DÄ internationalArchive34-35/2010Endoprosthesis Required
LNSLNS

The article is subject to several important omissions, in particular endoprosthetic knee replacement, the standard treatment for severe osteoarthritis of the knee, which is performed more than 100 000 times in Germany every year. The case patient presented in the article was clearly in need of an endoprosthesis.

I would therefore ask the authors for a comment on the need for endoprosthetic knee replacement, because their scientifically well presented article is incomplete as it stands and may mislead less experienced doctors if this important therapeutic option is not offered to patients.

Treating extensive osteoarthritis by means of a new surface from a monocondylar or bicondylar sliding prosthesis is the only method by which the pathology is actually removed; it should therefore have been mentioned in a prominent position in the article. The described surgical measures do not include this important therapeutic option.

DOI: 10.3238/arztebl.2010.0602c

Prof. Dr. med. Norbert Lindner

Brüderkrankenhaus St. Josef Paderborn

Postfach 1826

33048 Paderborn, Germany

orthopaedie@bk-paderborn.de

Conflict of interest statement
The author declares that no conflict of interest exists according to the guidelines of the International Committee of Medical Journal Editors.

1.
Michael JWP, Schlüter-Brust KU, Eysel P: The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the knee [Epidemiologie, Ätiologie, Diagnostik und Therapie der Gonarthrose]. Dtsch Arztebl Int 2010; 107(9): 152–62. VOLLTEXT
1.Michael JWP, Schlüter-Brust KU, Eysel P: The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the knee [Epidemiologie, Ätiologie, Diagnostik und Therapie der Gonarthrose]. Dtsch Arztebl Int 2010; 107(9): 152–62. VOLLTEXT