Advances in Artificial Hip and Knee Joint Technology: Volume 2: Advances in Artificial Hip and Knee Joint Technology

ISBN-13: 9783642663710 / Angielski / Miękka / 2011 / 528 str.

M. Schaldach; D. Hohmann

Opis

Implantable jOint prostheses which have been under development for more than 25 years, are today being used with success in the rehabilitation of many cases, including patients with extremely severe joint pathology. However, artificial joint designs still pose problems with respect to their function, anchoring, materials employed and the interaction of the prosthesis with the surrounding biological tissues. Some of these problems are associated with considerable therapeutic complications. Further improvement in the artificial joint requires the application of all the modern experimental and research techniques and the close cooperation of medical doctors, engineers and scientists. The International Symposium on Advances in Artificial Hip and Knee Joint Technology held at Erlangen on October 30 and 31, 1975 under the auspices of the Societas Physica Medica Erlangensis, had as its aim the promotion of just this interdisciplinary cooperation. One of the traditional objectives of the Societas has been the advancement of diagnosis and therapy by the adaptation of medical skill to modern technology and scientific engineering concepts. The major objective of this volume is to present, in expanded form, the lectures given by internationally recognized scientists and clinical researchers in the field of artificial joints in the locomotor system, and to make that information available to a wider public. The experience discussed covers the principles and primary methods of joint replacement.

Spis treści

1 Principles and Techniques of Hip and Knee Joint Replacement.- State of the Art of Hip and Knee Joint Replacement.- Biomechanics of the Hip and Knee Joint.- Loading on Normal Hip and Knee Joints and on Joint Replacements.- Present Indication for Hip Joint Replacement and Implantation Techniques.- Hip Joint Replacement in Trauma Therapy.- Design Criteria, Present Indication and Implantation Techniques for Artificial Knee Joints.- 2 Complications and Their Management.- Peroperative Complications of the Total Endoprosthesis.- Some Disadvantages of Cemented Intramedullary Stem Fixation and Their Remedies.- The Stress in Total Hip Prosthesis Femoral Stems: a Comparative Experimental Study.- Morphological and Analytical Studies of the Tissues Adjacent to Joint Prostheses: Investigations into the Causes of Loosening of Prostheses.- Complications After Joint Replacement — Longterm Follow-Up, Clinical Findings, and Biomechanical Research.- The Trunnion Bearing Total Hip Prosthesis.- Clinical Requirements of Artificial Joints.- Issues of Law in Connection with Artificial Joint Replacement.- 3 Criteria and Selection of Materials for Implants in Orthopedic Surgery.- The Suitability of Metals for Surgical Implants.- Corrosion of Highly Stressed Orthopedic Joint Replacements.- Mechanical Properties of Metallic Materials for Longterm Use in Highly Stressed Locomotor Systems.- The Use of Polymers in High Load Bearing Joints in the Locomotor System.- Ceramics as a New Approach to the Improvement of Artificial Joints.- The Polymerization of Self-Curing Acrylic Cements and Problems Due to the Cement Anchorage of Joint Prosthesis.- Problems Associated with the Cement Anchorage of Artificial Joints.- Mechanical Properties of the Cement/Bone Bond.- 4 Trends in Hip and Knee Prostheses Development.- Design Criteria of Total Hip Replacements Fixed with Bone Cement.- Problematics of Current Hinge-Type Artificial Knee Joints.- Anchoring Hip Endoprosthesis Without Bone Cement.- Iso-Elastic Endoprosthesis — A New Concept in Artificial Joint Replacement.- Tissue Ingrowth and Mechanical Locking for Anchorage of Prostheses in Locomotor System.- Experimental Investigations of Dense Alumina Ceramic for Hip and Knee Joint Replacements.- Ceramic Hip Joint Replacement — Experimental Results and Early Clinical Experience.- Improved UHMW Polyethylene Low Friction Hip Endoprosthesis Using Al2O3 Ceramic Instead of Metal for the Articulating Ball.- Experience with Bioceramic Endoprostheses of the Hip Joint.- Trends in the Development of Permanent Ceramic Implants.- Requirements of Operational Tests and Test Results in Total Hip and Knee Arthroplasty.- Summary of the Bioengineering Aspects of Artificial Joint Replacement.