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Z Orthop Ihre Grenzgeb 2000; 138(5): 390-394
DOI: 10.1055/s-2000-10166
INNOVATION

Georg Thieme Verlag Stuttgart · New York

Fremdkörperreaktion bei Karbonfaserstiftimplantation im Kniegelenk - Kasuistik und Literaturübersicht

Foreign Body Reaction to a Carbon Fiber lmplant in the Knee - Case Report and Literature Survey.J.  Mortier, M.  Engelhardt
  • Orthop. Univ.-Klinik Friedrichsheim, Frankfurt am Main (Ärztl. Direktor Prof. Dr. med. L. Zichner)
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Publication History

Publication Date:
31 December 2000 (online)

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Zusammenfassung.

Wir präsentieren einen Verlauf nach Karbonstiftimplantation am Kniegelenk. Innerhalb eines halben Jahres kam es wegen dauerhafter Beschwerden zum Einbau eines Oberflächenersatzes an dem arthrotischen Gelenk. Neben der intraoperativen deutlichen Sklerosierung um die Karbonfaserstiftbohrlöcher und einer synovialen Gewebsreaktion fand sich histopathologisch eine ausgeprägte granulomatöse Fremdkörperreaktion um die Karbonfasern. Experimentelle Daten weisen auf einen negativen Einfluss von Fremdkörperreaktionen bei Knorpelheilungsprozessen hin. Die Implantation von Karbonfaserstiften erscheint unter diesen Gesichtspunkten weder unter biomechanischen noch unter pathophysiologischen Aspekten empfehlenswert. Bevor diese Therapieform allgemein empfohlen werden kann, sollten die Ergebnisse prospektiv vergleichender Untersuchungen abgewartet werden.

We present the clinical radiological and pathological data of a patient who underwent carbon fiber implantation of the right knee. Within half a year a total knee replacement had to be performed due to persistent pain. Apart from the intraoperative, macroscopically visible, massive sclerosis around the drill holes and an obvious synovial reaction, we histopathologically found a severe granulomatous foreign body reaction around the carbon fibers. Experimental data point toward a negative influence of a foreign body reaction on attempted cartilage repair. The implantation of carbon fibers can be recommended neither for biomechanical nor for pathophysiological reasons. Before this treatment can be recommended, prospective randomized trials are mandatory.

Schlüsselwörter:

Karbonfasern - Knorpelschaden - Arthrose - Fremdkörperreaktion

Key words:

Carbon Fiber - Cartilage Damage - Arthrosia - Foreign Body Reaction

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Priv.-Doz. Dr. M. Engelhardt

Orthop. Univ.-Klinik Friedrichsheim

Marienburgstr. 2

Frankfurt am Main