Joint replacement: What joint endoprostheses

Joint replacement: What joint endoprostheses

Always häsingle-stage worn H&uuml be;ft, knee or shoulder joints by endoprostheses replaced. What you üabout the küartificial joints, the surgery and a possible replacement of the Prosthesis know müshot

Whether Knee, HüRTD or shoulder: A well-deployed künstliches joint can the Lebensqualität improve considerably

The Bank is in the gym is not low, even enough up to the knee. Dirk Masuhr, Übungsleiter of implant-sporting group, the gymnastics club Partenkirchen has put the cross in the room. "And now all the side, please darüexceed, one, then the other leg!" All rise üon the Bank, careful. Barbara Grötz (57). "The wäre frühere für me a unüberwind obstacle gewesen", she says. Früthat was the time in front of your küartificial Hüftgelenken. Your real joints had always been problems.

In Childhood her innate H&uuml was;ftfehlstellung corrected. As a young woman, Barbara Gr&ouml suffered;tz to severe joint infections, the consequences of a failed treatment. With time, all movements were becoming increasingly difficult. The w&auml Are;during the work was the Problem, the Sport was hardly thinking. "Eventually, I went on the rims." Then she decided für a künstliches Hüftgelenk. The procedure has never looked back. "This is a brand new life I know now only learn – with the mountain sports and active holidays."

Küartificial joints are increasingly in jüyounger patients

Each year, thousands of people in Germany get a künstliches joint, called a prosthesis. According to Figures from the Institute für Qualitäassurance and transparency in health care were in 2016 230 000 Hüft – and 165 000 knee joints. "Ultimately, the arthroplasty brings a profit to Lebensqualität. that’s Why she is so populär", Dr Christian Fulghum, chief physician at the &shy says;endogap clinic für joint replacement at the hospital Garmisch-Partenkirchen. 

In Germany we have so many joints to be used, has to do with the ageing society. Approximately one percent of the üabout 70-Jämen get in Germany, a new Hüft – and around 0.7 percent in a knee joint. Has grown in the last few years, however, the jüfor younger group of patients. Part hänge the increased expectations of the data, reports, experts. "With 60 fümany people feel too young, your favorite sport to abandon, because the joints mitmachen", about Professor Thorsten Gehrke, &auml says;medical Director of the Helios Endo-Klinik in Hamburg.

Künewly, the Bertelsmann Foundation reported that the proportion of under-60-Jämen, the a künstliches knee got, had increased in only seven years by almost a third. Some of the experts do Not assess this development in a critical and warn: ­all interventions are tatsäthe take is necessary. The Garmischer Orthopäde Christian Fulghum emphasized that, among other things, also, therefore, a ausfüannual Aufkläof important: "Surgery is the last Option, and it provides a erheb­intervention. You may not authorize banal." Wüauthorities Ädoctors only of the benefits of reports or for a speedy OP drängen should hellh&ouml patients at least;rig.

Increase in küartificial shoulder joints

The küartificial shoulder joints, which in the ­Arthroplasty, as yet, more of a Neben­role played, there is an increase. Around 18 000 people got in 2016, a so-called total endoprosthesis of the shoulder, in the year 2005, there were just 2300. "Many of the patients have less pain, experience an improvement in function and the Lebensqualität", Dr. Olaf Lorbach from the Sportopaedicum Berlin says. Specially designed prostheses köcan on the shoulder, Muskelpro­­problems to compensate for.

In advanced age, many people have Schäthe to the rotator cuff, a certain group of muscles of the upper arm. The kugelf&ouml sits;rmige joint head of the prosthesis is not on the upper arm, but the Shoulder socket, can be used to move the joint without this wristband. Expert Lorbach: "With a so-called inverse prosthesis also &auml get;older people who were able to lift the Arm before, more mobility in the shoulder."

Arthroplasty register is to help in the selection of the prosthesis

Not always the Gr&uuml are;nde für or against a particular model of the Prosthesis so clearly. Then the decision is based so far on the individual experience of the surgeon. A more objective basis for decision-making in Kücoming soon, the endoprosthesis register for Germany to deliver. Since 2012, köcan Krankenhäuser there anonymised data to operations, Wechselgrüand the materials used üforward. So far, around 750 with clinics, but on a voluntary Basis; Art joints in a total of 1200 Krankenhäusers used.

But the ceiling today üabout 60 percent of the interventions, emphasizes Alexander Grimberg, Orthopäde and medical Director of the endoprosthesis register. "With the großnumber of recorded interventions köwe can create a solid data Foundation." As an achievement of the register in the product database. 55 000 different prosthesis elements are recorded – the shaft system up to the ball Joint. Ädoctors hope of which, among other things, information darüber, what are the properties of a prosthesis, the so-called time affect – so how long an artificial joint hält, without exchanged be to mü. In General, the are today up to 20 years. 

A good initial surgery zögert the prosthesis, and

Thereafter, a change may be present,-OP, also calculated Revision. "Revisions köalso fr&uuml can;here fädigit will not be used if, for example, artificial joints, optimally or in the case of a Infektion", the Hamburger arthroplasty expert Gehrke says. The exchange operation is typically somewhat more elaborate than the first surgery. "Often the conditions after 20 years are just worse, what bone and soft parts angeht", so Gehrke. But not always the complete joint needs to be replaced. Thanks to modern modular systems are in many Fäcases, only the worn parts replaced.

The best prevention against a frühzeitigen exchange is a möas possible good initial surgery. In order for patients to receive the also, you should inform yourself in advance, where the intervention durchfüdo let möwant to. How many küartificial joints are used in the clinic per year? What are the experiences of other Sufferers out there? How are patients üabout the engagement and the möpossible risks aufgeklärt? A development that many Betrof­fene positive, the kürzeren hospital stays.

Möpossible &shy makes it;a method "rapid recovery" is called – in German "quick Erholung". The patients need to exercise, for example, before the OP the Run with Stüappreciate or receive instructions für Üexercises. Pain medicines are wäduring the intervention, adjusted so that the Patient has afterwards less problems. And the day after that, a physiotherapist with the mobilization begins. Were früher patients, after a joint operation for an average of three weeks in the hospital, köyou can often after just a few days after the home.

In this Video you will learn how long surgery, hospital stay and healing at a küartificial joint take

The success of the endoprosthesis hängt also from the patient itself

But even then, Prothesentr&auml stay;ger: "Especially in the case of knee operations häfrom ngt to 50 percent from the patients, whether the result of wird&quot a success;, the Garmischer Orthopäde Fulghum. From muscles, Tendons and prosthesis &quot needs to be a well-oiled Team: ;The consistent Üben."

Barbara Grötz goes this way up until today. She moves, üit’s not bertreibt. Your weight it has. Nothing to your HüRTD zusäin addition to strain. "I’ll take good care of you auf", she says. You gave your new joints and even name: Max and Moritz. If it rises again to a mountain träa gt you both names into the summit register. "Find some people weird – but schließthey carried me and my joints so far."

You can also read:

Sports with küartificial joints

Also, patients with artificial joint should be sufficient. But not every sport is güinexpensive für the joint replacement. What the experts recommend