Knorpelschaden und Gonarthrose, Teil V

Langzeitergeb-nisse möglich geworden. Methode der Wahl ist die Implantation der zumindest teilweise (tibial) zementierten Semiconstrained-Prothese. Die Standzeit der Prothese beträgt durchschnittlich 10 Jahre. Daneben kommt bei älteren und inaktiven Patienten die unikondyläre Prothesenimplantation bei auf ein Gelenkkompar-timent beschränkten Arthrosen in Betracht. Abstract Axial realignment by osteotomy and arthroplasty are important methods in treatment of gonarthritis today. The osteotomies are purposed to transfer the mean bearing line of the leg from the destructed knee compartment into the non-affected area. The osteotomies are performed by the medial-opening techniques in a high frequency today. This operation is optimal in younger patients who suffering from unicompartimental gonarthritis. Arthroplasty also produces excellent or good long-term results, today. The implantation of semiconstrained cemented or partially cemented (tibial) bicondular endoprosthesis is method of choice in the mostly cases. The survival after arthroplasty amounts meanly 10 years. The unicondular joint replacement is only indicated in cases of unilateral gonarthritis in older and inactive patients.