IMPLANT INFORMATION
about Hip Endoprosthesis
WHAT … FOR? (INDICATIONS)
Replacement of partial or total hip joint, Osteoarthritis (pain), fractures and more special disease
The criteria for the insertion of joint implants are:
- severe joint pain for months, several days a week or permanently,
- no relief from other treatments such as painkillers and exercise therapies,
- severe impairment of quality of life
- changes in the joint typical of osteoarthritis that are clearly shown by an X-ray examination.
Other reasons may include: limitations in walking and climbing stairs, a misalignment of the legs, an unstable joint or weak muscles, problems walking, kneeling or sitting down, limitations at work, at home and during leisure time, or dependence on support from others.
NUMBERS
370.000 hip endoprostheses, U.S.A. (2014)
239.204 hip endoprostheses, Germany (2018)
309 per 100.000 population (Germany, 2017, statista)
75% total , 12.5% partial hip replacements, 12.5% revisions (Fortune Business Insights)
TIMES
Dependend on technique mobilization after 1 -7 days. Rehabilitation after 6-12 weeks dependend on many individual factors.
CONTRAINDICATIONS
Diseases that increase the risk of surgery.
RISKS
short term: Inflammation, thrombosis, hematoma, injury of nerves or vessels, hemorrhagia, metal hypersensitivity, metal toxicity, leg length inequality.
long term: Loosening, dislocation, osteolysis, inflammation, chronic pain, death (<1%).
FAILURES
5% after 1st surgery
MATERIALS AVAILABLE
Titanium (TiAl6V4 a.o.), CoCrMo-alloys, Polyethylen (Teflon), PMMA
STATISTICS
95% more than 10 years
SELECTED PATIENT INFORMATION
Questions to ask your doctor before getting a hip endoprothesis (deutsch)
Endoprothesenregister Deutschland (Patienteninformationen)
LITERATURE
– Basic
Patient Information (manufacturer/Zimmer) (english)
Metal-on-Metal Hip Implants (english, FDA)
Endoprothetik – Zwischen Anspruch und Realität (german)
– Problems
Hip-Replacement-Recalls (Drugwatch)
Selbsthilfegruppe für schadhafte Hüftprothesen (german)
Der Spiegel: Rückruf von Hüftgelenksprothesen (german)
– Science/Future
3D-printed spine
REGISTER (links)
Canadian Joint Replacement Registry (Canada)
Czech National Register of Joint Replacement (NRKN, Czech Republic)
Deutschland Endoprothesenregister (german)
Romanian Arthroplasty Register (Romania)
Slovak Arthroplasty Register (Slovakia)
Swedish Hip Arthroplasty Register (swedish)
UK National Joint Registry (UK)
Gelenkersatz: Anwendungsstandards und Register verbessern Qualität (german)
Register und Netzwerke: Zusammenarbeit ist wichtig für den Erfolg (german)
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