Artikel
Computer assisted total knee arthroplasty of the posttraumatic osteoarthristis with previous osteitis
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Autoren
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U. Böhling
- HELIOS Klinikum Emil von Behring Stiftung Oskar Helene Heim, Klinik für Orthopädie, Berlin
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H. Schamberger
- Berlin
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J. Scholz
- Berlin
| Veröffentlicht: | 13. Juni 2005 |
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Gliederung
Text
Summary
The total knee replacement of the posttraumatic osteoarthritis with previous osteitis requires certain demands on the surgical procedure. All patients with appropriate background since april 2002, underwent a computer assisted knee replacement and have been included in a certain follow - up. The results exhibit high precision of the computer-assisted implantation. As outstanding advantage of this procedure is the indulgence of anatomical barriers between posttraumatic structures and the knee joint itself. The method offers thus a quality gain in the supplying strategy.
Question
How are the results of the reconstruction of leg alignement?
Which clinical result could be obtained? Have there been signs of reinfection?
Methodology
The radiometric prae and post surgical evaluation took place via the radiological department. For the evaluation of the clinical result we selected the HSS Score. Reinfection were examined clinically and via laboratory.
Results
Concerning the leg alignment 26 Patieten (89%) achieved an alignment in the corridor of 3° around the Mikulicz line. Three patients showed deviations from up to 6° from the desired alignment. In the HSS Score a rise of 55,6 (32-71) pointed itself to 79,4 (67-90) points after an average re-examination time of 9.7 months. A notion for a reinfection could not be determined clinically and laboratorically.
