Postoperative radiologische Beurteilung von Gelenkendoprothesen

Zusammenfassung

Mit der Zunahme der Lebenserwartung in den Industrieländern, den Fortschritten in der Entwicklung des Implantatdesigns wie auch der Implantationstechnik werden Gelenkprothesen zunehmend häufiger eingebracht.

Neben dem häufig vorgenommenen Hüft- und Kniegelenkersatz sind endoprothetische Eingriffe auch an einer Vielzahl anderer Gelenke möglich. Die radiologische Bildgebung ist postoperativ ein entscheidendes Werkzeug für die Beurteilung des Operationsergebnisses und die Erkennung von Früh- und Spätkomplikationen.

Im folgenden Beitrag wird auf die Bedeutung unterschiedlicher bildgebender Verfahren und auf ihren systematischen Einsatz in der postoperativen Betreuung von Patienten mit einem Gelenkersatz eingegangen.

Abstract

With increased life expectancy in industrialised countries, improvement of implant design and operative technique, arthroplasty has become a routine procedure.

The hip and knee joints are treated by arthroplasty most frequently. Nowadays joint replacement can be performed in many other joints. Radiologic imaging is an important tool for evaluation of the operative results and for detection of early and late complications.

In the following article we describe the relevance of different imaging modalities as well as their systematic application in patients with joint arthroplasty.

Keywords

Arthroplasty; Arthrosis; Postoperative imaging; Complication; Prosthesis position; Signs of loosening

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