Skip to main content

Advertisement

SpringerLink
Log in

Ergebnisse endoprothetischer Versorgung bei Patienten vor dem 50. Lebensjahr

Results for endoprosthetic care in patients younger than 50 years

  • Leitthema
  • Published:
Der Orthopäde Aims and scope Submit manuscript

Zusammenfassung

Die endoprothetische Versorgung von schmerzhaften und zerstörten Gelenken gehört zu den erfolgreichsten Eingriffen in der Medizin. In den allermeisten Fällen kann dadurch die Gelenkfunktion wiederhergestellt und die Schmerzsymptomatik beseitigt werden. Mit zunehmend besseren Standzeiten von Endoprothesen und steigenden Ansprüchen an die Lebensqualität, die immer mehr von Selbstständigkeit sowie körperlicher Mobilität bestimmt wird, verschieben sich jedoch auch die Ansprüche an die Implantation einer Endoprothese in den Industrienationen. Während v. a. die Hüftendoprothetik als erstes und dann rasch verbreitetes Verfahren anfangs noch als zurückhaltend eingesetztes Instrument zur Schmerzbesserung älterer Menschen diente, rückte mit steigendem Erfolg des endoprothetischen Ersatzes auch anderer Gelenke immer mehr die Wiederherstellung körperlicher Aktivität in den Vordergrund. Die Indikationsstellung zum Gelenkersatz wird daher zunehmend auf jüngere Patienten mit oft hohen sportlichen und beruflichen Ansprüchen ausgeweitet.

Anhand einer Analyse publizierter Daten soll in dieser Arbeit versucht werden, einen Überblick über die Ergebnisse der endoprothetischen Versorgung von Schulter-, Hüft- und Kniegelenk sowie oberem Sprunggelenk und Großzehengrundgelenk bei Patienten im jüngeren Lebensalter zu geben. Unter Berücksichtigung veränderter Ansprüche fokussiert die Auswertung neben einer Bewertung von mittel- und langfristigen Standzeiten deshalb auch auf die Frage, inwieweit bei einer Arthrose funktionelle Verbesserungen durch den Gelenkersatz erreichbar sind und dauerhaft erhalten bleiben.

Abstract

Arthroplasty has become the most successful surgical procedure in developed countries. Replacement of severely damaged joints results in a substantial relief of pain, as the main symptom of osteoarthritis, in the majority of treated patients. With improved results in endoprosthetic surgery over the last decades, however, patients are increasingly undergoing the procedure to enhance their functional capacity and physical mobility. Especially younger patients, who cannot accept a restriction in their professional or sports activity, have become demanding candidates for surgery.

This review summarizes the published results on shoulder, hip, knee, ankle and first metatarsophalangeal joint replacement in patients who are younger than 50 years of age. Mid- and long-term follow-up studies in this age group are evaluated in terms of prosthesis survival as well as functional improvement.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abbreviations

GZGG:

Großzehengrundgelenk

OSG:

oberes Sprunggelenk

PE:

Polyethylen

RA:

Rheumatoide Arthritis

SG:

Schultergelenk

TEP:

Totalendoprothese

Literatur

  1. Aldinger PR, Thomsen M, Mau H et al. (2003) Cementless Spotorno tapered titanium stems: excellent 10–15-year survival in 141 young patients. Acta Orthop Scand 74: 253–258

    PubMed  Google Scholar 

  2. Amstutz HC, Beaule PE, Dorey FJ et al. (2004) Metal-on-metal hybrid surface arthroplasty: two to six-year follow-up study. J Bone Joint Surg Am 86: 28–39

    PubMed  Google Scholar 

  3. Amstutz HC, Campbell PA, Le Duff MJ (2004) Fracture of the neck of the femur after surface arthroplasty of the hip. J Bone Joint Surg Am 86: 1874–1877

    PubMed  Google Scholar 

  4. Amstutz HC, Ebramzadeh E, Sarkany A et al. (2004) Preservation of bone mineral density of the proximal femur following hemisurface arthroplasty. Orthopedics 27: 1266–1271

    PubMed  Google Scholar 

  5. Amstutz HC, Su EP, Le Duff MJ (2005) Surface arthroplasty in young patients with hip arthritis secondary to childhood disorders. Orthop Clin North Am 36: 223–230

    Article  PubMed  Google Scholar 

  6. Anderson T, Montgomery F, Carlsson A (2003) Uncemented STAR total ankle prostheses. Three to eight-year follow-up of fifty-one consecutive ankles. J Bone Joint Surg Am 85: 1321–1329

    PubMed  Google Scholar 

  7. Back DL, Dalziel R, Young D, Shimmin A (2005) Early results of primary Birmingham hip resurfacings. An independent prospective study of the first 230 hips. J Bone Joint Surg Br 87: 324–329

    Article  PubMed  Google Scholar 

  8. Baldwin JL, El-Saied MR, Rubinstein RA Jr (1996) Uncemented total knee arthroplasty: report of 109 titanium knees with cancellous-structured porous coating. Orthopedics 19: 123–130

    PubMed  Google Scholar 

  9. Beaule PE, Le Duff M, Campbell P et al. (2004) Metal-on-metal surface arthroplasty with a cemented femoral component: a 7–10 year follow-up study. J Arthroplasty 19: 17–22

    Google Scholar 

  10. Behrens P, Bosch U, Bruns J et al. (2004) Indications and implementation of recommendations of the working group „Tissue Regeneration and Tissue Substitutes“ for autologous chondrocyte transplantation (ACT). Z Orthop Ihre Grenzgeb 142: 529–539

    Article  PubMed  Google Scholar 

  11. Bonet J, Taylor DT, Lam AT et al. (1998) Retrospective analysis of Silastic implant arthroplasty of the first metatarsophalangeal joint. J Foot Ankle Surg 37: 128–134; discussion 173

    PubMed  Google Scholar 

  12. Broughton NS, Doran A, Meggitt BF (1989) Silastic ball spacer arthroplasty in the management of hallux valgus and hallux rigidus. Foot Ankle 10: 61–64

    PubMed  Google Scholar 

  13. Bryant D, Litchfield R, Sandow M et al. (2005) A comparison of pain, strength, range of motion, and functional outcomes after hemiarthroplasty and total shoulder arthroplasty in patients with osteoarthritis of the shoulder. A systematic review and meta-analysis. J Bone Joint Surg Am 87: 1947–1956

    Article  PubMed  Google Scholar 

  14. Buechel FF (1994) Cementless meniscal bearing knee arthroplasty: 7- to 12-year outcome analysis. Orthopedics 17: 833–836

    PubMed  Google Scholar 

  15. Buechel FF Sr, Buechel FF Jr, Pappas MJ (2003) Ten-year evaluation of cementless Buechel-Pappas meniscal bearing total ankle replacement. Foot Ankle Int 24: 462–472

    PubMed  Google Scholar 

  16. Burroughs PL, Gearen PF, Petty WR, Wright TW (2003) Shoulder arthroplasty in the young patient. J Arthroplasty 18: 792–798

    Article  PubMed  Google Scholar 

  17. Cameron B, Galatz L, Williams GR Jr (2001) Factors affecting the outcome of total shoulder arthroplasty. Am J Orthop 30: 613–623

    PubMed  Google Scholar 

  18. Campbell P, Shen FW, McKellop H (2004) Biologic and tribologic considerations of alternative bearing surfaces. Clin Orthop Relat Res: 98–111

    Article  Google Scholar 

  19. Capello WN, D’Antonio JA, Feinberg JR, Manley MT (2003) Ten-year results with hydroxyapatite-coated total hip femoral components in patients less than fifty years old. A concise follow-up of a previous report. J Bone Joint Surg Am 85: 885–889

    PubMed  Google Scholar 

  20. Cracchiolo A 3rd, Weltmer JB Jr, Lian G et al. (1992) Arthroplasty of the first metatarsophalangeal joint with a double-stem silicone implant. Results in patients who have degenerative joint disease failure of previous operations, or rheumatoid arthritis. J Bone Joint Surg Am 74: 552–563

    PubMed  Google Scholar 

  21. Crowder AR, Duffy GP, Trousdale RT (2005) Long-term results of total knee arthroplasty in young patients with rheumatoid arthritis. J Arthroplasty 20: 12–16

    Article  Google Scholar 

  22. Dalury DF, Ewald FC, Christie MJ, Scott RD (1995) Total knee arthroplasty in a group of patients less than 45 years of age. J Arthroplasty 10: 598–602

    PubMed  Google Scholar 

  23. Daniel J, Pynsent PB, McMinn DJ (2004) Metal-on-metal resurfacing of the hip in patients under the age of 55 years with osteoarthritis. J Bone Joint Surg Br 86: 177–184

    Article  PubMed  Google Scholar 

  24. De Smet KA, Pattyn C, Verdonck R (2002) Early results of primary Birmingham hip resurfacing using a hybrid metal-on-metal couple. Hip International 12: 158–162

    Google Scholar 

  25. Deshmukh AV, Koris M, Zurakowski D, Thornhill TS (2005) Total shoulder arthroplasty: long-term survivorship, functional outcome, and quality of life. J Shoulder Elbow Surg 14: 471–479

    Article  PubMed  Google Scholar 

  26. Diduch DR, Insall JN, Scott WN et al. (1997) Total knee replacement in young, active patients. Long-term follow-up and functional outcome. J Bone Joint Surg Am 79: 575–582

    PubMed  Google Scholar 

  27. Duffy GP, Trousdale RT, Stuart MJ (1998) Total knee arthroplasty in patients 55 years old or younger. 10- to 17-year results. Clin Orthop Relat Res: 22–27

    Article  Google Scholar 

  28. Endres T, Grass R, Rammelt S, Zwipp H (2005) Ankle arthrodesis with four cancellous lag screws. Oper Orthop Traumatol 17: 345–360

    Article  PubMed  Google Scholar 

  29. Eskelinen A, Remes V, Helenius I et al. (2005) Total hip arthroplasty for primary osteoarthrosis in younger patients in the Finnish arthroplasty register. 4,661 primary replacements followed for 0–22 years. Acta Orthop 76: 28–41

    Article  PubMed  Google Scholar 

  30. Ess P, Hamalainen M, Leppilahti J (2002) Non-constrained titanium-polyethylene total endoprosthesis in the treatment of hallux rigidus. A prospective clinical 2-year follow-up study. Scand J Surg 91: 202–207

    PubMed  Google Scholar 

  31. Fuhrmann RA, Wagner A, Anders JO (2003) First metatarsophalangeal joint replacement: the method of choice for end-stage hallux rigidus? Foot Ankle Clin 8: 711–721

    Article  PubMed  Google Scholar 

  32. Furnes O, Lie SA, Espehaug B et al. (2001) Hip disease and the prognosis of total hip replacements. A review of 53,698 primary total hip replacements reported to the Norwegian Arthroplasty Register 1987–99. J Bone Joint Surg Br 83: 579–586

    Article  PubMed  Google Scholar 

  33. Gall N, Fickert S, Puhl W et al. (2005) Predictors of tibial head transposition in the therapy of varus knee osteoarthritis. Z Orthop Ihre Grenzgeb 143: 551–555

    Article  PubMed  Google Scholar 

  34. Grigoris P, Roberts P, Panousis K, Jin Z (2006) Hip resurfacing arthroplasty: the evolution of contemporary designs. Proc Inst Mech Eng [H] 220: 95–105

    Google Scholar 

  35. Guery J, Favard L, Sirveaux F et al. (2006) Reverse total shoulder arthroplasty. Survivorship analysis of eighty replacements followed for five to ten years. J Bone Joint Surg Am 88: 1742–1747

    Article  PubMed  Google Scholar 

  36. Hagena FW, Christ R, Kettrukat M (2003) Die Endoprothese am oberen Sprunggelenk. FussSprungg 1: 48–55

    Google Scholar 

  37. Haines JF, Trail IA, Nuttall D et al. (2006) The results of arthroplasty in osteoarthritis of the shoulder. J Bone Joint Surg Br 88: 496–501

    PubMed  Google Scholar 

  38. Hayes PR, Flatow EL (2001) Total shoulder arthroplasty in the young patient. Instr Course Lect 50: 73–88

    PubMed  Google Scholar 

  39. Herberts P, Malchau H (2000) Long-term registration has improved the quality of hip replacement: a review of the Swedish THR Register comparing 160,000 cases. Acta Orthop Scand 71: 111–121

    Article  PubMed  Google Scholar 

  40. Hintermann B, Valderrabano V, Knupp M, Horisberger M (2006) [The HINTEGRA ankle: Short- and mid-term results.]. Orthopäde 35: 533–545

    Article  PubMed  Google Scholar 

  41. Hofmann AA, Evanich JD, Ferguson RP, Camargo MP (2001) Ten- to 14-year clinical followup of the cementless Natural Knee system. Clin Orthop Relat Res: 85–94

    Article  Google Scholar 

  42. Hofmann AA, Heithoff SM, Camargo M (2002) Cementless total knee arthroplasty in patients 50 years or younger. Clin Orthop Relat Res: 102–107

    Article  Google Scholar 

  43. Hofmann AA, Wyatt RW, Beck SW, Alpert J (1991) Cementless total knee arthroplasty in patients over 65 years old. Clin Orthop Relat Res: 28–34

    Google Scholar 

  44. Jacobsen S, Jensen FK, Poulsen K et al. (2003) Good performance of a titanium femoral component in cementless hip arthroplasty in younger patients: 97 arthroplasties followed for 5–11 years. Acta Orthop Scand 74: 375–379

    PubMed  Google Scholar 

  45. Joshi AB, Porter ML, Trail IA et al. (1993) Long-term results of Charnley low-friction arthroplasty in young patients. J Bone Joint Surg Br 75: 616–623

    PubMed  Google Scholar 

  46. Kim YH, Kook HK, Kim JS (2002) Total hip replacement with a cementless acetabular component and a cemented femoral component in patients younger than fifty years of age. J Bone Joint Surg Am 84: 770–774

    PubMed  Google Scholar 

  47. Kim YH, Oh SH, Kim JS (2003) Primary total hip arthroplasty with a second-generation cementless total hip prosthesis in patients younger than fifty years of age. J Bone Joint Surg Am 85: 109–114

    Article  Google Scholar 

  48. Knecht SI, Estin M, Callaghan JJ et al. (2004) The agility total ankle arthroplasty. seven to sixteen-year follow-up. J Bone Joint Surg Am 86: 1161–1171

    PubMed  Google Scholar 

  49. Koenig RD (1994) Revision arthroplasty utilizing the Biomet Total Toe System for failed silicone elastomer implants. J Foot Ankle Surg 33: 222–227

    PubMed  Google Scholar 

  50. Kofoed H, Lundberg-Jensen A (1999) Ankle arthroplasty in patients younger and older than 50 years: a prospective series with long-term follow-up. Foot Ankle Int 20: 501–506

    PubMed  Google Scholar 

  51. Kofoed H, Sorensen TS (1998) Ankle arthroplasty for rheumatoid arthritis and osteoarthritis: prospective long-term study of cemented replacements. J Bone Joint Surg Br 80: 328–332

    Article  PubMed  Google Scholar 

  52. Konig A, Kirschner S (2003) [Long-term results in total knee arthroplasty]. Orthopade 32: 516–526

    PubMed  Google Scholar 

  53. Kotnis R, Pasapula C, Anwar F et al. (2006) The management of failed ankle replacement. J Bone Joint Surg Br 88: 1039–1047

    Article  PubMed  Google Scholar 

  54. Krismer M, Eichenauer M (1990) Intermediate results with Swanson’s hallux implant. Z Orthop Ihre Grenzgeb 128: 519–524

    PubMed  Google Scholar 

  55. Kundert HP, Zollinger-Kies H (2005) Endoprosthetic replacement of hallux rigidus. Orthopade 34: 748–757

    Article  PubMed  Google Scholar 

  56. Ledermann T, Klingler U, Zollinger H (1998) Long-term results of single stem silastic implants in the metatarsophalangeal joint. Z Orthop Ihre Grenzgeb 136: 83–86

    PubMed  Google Scholar 

  57. Levy O, Copeland SA (2001) Cementless surface replacement arthroplasty of the shoulder. 5- to 10-year results with the Copeland mark-2 prosthesis. J Bone Joint Surg Br 83: 213–221

    Article  PubMed  Google Scholar 

  58. Lonner JH, Hershman S, Mont M, Lotke PA (2000) Total knee arthroplasty in patients 40 years of age and younger with osteoarthritis. Clin Orthop Relat Res: 85–90

    Article  Google Scholar 

  59. Loughead JM, Starks I, Chesney D et al. (2006) Removal of acetabular bone in resurfacing arthroplasty of the hip: a comparison with hybrid total hip arthroplasty. J Bone Joint Surg Br 88: 31–34

    Article  PubMed  Google Scholar 

  60. McAuley JP, Szuszczewicz ES, Young A, Engh CA Sr (2004) Total hip arthroplasty in patients 50 years and younger. Clin Orthop Relat Res 418: 119–125

    Article  PubMed  Google Scholar 

  61. McKellop HA (2001) Bearing surfaces in total hip replacements: state of the art and future developments. Instr Course Lect 50: 165–179

    PubMed  Google Scholar 

  62. McLaughlin JR, Lee KR (2000) Total hip arthroplasty in young patients. 8- to 13-year results using an uncemented stem. Clin Orthop Relat Res: 153–163

    Article  Google Scholar 

  63. Mengshoel AM, Slungaard B (2005) Effects of shoulder arthroplasty and exercise in patients with rheumatoid arthritis. Clin Rheumatol 24: 258–265

    Article  PubMed  Google Scholar 

  64. Myerson MS, Mroczek K (2003) Perioperative complications of total ankle arthroplasty. Foot Ankle Int 24: 17–21

    PubMed  Google Scholar 

  65. Neumann R, Reisch P (1996) Silastic arthroplasty of the great toe metatarsal joint. Orthopäde 25: 332–337

    Article  PubMed  Google Scholar 

  66. Norris TR, Iannotti JP (2002) Functional outcome after shoulder arthroplasty for primary osteoarthritis: a multicenter study. J Shoulder Elbow Surg 11: 130–135

    Article  PubMed  Google Scholar 

  67. Olms K, Dietze A (1999) Replacement arthroplasty for hallux rigidus. 21 patients with a 2-year follow-up. Int Orthop 23: 240–243

    Article  PubMed  Google Scholar 

  68. Parvizi J, Campfield A, Clohisy JC et al. (2006) Management of arthritis of the hip in the young adult. J Bone Joint Surg Br 88: 1279–1285

    Article  PubMed  Google Scholar 

  69. Pearl ML, Romeo AA, Wirth MA et al. (2005) Decision making in contemporary shoulder arthroplasty. Instr Course Lect 54: 69–85

    PubMed  Google Scholar 

  70. Pollard TC, Baker RP, Eastaugh-Waring SJ, Bannister GC (2006) Treatment of the young active patient with osteoarthritis of the hip. A five- to seven-year comparison of hybrid total hip arthroplasty and metal-on-metal resurfacing. J Bone Joint Surg Br 88: 592–600

    Article  PubMed  Google Scholar 

  71. Pyevich MT, Saltzman CL, Callaghan JJ, Alvine FG (1998) Total ankle arthroplasty: a unique design. Two to twelve-year follow-up. J Bone Joint Surg Am 80: 1410–1420

    PubMed  Google Scholar 

  72. Ranawat CS, Flynn WF Jr, Saddler S et al. (1993) Long-term results of the total condylar knee arthroplasty. A 15-year survivorship study. Clin Orthop Relat Res: 94–102

    Google Scholar 

  73. Rudigier J, Menzinger F, Grundei H (2004) 14 Jahre Erfahrungen mit der zementfreien ESKA-Sprunggelenksendoprothese. FussSprungg 2: 65–75

    Google Scholar 

  74. Sharkey PF, Hozack WJ, Rothman RH et al. (2002) Insall Award paper. Why are total knee arthroplasties failing today? Clin Orthop Relat Res: 7–13

    Article  Google Scholar 

  75. Siebel T, Maubach S, Morlock MM (2006) Lessons learned from early clinical experience and results of 300 ASR hip resurfacing implantations. Proc Inst Mech Eng [H] 220: 345–353

    Google Scholar 

  76. Sperling JW, Cofield RH, Rowland CM (2004) Minimum fifteen-year follow-up of Neer hemiarthroplasty and total shoulder arthroplasty in patients aged fifty years or younger. J Shoulder Elbow Surg 13: 604–613

    Article  PubMed  Google Scholar 

  77. Spirt AA, Assal M, Hansen ST Jr (2004) Complications and failure after total ankle arthroplasty. J Bone Joint Surg Am 86-A: 1172–1178

  78. Stern SH, Becker MW, Insall JN (1993) Unicondylar knee arthroplasty. An evaluation of selection criteria. Clin Orthop Relat Res 286: 143–148

    PubMed  Google Scholar 

  79. Stulberg SD (1995) Bi/tri-compartmental degenerative knee disease in the young patient. Orthopedics 18: 899–901

    PubMed  Google Scholar 

  80. Tai CC, Cross MJ (2006) Five- to 12-year follow-up of a hydroxyapatite-coated, cementless total knee replacement in young, active patients. J Bone Joint Surg Br 88: 1158–1163

    Article  PubMed  Google Scholar 

  81. Taranow WS, Moutsatson MJ, Cooper JM (2005) Contemporary approaches to stage II and III hallux rigidus: the role of metallic hemiarthroplasty of the proximal phalanx. Foot Ankle Clin 10: 713–728

    Article  PubMed  Google Scholar 

  82. Thermann H, Krettek C (2002) Ankle joint prosthesis implantation. Unfallchirurg 105: 495

    Article  PubMed  Google Scholar 

  83. Tillmann K (2003) Endoprostheses of the ankle joint. Indications, development, current status and trends. Orthopäde 32: 179–186; quiz 186–177

    Article  PubMed  Google Scholar 

  84. Treacy RB, McBryde CW, Pynsent PB (2005) Birmingham hip resurfacing arthroplasty. A minimum follow-up of five years. J Bone Joint Surg Br 87: 167–170

    Article  PubMed  Google Scholar 

  85. Weber M, Bonin M, Columbier JA, Judet T (2004) Erste Ergebnisse mit der SALTO-Sprunggelenkendoprothese. FussSprungg 2: 29–37

    Google Scholar 

  86. Wirth MA, Rockwood CA Jr (1994) Complications of shoulder arthroplasty. Clin Orthop Relat Res: 47–69

    Google Scholar 

  87. Witzleb WC, Knecht A, Arnold M et al. (2007) Birmingham hip resurfacing arthroplasty: short-term clinical and radiographic outcome. J Arthroplasty (in review)

    Google Scholar 

  88. Witzleb WC, Ziegler J, Krummenauer F et al. (2006) Exposure to chromium, cobalt and molybdenum from metal-on-metal total hip replacement and hip resurfacing arthroplasty. Acta Orthop 77: 697–705

    Article  PubMed  Google Scholar 

  89. Zwipp H, Grass R (2005) Ankle arthrodesis after failed joint replacement. Oper Orthop Traumatol 17: 518–533

    Article  PubMed  Google Scholar 

Download references

Interessenkonflikt

Es besteht kein Interessenkonflikt. Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen. Die Präsentation des Themas ist unabhängig und die Darstellung der Inhalte produktneutral.

Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Orthopädie, Universitätsklinikum Carl Gustav Carus Dresden an der Technischen Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland

    J. Ziegler, M. Bottesi, S. Kirschner, W.-C. Witzleb & K.-P. Günther

  2. Klinik und Poliklinik für Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Carl Gustav Carus Dresden an der Technischen Universität Dresden, Dresden, Deutschland

    M. Amlang

Authors
  1. J. Ziegler
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Amlang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Bottesi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. Kirschner
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. W.-C. Witzleb
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. K.-P. Günther
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J. Ziegler.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ziegler, J., Amlang, M., Bottesi, M. et al. Ergebnisse endoprothetischer Versorgung bei Patienten vor dem 50. Lebensjahr. Orthopäde 36, 325–336 (2007). https://doi.org/10.1007/s00132-007-1068-5

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00132-007-1068-5

Schlüsselwörter

Keywords

Search

Navigation