Mittelfristige Behandlungsergebnisse der posttraumatischen Alloarthroplastik des Kniegelenks beim geriatrischen Patienten Mid-Term Results after Post-Traumatic Knee Joint Replacement in Elderly Patients

作者: H. Goost , O. Weber , D. Wirtz , S. Gravius , G. Pagenstert

DOI:

关键词: Elderly peopleKnee prosthesisScoring systemInternal fixationReduction (orthopedic surgery)OsteosynthesisArthroplastyPhysical therapySurgeryTreatment optionsMedicine

摘要: Background: Due to the increasing prevalence of elderly people in Germany, number geriat- ric fractures will continue increase. Typical geriatric skeletal and physical changes are osteo- porosis, arthrosis, reduced ability coordi- nation. Altogether, thesefactors may lead a fail- ure performed osteosynthesis, or make classical fracture treatment reduction internal fixation appear be impossible. The aim this study was examine results peri-knee treated directly within 3 months by implantation knee prosthesis. Material Methods: 15 patients could identified who were de- scribed way last 4 years. follow-up time 39 months. injury occurred all cases after banal trauma. Results: 14 examined apply- ing HSS scoring system. We furthermore checked operative management postop- erative course. reached good score level showed few complications. Conclusion: For patients, primary arthroplasty periarticular theknee is valid option. Nevertheless, surgeon has identify those which impossible treat osteosynthe- sis. Furthermore, application appropri- ate prosthesis, regarding degree hinge constrainment augmentation tibial femoral bone stock, important.

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