Total Hip Arthroplasty in Multiple Sclerosis

Nico Maximilian Jandl; Tobias Schmidt; Andreas Niemeier

doi:10.1055/a-1004-3366

Zeitschrift für Orthopädie und Unfallchirurgie, Table of Contents

Z Orthop Unfall 2020; 158(02): 188-193
DOI: 10.1055/a-1004-3366

Review/Übersicht

Georg Thieme Verlag KG Stuttgart · New York

Hüftendoprothetik bei multipler Sklerose

Article in several languages: English | deutsch

Nico Maximilian Jandl

¹Department of Orthopedics, University Medical Center Hamburg-Eppendorf, Hamburg

²Department of Osteology and Biomechanics IOBM, University Medical Center Hamburg-Eppendorf, Hamburg

,

Tobias Schmidt

²Department of Osteology and Biomechanics IOBM, University Medical Center Hamburg-Eppendorf, Hamburg

³Department of Orthopedics and Traumatology, Reinbek Hospital St Adolf Stift, Reinbek

,

Andreas Niemeier

¹Department of Orthopedics, University Medical Center Hamburg-Eppendorf, Hamburg

³Department of Orthopedics and Traumatology, Reinbek Hospital St Adolf Stift, Reinbek

› Author Affiliations

Abstract

Zusammenfassung

Neurologische Grunderkrankungen bergen in der Hüftendoprothetik ein erhöhtes Komplikationspotenzial, insbesondere für Luxationen, Infektionen, Gangstörungen und sturzbedingte periprothetische Frakturen. Zur Hüftendoprothetik bei multipler Sklerose gibt es wenig spezifische Literatur. Generell werden jedoch erhöhte Revisionsraten verzeichnet. Diese werden zum Teil durch Luxationen bedingt. Zur Senkung der erhöhten Luxationsrate können Implantate mit vermehrte Luxationssicherheit, z. B. tripolare Pfannensysteme, eine sinnvolle Alternative darstellen. Aufgrund von Gangstörungen und einer höheren Prävalenz der Osteoporose ist eine osteologische Mitbehandlung empfehlenswert, um das (periprothetische) Frakturrisiko zu senken. Diese Übersicht fasst die aktuelle Literatur zur Hüftendoprothetik bei multipler Sklerose zusammen und versucht, praktische Handlungsempfehlungen abzuleiten.

Schlüsselwörter

Hüftendoprothetik - Hüft-TEP - multiple Sklerose - MS

Full Text

References

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