| What … for? (Indications) Replacement of partial or total hip joint Osteoarthritis (pain), fractures and more special disease |
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| Numbers Hip endoprostheses make 42% of joint surgery (global, 2012) 310.800 hip endoprostheses, U.S.A. (2010) 220.000 hip endoprostheses, Germany (2014) |
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| Times Dependend on technique mobilization after 1 -7 days. Rehabilitation after 6-12 weeks dependend on many individual factors. |
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| 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 |  |
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| Literature | – Basic | Patient Information (manufacturer/Zimmer) (english) Metal-on-Metal Hip Implants (english, FDA) Endoprothetik – Zwischen Anspruch und Realität (german) |
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| – Problems | Hip-Replacement-Recalls (Drugwatch) Selbsthilfegruppe für schadhafte Hüftprothesen (german) Der Spiegel: Rückruf von Hüftgelenksprothesen (german) |
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| – 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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