Knieendoprothetik von Patienten mit rheumatoider Arthritis und Arthrose - Vergleich des Ressourcenbedarfs

Abstract

This article aims at determining the differences in resources needed for the treatment of patients with rheumatoid arthritis as opposed to osteoarthritis. Data on ten patients for each of these diagnoses, all of whom had been subject to the implantation of a knee arthroplasty,were compared. We looked at parameters such as the duration of surgery, further diagnoses, costs of radiological measures and medical treatment, simultaneous operations, need of nursing care,physical and occupational therapy and complications. Patients presenting with rheumatoid arthritis in many respects required substantially more clinical and/or financial resources than osteoarthritis patients. This statement holds true at least for the period of hospital care during which the knee-prosthesis was implanted.

Is there any superiority in the clinical outcome of mobile-bearing knee prosthesis designs compared to fixed-bearing total knee prosthesis designs in the treatment of osteoarthritis of the knee joint?

“…Because we only wanted to compare designs, we did not make any distinction between different brands. It is known that there is a difference in clinical outcome after total knee arthroplasty for the treatment of degenerative osteoarthritis (OA) of the knee joint compared to rheumatoid arthritis (RA) [4, 36]. For this reason, we only wanted to include studies which contained patients with a diagnosis of OA.…”

Der navigationsgest�tzte bicondyl�re Oberfl�chenersatz bei der sekund�ren Gonarthrose des RA-Patienten im Vergleich zur konventionellen Implantationstechnik

“…Durch den entzündlichen Befall der Schleimhaut im Kniegelenk kommt es bei der RA des Kniegelenks zunächst zur Ergussbildung mit proteolytischen Enzymen und in der Folge zu einer zunehmenden Destruktion der Weichteile und des Knorpels [26].…”