Download e-book for iPad: Interfaces in Total Hip Arthroplasty by G. Charnley, T. Judet, P. Pirou, C. Garreau de Loubresse

By G. Charnley, T. Judet, P. Pirou, C. Garreau de Loubresse (auth.), Ian D. Learmonth MB, ChB, FRCS, FRCS Ed, FCS (SA) Orth (eds.)

This ebook comprises the adventure of various specialists who discover modern opinion of the way most sensible to rationalise and optimise the interfaces at overall hip substitute to supply the main beneficial and sturdy effects. The survival of a complete hip alternative relies mostly at the enduring integrity of the fixation interfaces and of the articular interface. The layout of the stem and the cloth houses of cement mostly be certain the country of the component-cement inter­ face, whereas the bone-cement interface is considerably stimulated through either mechanical and organic components. the skin end and form of cementless implants are designed to maintain the integrity of organic fixation (osseo-integration) on the bone-component interface. once more, either mechanical and organic components must be thought of, whereas bioactive coatings speed up bone ongrowth. Metal-on-polyethylene is the main conventional articular interface. in spite of the fact that, it's been urged that put on of polyethylene is likely one of the significant components contributing to failure of overall hip replacements. The expanding occurrence of overall hip substitute in more youthful sufferers has prompted the research of other, harder -including ceramic-polyethylene, ceramic-ceramic and metal-on-metal. Modularity offers higher intra-operative flexibility, yet each one new modular interface introduces new mechanisms of failure. those must be expected and acceptable measures taken to prevent them. with a bit of luck this ebook will supply a greater figuring out of the standards that give a contribution to sturdy interfaces and long term survival of overall hip arthroplasty.

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Willert HG (1993) Endoprothesenverankerung mit oder ohne Zement? Z Orthop 113: 601-609. Vernon-Roberts B, Freeman MAR. Morphological and analytical studies of the tissues adjacent to joint prostheses: Investigations into the uses of loosening of prostheses. In: Schaldach M, Hohmann, Thull R, Hein F (eds) Advances in artificial hip and knee joint technology. Springer Verlag, Belin-Heidelberg: New York, 1976; 148-186 Willert HG, Buchhorn GH, Zichner L, Miiller K, Semlitsch M. OberfHichenstrukturen von Knochenzement.

Huiskes R. Failed innovation in total hip replacement. Acta Orthop Scand 1993;64:699-716. Huiskes R, Boeklagen R. Mathematical shape optimization of hip-prosthesis design. J Biomech 1989;22:793-804. Kuiper JH, Huiskes R. Mathematical optimization of elastic properties: application to cementless hip stem design. J Biomech Eng 1997;119:166-174. Malchau H. On the importance of stepwise introduction of new hip implant technology. PhD thesis, Goteborg University, Sweden, 1995. , Huiskes R. Quality assurance of joint replacement.

OberfHichenstrukturen von Knochenzement. Z Orthop 1979;117:674-683. Willert HG, Miiller K, Semlitsch M. The morphology of polymethylmethacrylate (PMMA) bone cement surface structures and causes of their origin. Arch Orthop Traum Surg 1979;94:265-292. Willert HG, Frech HA, Bechtel A. Measurements of the quantity of monomer leaching out of acrylic bone cement into the surrounding tissue during the process of polymerization. In: Gregor HP (ed) Biomedical applications of polymers. , 1974; 121-133 .

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