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Totalprothesenarthroplastik bei chronischer Polyarthritis

  • Conference paper
Book cover Rheumaorthopädie — Untere Extremität

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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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Authors
  1. E. Morscher
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  2. Th. Egloff
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Editor information

Editors and Affiliations

  1. Orthopädische Klinik der medizinischen, Hochschule Hannover im Annastift, Heimchenstraße 1-7, D-30625, Hannover, Deutschland

    C. J. Wirth  & D. Kohn  & 

  2. Orthopädische Klinik, Landeswohlfahrtsverbandes Hessen in Kassel, Wilhelmshöher Allee 345, D-34131, Kassel, Deutschland

    W. E. Siebert

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© 1996 Springer-Verlag Berlin Heidelberg

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Morscher, E., Egloff, T. (1996). Totalprothesenarthroplastik bei chronischer Polyarthritis. In: Wirth, C.J., Kohn, D., Siebert, W.E. (eds) Rheumaorthopädie — Untere Extremität. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79883-2_7

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  • DOI: https://doi.org/10.1007/978-3-642-79883-2_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-79884-9

  • Online ISBN: 978-3-642-79883-2

  • eBook Packages: Springer Book Archive

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