Interfaces in Total Hip Arthroplasty

Interfaces in Total Hip Arthroplasty PDF

Author: Ian D. Learmonth

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 42

ISBN-13: 1447104773

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This book incorporates the experience of numerous experts who explore contemporary opinion of how best to rationalise and optimise the interfaces at total hip replacement to provide the most favourable and durable results. The survival of a total hip replacement depends principally on the enduring integrity of the fixation interfaces and of the articular interface. The design of the stem and the material properties of cement largely determine the state of the component-cement inter face, while the bone-cement interface is significantly influenced by both mechanical and biological factors. The surface finish and shape of cementless implants are designed to preserve the integrity of biological fixation (osseo-integration) at the bone-component interface. Once again, both mechanical and biological factors have to be considered, while bioactive coatings accelerate bone ongrowth. Metal-on-polyethylene is the most widely used articular interface. However, it has been suggested that wear of polyethylene is one of the major factors contributing to failure of total hip replacements. The increasing prevalence of total hip replacement in younger patients has stimulated the investigation of alternative, more durable couples -including ceramic-polyethylene, ceramic-ceramic and metal-on-metal. Modularity provides greater intra-operative flexibility, but each new modular interface introduces new mechanisms of failure. These need to be anticipated and appropriate measures taken to avoid them. Hopefully this book will provide a better understanding of the factors that contribute to stable interfaces and long-term survival of total hip arthroplasty.

The Cementless Fixation of Hip Endoprostheses

The Cementless Fixation of Hip Endoprostheses PDF

Author: E. Morscher

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 480

ISBN-13: 3642690068

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The main problem with regard to alloplastic joints is the loosening of the implant. Twenty years ago, Charnley first introduced bone cement to hip surgery, enabling total hip replacement to be practised on a larger scale. There is no question, however, that new approaches must be found to solving the problems of implant loosening, either by developing a new type of cement or by directly anchoring the implant without using ce ment. Much research has been done in this direction in recent years. The methods which have already been tested or are currently being tested were presented and discussed at a symposium on Cementless Fixation of Endoprostheses organized by the Orthopaedic Clinic of the University of Basel and held on 24-26 June 1982. Various possible ap proaches which might be realized in practice were discussed in a relaxed atmosphere. In addition to the biomechanical bases of cementless fixa tion of endoprostheses, the various models were discussed, with special regard to their biocompatibility, physical characteristics, design, clinical applicability, and previous clinical experience. This book contains the papers delivered at this symposium.

The Hip

The Hip PDF

Author: Hip Society. Scientific Meeting

Publisher: Mosby Elsevier Health Science

Published: 1987

Total Pages: 388

ISBN-13: 9780801623356

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Joint Replacement Technology

Joint Replacement Technology PDF

Author: Peter A. Revell

Publisher: Woodhead Publishing

Published: 2021-07-28

Total Pages: 726

ISBN-13: 0128210834

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The third edition of Joint Replacement Technology provides a thoroughly updated review of recent developments in joint replacement technology. Joint replacement is a standard treatment for joint degradation and has improved the quality of life of millions of patients. Collaboration between clinicians and researchers is critical to its continued success and to meet the rising expectations of patients and surgeons.This edition covers a range of updated and new content, ranging from chapters on materials analysis and selection, to methodologies and techniques used for joint replacement and clinical challenges of replacing specific joints. Key topics include tribological considerations and experiments; challenges in joint bearing surfaces; cementless fixation techniques; healing responses to implants. Clinical challenges and perspectives are covered with the aid of case studies.Thanks to its widespread collaboration and international contributors, Joint Replacement Technology, Third Edition is useful for materials scientists and engineers in both academia and the biomedical industry. Chemists, clinicians, and other researchers in this area will also find this text invaluable. This third edition provides an updated comprehensive review of recent developments in joint replacement technology Reviews a range of specific joints, biological and mechanical issues and fixation techniques Includes revised and new content, such as sections on regulatory affairs, AI techniques and 3D printing

Fifteen Years of Clinical Experience with Hydroxyapatite Coatings in Joint Arthroplasty

Fifteen Years of Clinical Experience with Hydroxyapatite Coatings in Joint Arthroplasty PDF

Author: Jean-Alain Epinette

Publisher: Springer

Published: 2013-12-20

Total Pages: 440

ISBN-13: 2817808517

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Ronald J. Furlong of the United Kingdom per the short term with this method of biologic fixation formed the first clinical implantation of a hydroxy of total joint implants has withstood the test of time. apatite-coated (HA) hip implant in 1985, about 18 Our thanks are due to the authors of chapters in this volume for the effort they made to write and years ago. This was followed in 1986 by other HA submit their work to us in a timely fashion. These clinical implantations conducted by the ARTRO Group in France and Rudolf Geesink in the Nether authors, working in Europe, the United States, lands. Following these pioneers, many thousands of Japan, and Australia, do not all use English as their first language. Many made great efforts to provide HA-coated hip implants of various designs, from us with English language documents. Where we various implant manufacturers, have been implanted felt the language was unclear, we made only those worldwide, by many surgeons at many institutions. minor changes needed to facilitate understanding. The coating technology has expanded to include the For manuscripts submitted in a language other than revision setting in the hip, as well as unicompart English, we employed professional interpretation, mental knees, total knees, shoulders, and an assort and then made editorial changes if the content was ment of minor joint implants. unclear to us.

Computational Biomechanics of the Hip Joint

Computational Biomechanics of the Hip Joint PDF

Author: Mohammed Rafiq Abdul Kadir

Publisher: Springer Science & Business Media

Published: 2013-09-19

Total Pages: 119

ISBN-13: 3642387772

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This book presents analyses of the most commonly reported failure modes of hip stems: loosening and thigh pain; both are attributed to the relative motion and instability at the bone-implant interface due to failure to achieve sufficient primary fixation. The book investigates various factors that could affect primary stability and therefore the long-term outcome of hip arthroplasty. The results complement experimental work carried out in this area as in-vitro experiments have several limitations that could be addressed through computer simulations.

The Well-Cemented Total Hip Arthroplasty

The Well-Cemented Total Hip Arthroplasty PDF

Author: Steffen Breusch

Publisher: Springer Science & Business Media

Published: 2006-02-08

Total Pages: 389

ISBN-13: 3540289240

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Cemented Total Hip Arthroplasty (THA) remains one of the most successful procedures in Orthopaedic surgery. It has become very clear that it is the surgical expertise, in particular the quality of the cementing technique, which will affect long-term outcome and success. It is the intention of this book to provide an up-to-date comprehensive assessment of the entire field of cemented THA. Special emphasis has been given to practice-relevant aspects: well-illustrated and detailed operative steps as a practical guideline, a basic science chapter and long-term outcome data are provided. Minimally invasive surgery, modern perioperative management and patient fast tracking are covered. A number of highly respected experts have contributed to this in-depth compilation of the "state of the art" in 2005. This book is written and intended for both, trainees and established arthroplasty surgeons who are dedicated to perform a well-cemented THA.