What … for? (Indications) Replacement of partial or total hip joint, Osteoarthritis (pain), fractures and more special disease | ![]() | |||||
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. | ||||||
Risks (Contraindications) | 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) | |||||
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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