, Eulert J (1997) Vergleich zwischen niedermolekularen und unfraktionierten Heparinen (PPT-gesteuert) in der Thromboseprophylaxe bei Patienten mit totalendoprothetischem Ersatz von Hüft- und Kniegelenk. Z Orthop 135:52–57

    Article  PubMed  CAS  Google Scholar 

  • Schöndorf TH (1978) Thrombembolieprophylaxe mit Heparin bei elektiven Hüftgelenkoperationen. Deutsch Med Wochenschrift 103:1877–1881

    Article  Google Scholar 

  • Seitz R, Egbring R (1995) Diagnostische Kriterien der disseminierten intravasalen Gerinnung. Hämostaseologie 15:65–68

    CAS  Google Scholar 

  • Staubesand J, Heisterkamp T, Stege H (1995) Use of duplex sonography to investigate the effect of active and passive movement on the ankle joints for promoting venous return. Clin Anatomy 8:96–101

    Article  CAS  Google Scholar 

  • Stenzinger W, Van de Loo J (1999) Therapie mit oralen Antikoagulantien. In: Müller-Berghaus G, Pötsch B (Hrsg) Hämostaseologie. Springer, Berlin, S 666–683

    Google Scholar 

  • Stulberg BN, Insall JN, Williams GW, Ghelman B (1984) Deep- vein thrombosis following total knee replacement. J Bone Jt Surg 66-A:194–201

    Google Scholar 

  • Breed A (1974) Experimental production of vascular hypotension, and bone marrow and fat embolism with methylmethacrylat cement. Clin Orthop 102:227–244

    Article  PubMed  Google Scholar 

  • Fahmy NR, Chandler HP, Danylchuk K, Matta EB, Sunder N, Siliski JM (1990) Blood-gas and circulatory changes during total knee replacement. J Bone J-t Surg 72-A:19–26

    Google Scholar 

  • Hofmann S, Huemer G, Kratochwill C, Koller-Strametz J, Hopf R, Schlag G, Salzer M (1995a) Pathophysiologie der Fettembolie in der Orthopädie und Traumatologie. Orthopäde 24:84–94

    CAS  Google Scholar 

  • Hofmann S, Hopf R, Huemer G, Kratochwill Ch, Koller-Strametz J, Schlag G, Salzer M (1995b) Modifizierte Opera-tionstechniken zur Reduzierung der Knochenmarkauschüttung in der Knieendoprothetik. Orthopäde 24:144–151

    CAS  Google Scholar 

  • Hofmann S, Hopf R, Huemer G, Kratochwill C, Koller-Strametz J, Schlag G, Salzer M (1995c) Modifizierte Operationstechnik zur Reduzierung der Knochenmarkausschüttungen in der zementfreien Hüftendoprothetik. Orthopäde 24:130–138

    CAS  Google Scholar 

  • Huemer G, Hofmann S, Kratochwill C, Koller-Stramezt J, Hopf R, Schlag G, Salzer M (1995) Therapeutische Ansätze zur Behandlung des Fettemboliesyndroms. Orthopäde 24:173–178

    PubMed  CAS  Google Scholar 

  • Monto RR, Carcia J, Callaghan JJ (1990) Fatal fat embolism follwoing total condylar knee arthroplasty. J Arthroplasty 5:291–299

    Article  PubMed  CAS  Google Scholar 

  • Orsini EC, Byrick RJ, Müllen JB, Kay JC, Waddell JP (1987) Cardiopulmonary function and pulmonary microemboli during arthroplasty using cemented or non-cemented components. J Bone Jt Surg 69-A:822–832

    Google Scholar 

  • Ulrich C, Burri C, Wörsdörfer O, Heinrich H (1986) Intraoperative transesophageal two-dimensional echocardiography in total hip replacement. Arch Orthop Surg 105:274–278

    Article  CAS  Google Scholar 

  • Wenda K, Ritter G, Ahlers J, von Issendorf WD (1990) Nachweis und Effekte von Knochenmarkeinschwemmungen bei Operationen im Bereich der Femurmarkhöhle. Unfallchirurg 93:1–6

    Google Scholar 

  • Wenda K, Lauer K, Boor S, Runkel M, Kreitner KF (1995) Gibt es in der Endoprothetik einen Zusammenhang zwischen intramedullärer Druckerhöhung, Knochenmark-einschwemmungen und tiefen Beinvenenthrombosen? Orthopäde 24:114–123

    PubMed  CAS  Google Scholar 

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Authors
  1. D. A. Dennis
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  2. A. B. Szymanski
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© 2001 Springer-Verlag Berlin Heidelberg

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Dennis, D.A., Szymanski, A.B. (2001). Komplikationen. In: Praxis der Knieendoprothetik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59518-9_22

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  • DOI: https://doi.org/10.1007/978-3-642-59518-9_22

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64006-3

  • Online ISBN: 978-3-642-59518-9

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