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Interfaces in Total Hip Arthroplasty

Author: Ian D. Learmonth
Published: April 2000
Publisher: Springer-Verlag New York, LLC
ISBN: 1852332050
Hardcover Book
Number of Pages: 168
 
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Interfaces in Total Hip Arthroplasty


This book accesses the opinions of a number of experts who address the important issues and factors influencing the component cement and bone cement interface that contribute to durability of fixation in these areas. In addition they explore how this fixation can be influenced both by the design of the implant, the material properties and the cement. In addition the various material combinations that are available at the articular interface are presented and the wear properties of and generation of debris from the interfaces revealed." "This book collates important data relating to the critical interfaces which influence the long-term survival of hip arthroplasty. It is with this information that readers will be able to make rational and informed choices of implants and materials and thus practice both effective and cost-effective medicine.


Table of Contents:


Sect. I Component-Cement-Interface
1 Titanium Femoral Component Fixation and Experience with a Cemented Titanium Prosthesis 3
2 The Time-dependent Properties of Polymethylmethacrylate Bone Cement: the Interaction of Shape of Femoral Stems, Surface Finish and Bone Cement 11
3 Femoral Stem Design and Cement Mantle Stress 21
Sect. II Cement-Bone Interface
4 Histological Analysis of the Interface 33
5 Mechanical Analysis of the Interface 45
Sect. III Modular Interface
6 Clinical Implications of Component Modularity in Total Hip Replacement 59
Sect. IV Component-Bone Interface
7 Component Bone Interface in Cementless Hip Arthroplasty 71
8 Importance of Prosthesis Design and Surface Structure for the Primary and Secondary Stability of Uncemented Hip Joint Prostheses 81
Sect. V Articular Interface
9 Polyethylene as a Bearing Surface 105
10 The Metal/Polyethylene Interface 113
11 Metal on Metal Articulation in Total Hip Replacement 121
12 Alumina on Polyethylene Bearings 135
13 Ceramic on Ceramic Bearing Surfaces 143
Sect. VI Infected Interface
14 Periprosthetic Infection - Bacteria and the Interface Between Prosthesis and Bone 153
Index 163


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Interfaces in Total Hip Arthroplasty





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