Hämophilie und Knorpel
Seuser, A. · Zeitschrift für Orthopädie und Unfallchirurgie · 2012 · Heft S 01 · S. S52-S61
Bibliografische Angaben
Zusammenfassung
SummaryIt is not the blood alone! Increased loading destroys cartilage and leads to arthrosis. Reduced mechanical stimulation leads to reduced cartilage nutrition and to cartilage degeneration, which leads to arthrosis. We know about the existence of functional disturbances that occur in early childhood before any structural changes are diagnosed. This is typical for haemophilia. Those disturbances and the way movement is disturbed has a strong influence on the loading of cartilage. This involves acceleration peaks, disturbed load distribution with reduction of contact area and a change of vector direction, whic…