Revised consensus classification. Histopathological classification of diseases associated with joint endoprostheses

被引：0

作者：

Krenn, V. ^{[1
]}

Morawietz, L. ^{[2
]}

Kienapfel, H. ^{[3
]}

Ascherl, R. ^{[4
]}

Matziolis, G. ^{[5
]}

Hassenpflug, J. ^{[6
]}

Thomsen, M. ^{[7
]}

Thomas, P. ^{[8
]}

Huber, M. ^{[9
]}

Schuh, C. ^{[1
]}

Kendoff, D. ^{[10
]}

Baumhoer, D. ^{[11
,12
]}

Krukemeyer, M. G. ^{[13
]}

Perino, G. ^{[14
]}

Zustin, J. ^{[15
]}

Berger, I. ^{[16
]}

Ruether, W. ^{[17
]}

Poremba, C. ^{[1
]}

Gehrke, T. ^{[10
]}

机构：

[1] MVZ Zentrum Histol Zytol & Mol Diagnost, D-54296 Trier, Germany

[2] Katharinen Hosp, Klinikum Stuttgart, Inst Pathol, Stuttgart, Germany

[3] Vivantes Netzwerk Berlin, Auguste Viktoria Klinikum, Klin Spez Orthoped Chirurg & Unfallchirurg, Berlin, Germany

[4] Zeisigwaldkliniken Bethanien, Zentrum Spezial & Wechselendoprothet & Chirurg In, Chemnitz, Germany

[5] Charite Univ Med Berlin, Zentrum Muskuloskelettale Chirurg, Berlin, Germany

[6] Univ Klinikum Schleswig Holstein, Klin Orthopedie, Kiel, Germany

[7] DRK Klin, Baden, Switzerland

[8] LMU, Klin & Poliklin Dermatol & Allergol, Munich, Germany

[9] Otto Wagner Spital, Pathol Bakteriol Inst, Vienna, Austria

[10] HELIOS ENDO Klin, Hamburg, Germany

[11] Univ Spital Basel, Knochentumor Referenzzentrum, Basel, Switzerland

[12] Univ Spital Basel, Inst Pathol, Basel, Switzerland

[13] Paracelsus Kliniken Deutschland Gmbh, Osnabruck, Germany

[14] Hosp Special Surg, New York, NY 10021 USA

[15] Univ Klinikum Hamburg Eppendorf, Inst Pathol, Hamburg, Germany

[16] Klinikum Kassel, Inst Pathol, Kassel, Germany

[17] Univ Klinikum Hamburg Eppendorf, Zentrum Operat Med, Klin Orthopadie, Hamburg, Germany

来源：

ZEITSCHRIFT FUR RHEUMATOLOGIE | 2013年 / 72卷 / 04期

关键词：

Prosthesis loosening; Arthrofibrosis; Periprosthetic membrane; Synovial membrane; Prosthesis failure; TOTAL HIP-ARTHROPLASTY; PERIPROSTHETIC INTERFACE MEMBRANE; TOTAL KNEE ARTHROPLASTY; CORROSION PRODUCTS; TISSUE-REACTIONS; WEAR PARTICLES; FOLLOW-UP; INFECTION; PROSTHESES; REPLACEMENTS;

D O I：

10.1007/s00393-012-1099-0

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The revised classification of the periprosthetic membrane (synovial-like interface membrane SLIM) encompasses all pathological alterations which can occur as a result of endoprosthetic replacement of major joints and lead to a reduction in durability of prostheses. This also includes the established consensus classification of SLIM by which aseptic and septic prosthetic loosening can be subdivided into four histological types and histopathological criteria for additional pathologies: endoprosthesis-associated arthrofibrosis, immunological/allergic alterations and osseous pathologies. This revision represents the foundation for the histopathological diagnostics of the total spectrum of diseases associated with joint prostheses, is a suitable basis for a standardized diagnostic procedure and etiological clarification of endoprosthesis failure and also as a data standard for endprosthesis registers, in particular for registers based on routine data (e.g. German endoprosthesis register).

引用

页码：383 / 392

页数：10

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