Zusammenfassung
Seit Jahrzehnten stellte die zementierte Verankerung von Hüftprothesen besonders für ältere Patienten das Standardverfahren dar. Die Zementiertechnik hat sich hierbei als der entscheidende Faktor für die Standzeit des Implantats erwiesen. In den letzten Jahren konnten Weiterentwicklungen in diesem Bereich eine weitere Verbesserung der Standzeiten erzielen. Zu den etablierten Bestandteilen einer modernen Zementiertechnik gehören das Anmischen unter Vakuum, Markraumstopper, Zementralisierungselemente oder die Verwendung einer Jet-Lavage. Das Design des zementierten Schaftes ist abhängig von der wichtigeren Oberflächenbeschaffenheit. Hierbei haben sich polierte Schäfte im Vergleich zu rauen Schäften in klinischen Studien als leicht überlegen erwiesen.
Abstract
For decades the cemented anchorage of hip prostheses, especially for elderly patients, is the standard procedure. The cementing technique has turned out to be the determining factor for the survival of the implant. In the last few years developments in this field have been able to further improve the long-term survival. Established components of the modern cementing technique are vacuum-mixed cements, medullary canal plugs, centralising elements und the use of jet-lavages. The design of the cemented shaft depends on the more important surface finish. In the most clinical studies, polished shafts turned out to be slightly superior as compared to shafts with rough surfaces.
Schlüsselwörter
Knochenzement - Hüftprothesen - Schaft - Zementiertechnik
Key words
bone cement - hip prostheses - shaft - cementing techniques
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Dr. Andreas Fottner
Orthopädische Klinik und Poliklinik
Ludwig-Maximilians-Universität München, Campus Großhadern
Marchioninistraße 15
81377 München
Telefon: 0 89/70 95-28 17
Fax: 0 89/70 95-58 14
eMail: andreas.fottner@med.uni-muenchen.de
