China TKA Resurfacing膝关节置换重建英文版.pptVIP

The resurfacing principlein knee replacement W. Puhl resection- and interposition- arthroplasty Fergusson 1861 Verneuil 1863 fascia / pigs bladder resection- and interpositionarthroplasty John B Murphy: (1857-1916), Chicago (Vortrag Am. Surg. Assoc. 1913) 84 surgeries 1902-1913 (hip, knee and ellbow) muscel facia, faszia lata, adipose Knee arthroplasty:Total Knee Replacement: breakthrough ?Total condylar“ (Insall, HfSS, 1973) 94% survivorship at 15 years follow-up (Ranawat et al, Clin. Orthop. 286:94, 1993) Outstanding long-term results leading to expansion in indications: young and active patients: 114 patients, ? 51 years (21-55); 18 y/FU 94% Survival femur und tibia 90% survival including patellar-revisions Malkani, Rand et al, JBJS 77A, 1995 gonarthrosis in rheumatoid arthritis: lesser funcion / lesser scores but compareable pain reduction and implant survival (93%, 10 y/FU) Laskin et al, Clin Orthop 345, 1997 (116 RA vs. 674 pOA) Total Knee Replacement: resurfacing of the patella ? Total Knee Replacement: resurfacing of the patella ? Gold standard today: trikompartimental cemented modular cruciate sacraficing or cruciate retaining TKA per million inhabitants per year in Europe Outcome of computernavigated TKA RKU Orthopaedic University Hospital Ulm The ?Bone and Joint Decade“ family experiments with autologous: cutis, adipose homologous: dura mater alloplastic: wood, metal ?Stereo Clinic: Arthroplasty for Ankylosed Knee“ Baltimore; The Southworth Co, Publ. 1910 The first endoprothesis: Themistocles Gluck (1853-1942; Berlin) Material: ivory cemented with ?plaster and pumice stone“ *first presentation at the german surgical society 1890 The first endoprothesis: Themistocles Gluck (1853-1942; Berlin) more than 40 implantations: ?medium term succes“ with two knee and one foot-joint T. Gluck: 1891 Knee arthroplasty:hinge prothesis: Waldius