Abstract
There is atrend towards a reduction in joint-preserving hip surgery, such as synovectomy and total hip joint replacement in rheumatic patients. This is mostly due to the success of biological disease-modifying antirheumatic drugs (bDMARD) in systemic anti-rheumatic therapy. The results of hip surgery in rheumatic patients are comparable to those in non-rheumatic patients, except for prosthetic joint infections, which are higher in patients with rheumatoid arthritis. Especially in hip surgery there was abig evolution in the last few years including abroad range of minimally invasive surgical methods, such as hip arthroscopy, mini-open hip surgery and minimally invasive hip arthroplasty with bone preservation or short femoral shafts. These surgical methods also have an advantage in the treatment of typical rheumatoid pathologies and have the benefit of a rapid recovery.
Highlights
Die Downregulation des Immunsystems birgt jedoch wiederum eine höhere Gefahr für Komplikationen bei Operationen mit Implantaten
There is a trend towards a reduction in jointpreserving hip surgery
This is mostly due to the success
Summary
Was sind die allgemeinen Trends in der Hüftchirurgie? Unabhängig von der Diagnose haben sich in den letzten Jahren v. a. die operativen Zugangswege zur Hüfte geändert in erster Linie mit dem Ansporn, minimalinvasiv und möglichst muskel- und gewebeschonend vorzugehen. Was sind die allgemeinen Trends in der Hüftchirurgie? Unabhängig von der Diagnose haben sich in den letzten Jahren v. A. die operativen Zugangswege zur Hüfte geändert in erster Linie mit dem Ansporn, minimalinvasiv und möglichst muskel- und gewebeschonend vorzugehen. A. die schnellere Mobilisierung der Patienten durch das geringere Operationstrauma darstellen Einen Vorteil soll hier v. a. die schnellere Mobilisierung der Patienten durch das geringere Operationstrauma darstellen
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