Endoprothetik bei Erwachsenen mit juveniler idiopathischer Arthritis

Zusammenfassung

Progressive Verlaufsformen der JIA, die durch medikamentöse Behandlung wenig beeinflussbar sind, münden nicht selten in eine endoprothetische Versorgung vor dem fünften Lebensjahrzent. Durch den Beginn im Kindesoder Jugendalter werden Wachstum und physiologische Gelenkentwicklung verändert. Daraus resultierende Bewegungseinschränkungen und Gelenkfehlstellungen beeinflussen Implantatwahl und Weichteilbehand-lung. Schmerzlinderung und Verbesserung der Lebensqualität nach endoprothetischer Versorgung sind beeindruckend. Dennoch ist die Lebensplanung mit Endoprothesen unterschiedlich zu prognostizieren und abhängig vom Implantationsort.

Summary

Progressive forms of JIA, which are not good enough influenced by drug treatment, can lead to an endoprosthetic treatment bevor the 5^th lifedecade. Beginning in childhood or adolescence, growth and physiological joint developement are changed. The resulting movement restrictions and joint deformities influence implant selection and soft tissue treatment. Pain relief and improvement in quality of live after endoprosthetics care are impressive. Nevertheless, life planning with endoprostheses are different from prognoses and depend on the joint region.

Schlüsselwörter

Endoprothetik junger Rheumatiker - operative Therapie bei progressiver JIA

Keywords

Endoprosthetics of young rheumatism - operative therapy in progressive JIA

• Literatur

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