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DOI: 10.1055/s-0043-120880
Sport nach Knie- und Hüftendoprothetik
Sport after Total Knee and Hip ArthroplastyPublication History
Publication Date:
11 December 2017 (online)
Zusammenfassung
Mit der Einführung neuer Materialien in die Hüft- und Knieendoprothetik, sowie der Verbesserung der Prothesenverankerung im Knochen, scheinen die Voraussetzungen für eine stärkere Belastung künstlicher Endoprothesen erfüllt. Die Empfehlungen hinsichtlich der sportlichen Betätigung nach Implantation einer Knie- oder Hüftprothese sind in den letzten 20 Jahren jedoch den implantattechnischen Verbesserungen nicht angepasst worden. Gerade in der Hüftendoprothetik erlaubt die heute bevorzugte Verwendung von unzementierten Implantaten sowie der Einzug von hoch vernetztem Polyethylen einen deutlich aktiveren Lebenswandel ohne das erhöhte Lockungsraten und Komplikationen befürchtet werden müssen. Die hier vorgestellte Veröffentlichung fasst den gegenwärtigen Kenntnisstand aus der Literatur zusammen und gibt dem operativ tätigen orthopädischen Chirurgen Leitlinien für eine individuelle Beratung des Patienten.
Abstract
The introduction of new materials and better implant coatings seems to provide the prerequisites for more intense physical activities after total joint arthroplasties of the lower extremity. Despite recent advances in implant design and materials, recommendations for sport after total joint arthroplasty have not been updated over the past 20 years. The introduction of modern uncemented fixation as well as highly cross-linked polyethylene into total hip arthroplasty allow for a more active life-style without an increased risk of loosening or complications. This publication reviews the literature and presents the current knowledge to provide guidelines for orthopaedic surgeons treating patients after total joint replacement surgery.
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