Haasper Carl, Citak Mustafa, Ettinger Max, Gehrke Thorsten
Orthopädie, Unfallchirurgie und Ästhetik, AMEOS Klinikum Seepark, Langener Str. 66, 27607, Geestland, Deutschland.
HELIOS ENDO-Klinik Hamburg, Holstenstr. 2, 22767, Hamburg, Deutschland.
Unfallchirurg. 2019 Oct;122(10):762-765. doi: 10.1007/s00113-019-00709-1.
Arthroplasty has become a very successful operation with excellent long-term results. A dedicated diagnostic set-up to exclude osteoporosis prior to a joint replacement and the use of drugs to improve the outcome of a joint replacement are currently not recommended. Knee arthroplasty should always be cemented in patients with known osteoporosis. The same is recommended for hip joint replacement, even if the cement-free acetabular component yields good results. Rapid loading and mobilization appear beneficial also with respect to the osteoporosis and its systemic treatment.
关节置换术已成为一种非常成功的手术，长期效果极佳。目前不建议在关节置换术前采用专门的诊断方法来排除骨质疏松症，也不建议使用药物来改善关节置换的效果。对于已知患有骨质疏松症的患者，膝关节置换术应始终使用骨水泥。髋关节置换术也建议如此，即使无骨水泥髋臼部件效果良好。快速负重和活动对于骨质疏松症及其全身治疗似乎也有益处。
