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Totalprothesenarthroplastik bei chronischer Polyarthritis

  • E. Morscher
  • Th. Egloff
Conference paper

Zusammenfassung

Das Hüftgelenk des Rheumatikers beinhaltet eine ganze Reihe von speziellen Problemen, die zur Hauptursache mit dem Grundleiden selbst in Zusammenhang stehen. Die Besonderheiten der rheumatischen Arthritis des Hüftgelenkes bestehen insbesondere auch darin, daß die Patienten in der Regel jung sind, viele Gelenke — insbesondere auch das gegenseitige Hüftgelenk — betroffen und die Patienten allgemein schwer behindert, ja selbst an den Rollstuhl gebunden sind. In schweren Fällen der Grundkrankheit erhalten die Patienten auch verschiedene Medikamente, wie nicht-steroidale Antiphlogistika, Antimetaboliten und Steroide. Der operative Ersatz des Gelenkes selbst und die Prognose bezüglich Dauerhaftigkeit der Fixation sind bei der rheumatischen Arthritis kompromittiert durch Osteoporose, Kontrakturen, Deformitäten des Femurs sowie unterschiedliche Grade einer Protrusio acetabuli. Der Verlauf schwankt von äußerst langsam bis zu rapidem Zerfall des Gelenkes, der auch medikamentös kaum beeinflußt werden kann.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • E. Morscher
  • Th. Egloff

There are no affiliations available

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