This book describes the whole field of endoprosthetics, with all its potential, for practicing clinicians. The following aspects are dealt with in particular: indications and contraindications, surgical procedures (pros and cons), pain therapy, post-operative problems, infections, risks, necessary medication, length of medication, and post-operative patient care.

M. G. Krukemeyer, Paracelsus-Klinik Osnabrück; G. Möllenhoff, Raphaelsklinik Münster, Germany.

1;Preface;5 2;List of contributing authors;7 3;Abbreviations;8 4;1 Shoulder Endoprosthetics;15 4.1;1.1 Introduction;15 4.2;1.2 History and Development of Shoulder Endoprosthetics;15 4.3;1.3 Anatomy;20 4.4;1.4 Biomechanics and Prosthesis Design;20 4.4.1;1.4.1 Humeral Head Prosthesis;20 4.4.2;1.4.2 Glenoid Replacement;23 4.4.3;1.4.3 Resurfacing;26 4.4.4;1.4.4 Reverse Shoulder Prosthesis;30 4.4.5;1.4.5 Perspective;32 4.5;1.5 Indications and Contraindications;33 4.5.1;1.5.1 Primary Shoulder Arthrosis;33 4.5.2;1.5.2 Humeral Head Necrosis;34 4.5.3;1.5.3 Rheumatoid Arthritis;35 4.5.4;1.5.4 Instability Arthrosis;36 4.5.5;1.5.5 Post-traumatic Shoulder Arthrosis;36 4.5.6;1.5.6 Defect Arthropathy;37 4.5.7;1.5.7 Contraindications;38 4.6;1.6 Surgical Technique;38 4.6.1;1.6.1 Surgical Planning;38 4.6.2;1.6.2 Total Shoulder Endoprosthesis;39 4.7;1.7 Results;42 4.8;1.8 Complications;43 4.9;1.9 Postoperative Rehabilitation;44 5;2 Primary Endoprosthetics of the Hip Joint;47 5.1;2.1 Introduction;47 5.2;2.2 Anatomy of the Hip Joint;47 5.3;2.3 Implant Materials;49 5.4;2.4 Cemented Versus Cementless Implantation;50 5.5;2.5 Cemented Implants;52 5.5.1;2.5.1 Polyethylene Socket;52 5.5.2;2.5.2 The Cemented Stem;52 5.6;2.6 Cementless Implants;53 5.6.1;2.6.1 Threaded Cup and Press Fit Sockets;53 5.6.2;2.6.2 The Bipolar Prosthesis (Dual-Head Prosthesis) 422.6.3 Epiphyseal Fixation (Surface Replacement);57 5.6.3;2.6.4 Metaphyseal Stem Fixation;59 5.7;2.7 Surgical Approaches;63 5.8;2.8 Prophylaxis of Heterotopic Ossification;64 5.9;2.9 Thrombosis Prophylaxis;66 5.10;2.10 Autologous Transfusions;69 5.11;2.11 Rehabilitation after Implantation of a Hip Joint Endoprosthesis;70 6;3 Endoprosthetics of the Knee Joint;73 6.1;3.1 Introduction;73 6.2;3.2 Anatomical and Biomechanical Principles;73 6.3;3.3 Gonarthrosis;75 6.3.1;3.3.1 Epidemiology;75 6.3.2;3.3.2 Etiology and Classification;76 6.3.3;3.3.3 Clinic;78 6.3.4;3.3.4 Imaging Diagnostics;79 6.4;3.4 Indications and Contraindications;79 6.5;3.5 Surgical Goals;80 6.6;3.6 Risk and Success Factors;80 6.7;3.7 Preoperative Measures;81 6.7.1;3.7.1 Surgical Planning;81 6.7.2;3.7.2 Informing Patients;82 6.7.3;3.7.3 Anesthetic Procedures;82 6.8;3.8 Perioperative Measures;83 6.9;3.9 Postoperative Measures;83 6.9.1;3.9.1 General Postoperative Measures;83 6.9.2;3.9.2 Postoperative Pain Therapy;84 6.9.3;3.9.3 Medical Thrombosis Prophylaxis;85 6.10;3.10 Prosthesis Design;86 6.10.1;3.10.1 Unicondylar Joint Replacement (Sled Prosthesis);87 6.10.2;3.10.2 Unconstrained Bicondylar Resurfacing;91 6.10.3;3.10.3 Semi-Constrained Prostheses;94 6.10.4;3.10.4 Hinged Prostheses;94 6.10.5;3.10.5 Modular Revision Implants/Tumor Prostheses;96 6.10.6;3.10.6 Patellofemoral Prostheses;96 6.11;3.11 Surgical Technique;97 6.11.1;3.11.1 Alternative Surgical Approaches;98 6.12;3.12 Complications;100 6.12.1;3.12.1 General Complications;100 6.12.2;3.12.2 Specialized Complications;100 6.13;3.13 Rehabilitation;104 6.14;3.14 Outlook;104 7;4 Ankle Endoprosthetics;107 7.1;4.1 Introduction;107 7.2;4.2 History;108 7.3;4.3 Implants;109 7.4;4.4 Indication/Contraindication;113 7.4.1;4.4.1 Patient Selection;115 7.4.2;4.4.2 Bone Situation;115 7.4.3;4.4.3 Ligamentous Situation;116 7.4.4;4.4.4 General Contraindications;116 7.5;4.5 Alternative Operations at the Upper Ankle;118 7.5.1;4.5.1 Alternative Operations Before Ankle Endoprosthesis Implantation;118 7.5.2;4.5.2 Alternatives to Total Endoprosthesis;120 7.6;4.6 Surgical Technique;121 7.7;4.7 Additional Interventions;124 7.7.1;4.7.1 Tibiotalar Malalignment (Varus/Valgus);125 7.7.2;4.7.2 Subtalar Malalignment (Varus/Valgus);127 7.7.3;4.7.3 Club Foot Deformity;128 7.7.4;4.7.4 Arthrosis of the Adjacent Joints;129 7.8;4.8 Radiological Diagnosis;131 7.9;4.9 Complications;133 7.9.1;4.9.1 Impingement;133 7.9.2;4.9.2 Incorrect Sizing of the Prosthesis Parts;135 7.9.3;4.9.3 Fractures;136 7.9.4;4.9.4 Aseptic Loosening;136 7.9.5;4.9.5 Infections;137 7.9.6;4.9.6 Treatment of Prosthesis-Associated Infections of the Upper Ankle