IMPLANT INFORMATION about Hip Endoprosthesis



What … for? (Indications)
Replacement of partial or total hip joint Osteoarthritis (pain), fractures and more special disease
hip total replacement
Hip endoprostheses make 42% of joint surgery (global, 2012)
310.800 hip endoprostheses, U.S.A. (2010)
220.000 hip endoprostheses, Germany (2014)
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 hip survival rate
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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