Zusammenfassung
Aseptische Knieendoprothesenlockerungen sind auch heute noch der häufigste Grund für das Versagen eines Knieimplantates. In diesem Kapitel werden wichtige klinische und radiologische Kriterien und deren Wertigkeit betrachtet. Besonderes Augenmerk werden auf die Pathogenese aseptischer Lockerungen, die Konsensus-Klassifikation für periprothetische Membranen und auf Pathomechanismen der abriebbedingten Osteolysen als Ursache für die sog. Partikelkrankheit gelegt. Risikofaktoren, die die Standzeit einer Endoprothese wesentlich beeinflussen, werden erörtert, differenziert nach patientenbezogenen, individuellen Faktoren, implantatbedingten Ursachen und intraoperativen Einflussfaktoren, einschließlich der chirurgischen Qualität. Zusammenfassend zeigt sich, dass sich die Standzeiten von Knieendoprothesen in den letzten Jahren deutlich verbessert haben und das Gesamtrisiko einer Revision gesunken ist.
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Rolf, O., Rader, C. (2023). Aseptische Knieprothesenlockerung. In: Wirtz, D.C., Reichel, H., Matziolis, G., Pfitzner, T. (eds) Endoprothetik des Kniegelenkes. AE-Manual der Endoprothetik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-65175-9_16
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