Frage von Herrn Peters im allg. Forum wegen falscher e-mail-Adresse
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Bei mir wurde eine anfängliche Arthrose in der rechten Hüfte festgestellt. Die Schmerzen habe ich seit ca. 2,5 Jahren, mal mehr mal weniger. In der untersuchenden Klinik riet mir der Arzt zur Schmerzlinderung und zur Verzögerung der Gelenkerneuerung unbedingt zu einer Offset OP mit dem Hinweis auf eine merkliche Verbesserung.
Ist dazu wirklich zu raten? Wie lange hat man hinterher ca. Schwierigkeiten beim Laufen oder Radfahren und wie lange darf man die Hüfte nicht belasten?
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Verfasst von Dr. Mottek am 16. November 2008 - 12:22

Chancen einer Offset-OP
Verfasst von Dr. Mottek am 16. November 2008 - 12:26. Normal 0 21 false false false DE X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Normale Tabelle"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} Sehr geehrter Herr Peters, Sie hatten eine Expertenfrage direkt gestellt. Leider konnten wir Ihnen die Antwort nicht zusenden, weil die angegebene e-mail-Adresse falsch sein muss. Deshalb auf diesem Weg die Beantwortung in der Hoffnung, dass Sie zufällig im Forum landen. Antwort: Wenn sich die Hüftarthrose klinisch v.a. durch ein Impingement (schmerzhafte Anschlagphänomene in der Leiste) äußert und im Rö-Bild noch keine schwere zentrale Arthrose zu erkennen ist, sondern z.B. nur Reaktionen am Pfannenerker (Labrumverknöcherungen) und/oder knöcherne Reaktionen am Übergang vom Hüftkopf zum Schenkelhals, so kann eine sogenannte offset-Operation recht sinnvoll sein. Hierbei werden knöcherne Anbauten entfernt und somit die Beweglichkeit evtl. relevant verbessert. Man diskutiert zudem, dass damit der Arthroseprozess gebremst werden kann. Diese Operationen werden heutzutage meist arthroskopisch durchgeführt. Stimmt die Indikation und ist der Eingriff gut gemacht, so fallen Sie nicht lange aus. Die Abläufe sind nicht viel anders als bei einer Knie- oder Schulterspiegelung. Sie müssen auch nicht längerfristig entlasten. Bei einer (mittlerweile selten durchgeführten) offenen OP sieht die Sache ganz anders aus, da hier der große Rollhügel passager abgetrennt werden muss und anschließend wieder verschraubt wird. Zusammenfassend würde ich sagen: wenn Sie zu der o.g. Patientengruppe gehören, sollten Sie das Angebot einer arthroskopischen Offset-OP als junger Patient auf jeden Fall wohlwollend prüfen. Als Prothesenspezialist, der selbst nicht arthroskopiert, liegt mir - adressiert an die Endoskopiker - nur eine Sache noch auf der Zunge: Bitte nicht zu radikal mit dem Shaver am vorderen oberen Schenkelhals fräsen, da man immer daran denken sollte, dass der junge Patient doch nicht wie gewünscht von der kleinen OP profitiert (was leider nicht so selten ist) und ich dann beim geplanten Einbau einer Hüftkappe feststellen muss, dass in der sogenannten notching zone des Schenkelhalses der ganze kortikale Knochen weggefräst ist. Ihr Dr. MottekVirgingaming Tournaments for money
Verfasst von TeeleMor (n.a.) am 9. März 2011 - 18:14. Sometimes I like a little something extra out of my online gaming. There has been a lot of buzz lately about websites where we can put some cash down on our online gaming for xbox or PS3. I have used several of these sites and thought I would share my experiences with them. Virgin Gaming: http://virgingaming.com/ Pros: Big cash prizes, automatic reporting Cons: Noobish user base, inconsistent website makes it hard to find a match sometimes Virgin is the biggest player with the most marketing dollars behind their site, but their inconsistent website is buggy and confusing. They have automatic reporting on all matches and a wide selection of games, but there seems to be many low rent players who use the service and its hard to find a good challenge. Rivalspot: http://www.rivalspot.com/ Pros: Weekly free tournaments with nice prizes, automatic reporting, great website Cons: Still not a lot of users, less games Rivalspot is a newcomer with a lot of potential, but they are still a bit young. They have weekly tournaments posted on their Facebook page where you can play for free and have a reasonable chance at winning a cash prize at the end. I like their blog, where they post a lot of great sports content, and there are a lot of great players who use the site - it is just still starting out so there aren't as many users online at any given time. Gamersaloon: http://www.gamersaloon.com/ Pros: Easy to find a game, good userbase, good game selection Cons: No automatic reporting Gamersaloon could be a strong player but to me the lack of automated reporting is a deal breaker. I just can't bring myself to trust some guy in some unknown part of the country being honest about the fact that I just pwned him. Overall I always try Rivalspot first - they have the most potential IMHO, and when I can't find a match there I jump on to Virgin. I know there are other similar sites out there, so I was hoping to make this into a thread where we can post about our experiences and maybe hook up for some cash gaming.Some Celebrity Babe must be in next months Playboy?
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Verfasst von noicaaliema (n.a.) am 25. April 2012 - 2:08. Dj Jezz ??? ?. ???? ??????? ??????? ???????? ? ??????????? - Wi Fi NOIZE ?? ??????? ?????Kommentar hinzufügen