Implant Bone Interface

ISBN-13: 9781447118138 / Angielski / Miękka / 2011 / 177 str.

John Older

Opis

An update on current knowledge is given for surgeons and researchers involved in implant surgery and the development of implant arthroplasty. The contributions come from a distinguished international faculty of orthopaedic surgeons, biologists and engineers. They examine the junctional tissues between an implant and the bone in joint replacement surgery. The factors that influence junctional tissues and so affect the life-span of the implant are thoroughly discussed. These include: detailed data on the microscopy of the junctional tissues, the mechanical properties of cement, and the architecture of bone and implant design. The discussions following each contribution give meaningful insight into background information and the controversial aspects of surgical implants.

Spis treści

I Histology of the Junctional Tissues.- 1 An Overview of the Histology of the Principal Interface Types in Orthopaedic Surgery Today.- 2 Biological Factors of Importance for Bone Integration of Implanted Devices.- Discussion.- 3 The Reaction of Bone to Bone Cement in Animals and Humans.- 4 New Observations on the Bone Cement—Bone Interface.- 5 Morphology of Implant—Bone Interface in Cemented and Non-cemented Endoprostheses.- Discussion.- 6 Tissue Reactions to Metallic Biomaterials.- 7 Osseo-integration of Metallic Implants in Animals and Humans.- Discussion.- 8 Histology of the Failed Implant.- Discussion.- 9 The Effects of Wear Particles on Periprosthetic Tissues.- 10 Failure Modes of Artificial Joint Implants Due to Particulate Implant Material.- Discussion.- 11 Pathology of Cemented Low-Friction Arthroplasties in Autopsy Specimens.- Discussion.- II Bone Cement.- 12 Time-Dependent Properties of Polymethylmethacrylate Bone Cement.- 13 The Scientific Basis of Vacuum Application of Bone Cement.- 14 Intrafemoral Pressure in Total Hip Replacement.- III Bone.- 15 Bone: The Architecture of Bone and How it is Influenced by External Loading.- Discussion.- IV Miscellaneous.- 16 Endosteal Lysis.- 17 Micro-motion: Consequences of Material Choices, Implant Design and Fit.- 18 Differential Movement Between Implant and Bone.- 19 A Preliminary Report on the Stem-Cement Interface and its Influence on the Bone-Cement Interface.- Discussion.- 20 Calcar/Collar Contact in Cemented Total Hip Arthroplasty.- 21 Trial of Cementless Versus Cemented Total Hip Arthroplasty: Preliminary Results.- 22 Intramedullary Cement Fixation: A Comparison of the Fixation of Custom-Made Prostheses with the Fixation of Standard Joint Replacements.- Discussion.- 23 Hydroxyapatite Crystals in Bone Ingrowth and Comparison of Autografts and Allographs: Preliminary Report.- 24 Fluoroscopically Controlled Radiographs in Examination of the Bone-Implant Interface: Preliminary Results.- Discussion.- 25 Conclusion.

O autorze

The contributions by experts dealing with joint replacement surgery update surgical and biomedical aspects. The discussions show the present status of practice and give a standard for further research and development.