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Indikationen zum Gelenkersatz : Hüfttotalendoprothese


Rahm, Stefan; Zingg, Patrick O (2018). Indikationen zum Gelenkersatz : Hüfttotalendoprothese. Zeitschrift für Rheumatologie, 77(1):55-65.

Abstract

Total hip arthroplasty (THA) is a very successful and effective orthopedic operation with very good immediate as well as long-term results to alleviate pain and improve health-related quality of life. A THA is indicated in end-stage hip osteoarthritis with a high degree of persistent suffering when conservative treatment has failed and in patients who wish a THA. This statement is generally valid for patients where the medical history, clinical examination and radiographic findings are conclusive, the pressure of suffering and the expectations are realistic. The timing of THA is based on the patient's discomfort. The treatment of these patients should include an interdisciplinary approach and the main goal is to improve the quality of life. Patients will learn to have reasonable expectations and should be well informed about the risks and benefits of THA. Realistic patient expectations seem to be a predictive factor for a good subjective outcome after THA.

Abstract

Total hip arthroplasty (THA) is a very successful and effective orthopedic operation with very good immediate as well as long-term results to alleviate pain and improve health-related quality of life. A THA is indicated in end-stage hip osteoarthritis with a high degree of persistent suffering when conservative treatment has failed and in patients who wish a THA. This statement is generally valid for patients where the medical history, clinical examination and radiographic findings are conclusive, the pressure of suffering and the expectations are realistic. The timing of THA is based on the patient's discomfort. The treatment of these patients should include an interdisciplinary approach and the main goal is to improve the quality of life. Patients will learn to have reasonable expectations and should be well informed about the risks and benefits of THA. Realistic patient expectations seem to be a predictive factor for a good subjective outcome after THA.

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Additional indexing

Other titles:Indications for joint replacement : Total hip arthroplasty
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:Coxarthritis, Femoral head necrosis, Level of suffering, Quality of life, Rheumatoid arthritis
Language:German
Date:2018
Deposited On:11 Dec 2017 17:14
Last Modified:20 Feb 2018 08:57
Publisher:Springer
ISSN:0340-1855
OA Status:Closed
Publisher DOI:https://doi.org/10.1007/s00393-017-0408-z
PubMed ID:29181586

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