XX Die Zeitschrift für Frauen in der Medizin 2013; 2(1): 38-42
DOI: 10.1055/s-0033-1335006
© Georg Thieme Verlag Stuttgart · New York

Haben Frauen und Männer unterschiedliche Knochen? – Gender-Aspekte in der Orthopädie

Susanne Scheipl
Éva Rásky
Further Information

Publication History

Publication Date:
20 March 2013 (online)

Nach dem 50. Lebensjahr erkranken Frauen häufiger an arthrotischen Erkrankungen als Männer. Dieser Unterschied zeigt sich am deutlichsten bei Arthrosen des Kniegelenks. 2006 kam das erste Kniegelenksimplantat für Frauen auf den Markt. Dennoch steht die Orthopädie erst am Anfang in Sachen Gendermedizin.

  • Literatur

  • 1 Felson DT, Lawrence RC, Dieppe PA et al. Osteoarthritis: New insights. Part 1: the disease and its risk factors. Ann Intern Med 2000; 133: 635-646
  • 2 Pinn VW. Past and future: Sex and gender in health research, the aging experience, and implications for musculoskeletal health. Orthop Clin North Am 2006; 37: 513-521
  • 3 Huxley VH. Cardiovascular system: Gender differences in normal function and disease (2006). Im Internet: http://www.apsarchive.org/resource.cfm?submissionID=1584 Stand 02.11.2012
  • 4 Vaccarino V, Rathore SS, Wenger NK et al. Sex and racial differences in the management of acute myocardial infarction, 1994 through 2002. N Engl J Med 2005; 353: 671-682
  • 5 Mosca L, Appel LJ, Benjamin EJ et al. Evidence-based guidelines for cardiovascular diseaseprevention in women. Circulation 2004; 109: 672-693
  • 6 Rosser SV. A model for a speciality in women's health. J of Women's Health 1993; 2: 222-224
  • 7 Nguyen L, Amin NH, Vail TP et al. Editorial: A paucity of women among residents, faculty, and chairpersons in orthopaedic surgery. Clin Orthop Relat Res 2010; 468: 1746-1748
  • 8 Scheipl S, Rásky È Hrsg. Gender-Unterschiede in der Orthopädie … bis an die Knochen. Eine Einführung. Wien: facultas. wuv; 2012
  • 9 Srikanth VK, Fryer JL, Zhai G et al. A meta-analysis of sex differences prevalence, incidence and severity of osteoarthritis. Osteoarthritis Cartilage 2005; 13: 769-781
  • 10 Maleki-Fischbach M, Jordan JM. New developments in osteoarthritis. Sex differences in magnetic resonance imaging-based biomarkers and in those of joint metabolism. Arthritis Res Ther 2010; 12: 212-212
  • 11 Eckstein F, Maschek S, Wirth W et al. One year change of knee cartilage morphology in the first release of participants from the Osteoarthritis Initiative progression subcohort: Association with sex, body mass index, symptoms and radiographic osteoarthritis status. Ann Rheum Dis 2009; 68: 674-679
  • 12 Hawker GA, Wright JG, Coyte PC et al. Differences between men and women in the rate of use of hip and knee arthroplasty. N Engl J Med 2000; 342: 1016-1022
  • 13 Novicoff WM, Saleh KJ. Examining sex and gender disparities in total joint arthroplasty. Clin Orthop Relat Res 2011; 469: 1824-1828
  • 14 Borkhoff CM, Hawker GA, Kreder HJ et al. The effect of patients' sex on physicians' recommendation for total knee arthroplasty. CMAJ 2008; 178: 681-687
  • 15 Montin L, Leino-Kilpi H, Suominen T et al. A systematic review of empirical studies between 1966 and 2005 of patient outcomes of total hip arthroplasty and related factors. J Clin Nurs 2008; 17: 40-45
  • 16 Rolfson O. Patient-reported outcome measures and health-economic aspects of total hip arthroplasty. A study of the Swedish Arthroplasty Register. Gothenburg: University of Gothenburg (2010). Im Internet: https://www.gupea.ub.gu.se/bitstream/2077/23722/3/gupea_2077_23722_3.pdf Stand 02.11.2012
  • 17 NIH Consensus Statement on Total Knee Replacement December 8–10, 2003. J Bone Joint Surg Am 2004 2004; 86: 1328-1335
  • 18 Fachpresseinformation Zimmer. Eine Knieprothese speziell für Frauen. 2006; 11: 1-3
  • 19 Lonner JH, Jasko JG, Thomas BS. Anthropomorphic differences between the distal femora of men and women. Clin Orthop Relat Res 2008; 466: 2724-2729
  • 20 Bellemans J, Carpentier K, Vandenneucker H et al. The John Insall Award: Both morphotype and gender influence the shape of the knee in patients undergoing TKA. Clin Orthop Relat Res 2010; 468: 29-36
  • 21 Gillespie RJ, Levine A, Fitzgerald SJ et al. Gender differences in the anatomy of the distal femur. J Bone Joint Surg Br 2011; 93: 357-363
  • 22 Mahfouz M, Abdel Fatah EE, Bowers LS et al. Three-dimensional morphology of the knee reveals ethnic differences. Clin Orthop Relat Res 2012; 470: 172-185
  • 23 Hitt K, Shurman II JR, Greene K et al. Anthropometric measurements of the human knee: Correlation to the sizing of current knee arthroplasty systems. J Bone Joint Surg Am 2003; 85 (Suppl. 04) 115-122
  • 24 Carr PL, Szalacha L, Barnett R et al. A “ton of feathers”: Gender discrimination in academic medical careers and how to manage it. J Womens Health 2003; 12: 1009-1018
  • 25 Pinn VW. Sex and gender factors in medical studies: Implications for health and clinical practice. JAMA 2003; 289: 397-400
  • 26 Kim C, McEwen LN, Gerzoff RB et al. Is physician gender associated with the quality of diabetes care?. Diabetes Care 2005; 28: 1594-1998