Micromovement in Orthopaedics

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Author: Alan R. Smith
Published: January 1993
Publisher: Oxford University Press
ISBN: 0192623060
Hardcover Book
Number of Pages: 327

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Micromovement in Orthopaedics

This book contains predominantly color illustrations, with some black-and-white illustrations. The book presents the proceedings of a conference on micromovement in orthopedics and its effects on fracture healing, bone remodeling, and prosthetic implant success. "The goal is to present the current thinking from a variety of researchers on the effects of micromovement and its effects on total joint replacements and wound repair mechanisms. Two major points emerged from the conference: (1) There is a need to correlate theory and experiments with the observed clinical outcome, and (2) micromovement effects are to be found in the physiological feedback mechanisms operating when bones are loaded mechanically during healing. "The audience is those scientists, engineers, and surgeons who are interested in the study of loads and motion on the behavior of long bones both during healing processes as well as in the presence of artificial prostheses. "This book has mostly black-and-white figures of good quality and quantity. It contains many good and recent references to ongoing work in the field. The author has succeeded in bringing together several leaders in the field of micromovement research. This is an excellent synopsis of current research on micromovement effects from cellular effects to testing methods for measurement of movement to the long-term effects of micromovement on total joint success. "These proceedings cover a wide range of topics that fall under the scope of micromovement in orthopedics. The text is broken into five major sections: fracture healing, prosthetic joints, measurement techniques, material properties, and cellular remodeling. These effects are significant and important to understand for anyone researching the biomechanics of bones. I would recommend this bookto universities with medical schools and biomedical engineering departments as well as to researchers interested in t he current state of the art in micromovement research. Turner-Smith, Alan R. (King's Coll Hospital, London)The contributors come from a wide range of clinicians and scientific disciplines, most notably orthopedic surgery, anatomy, and bioengineering. Most are from the U.K. and Europe (Belgium, Finland, Sweden, Norway, and Italy) with just a few from Japan and the U.S.

Table of Contents
List of contributors
1 Fracture stiffness as a measure of fracture healing 3
2 The vascular response to micromovement in experimental fractures 11
3 Transient dynamic loading in a rabbit osteotomy model 23
4 The healing of tibial plateau fractures. A Roentgen stereophotogrammetric study 27
5 The influence of micromovement in experimental leg-lengthening 32
6 Controlling the load-bearing movement at externally-fixated tibial fractures 40
7 Workshop - fracture repair 48
8 Migration patterns in uncemented ceramic THR. An eight year follow-up 59
9 Stabilities of standard and custom hip stems under axial and torsional loading 64
10 The effect of femoral stem geometry on micromovement in uncemented porous coated total hip arthroplasty - comparison of a straight and curved stem design 77
11 Stability of uncemented, femoral long-stems in revision total hip arthroplasty - a Roentgen stereophotogrammetric study 79
12 Fretting as a source of particulate debris in total joint arthroplasty 82
13 Workshop - prosthetic joints 93
14 A method for the measurement of the migration of prostheses from single standard radiographs 101
15 Stereoradiogrammetry for the prediction of hip replacement survival 113
16 Intra-operative measurement of tibial component micromovement in total knee arthroplasty 124
17 Improvement in the monitoring of fracture repair by noninvasive mechanical techniques 140
18 The use of externally applied mechanical vibrations to assess both fractures and hip prostheses 151
19 A role for ultrasound in limb lengthening 164
20 Quantification of bone mineral density changes in the proximal femur following total hip replacement 169
21 Micromechanical aspects of normal and deformed cortical bone 185
22 Age-dependent changes of the rat femur 199
23 Can the strain transduction mechanism in bone influence the development of osteoporosis? 208
24 The influence of axial distraction upon muscles 214
25 The response of peripheral nervous tissue to limb lengthening 221
26 Functional and structural adaptation of canine knee articular cartilage to physiological joint loading 227
27 Transmission of rapidly applied load through articular cartilage: the mechanics of osteoarthrosis 244
28 Mechanical properties of articular cartilage and the response of the chondrocytes to mechanical load 271
29 Functional adaptation of bone by strain-induced changes in lining cell association: an hypothesis 283
30 The stimulation of prostaglandin synthesis by micro movement in fracture healing 291
31 The effect of mechanical deformation on the distribution of potassium ions across the cell membrane of sutural cells 296
32 Strain induced bone remodelling and prostaglandin E[subscript 2] 311
Index 325

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