Wear debris released by hip prosthesis analysed by microcomputed tomography

2020 ◽  
Author(s):  
D. CHAPPARD ◽  
L. RONY ◽  
F. DUCELLIER ◽  
V. STEIGER ◽  
L. HUBERT
Keyword(s):  
Wear Debris ◽  
Hip Prosthesis ◽  
Microcomputed Tomography

scholarly journals Chromium and cobalt intoxication mimicking mitochondriopathy

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Tim W. Rattay ◽  
Torsten Kluba ◽  
Ludger Schöls
Keyword(s):  
Diabetes Mellitus ◽  
Weight Loss ◽  
Mitochondrial Dna ◽  
Wear Debris ◽  
Hip Prosthesis ◽  
Mitochondrial Cytopathy ◽  
Whole Exome ◽  
Metal On Metal ◽  
Metal Wear ◽  
History Of

AbstractA 53-year old male with a history of progressive visual impairment, hearing loss, peripheral neuropathy, poorly controlled diabetes mellitus, cardiomyopathy, and weight loss was referred to the rare disease center due to the suspicion of mitochondrial cytopathy. In line with mitochondrial dysfunction, lactate in CSF was increased. Genetic testing by whole-exome sequencing and mitochondrial DNA did not reveal a likely cause. The case remained unsolved until he developed pain in his right hip, where he had received total hip arthroplasty 12 years earlier. An orthopedic evaluation revealed substantial shrinkage of the head of the hip prosthesis. Due to metal-on-metal wear, debris chromium and cobalt levels in serum were massively increased and significantly improved with multisystemic impairment after exchanging the defective implant.

Characterization of wear debris associated with aseptic loosening of a canine hip prosthesis

1998 ◽  
Vol 119 (1) ◽  
pp. 89-93 ◽  
Author(s):  
M.J. Day ◽  
S.J. Butterworth ◽  
M.R. Palmer ◽  
C.P. Case
Keyword(s):  
Aseptic Loosening ◽  
Wear Debris ◽  
Hip Prosthesis

Three-Dimensional Lubrication Model of an Artificial Hip Joint With Gait Analysis

1999 ◽  
Author(s):  
Donna M. Meyer ◽  
John A. Tichy
Keyword(s):  
Service Life ◽  
Hip Joint ◽  
Revision Surgery ◽  
Wear Debris ◽  
Hip Prosthesis ◽  
Three Dimensional ◽  
Wear Particles ◽  
Artificial Hip Joint ◽  
Artificial Hip ◽  
Human Joints

Abstract The development of the hip prosthesis is a result of extensive collaboration between the medical and engineering fields. Although the technology to replace ailing human joints with artificial replicas is quite advanced, these remarkable advances require additional attention. In particular, extending the service life of a hip prosthesis is a primary consideration. An artificial hip joint may require revision surgery due to a number of contributions, one of which is extensive wear. Within the first few years following hip implantation, high amounts of wear particles form due to the contact of the articulating surfaces. The amounts of wear debris generated is a function of the material combinations of the rubbing surfaces of the joint, the amount of lubrication present in the joint during activity and the types and levels of activity.

Ceramic wear debris in hip prosthesis perimplant environment. Correlation between synovial fluid and neocapsule

Bone ◽  
2012 ◽  
Vol 50 ◽  
pp. S188
Author(s):  
D. De Pasquale⁎ ◽  
A. Beraudi ◽  
M. Montesi ◽  
S. Squarzoni ◽  
F. Traina ◽  
...  
Keyword(s):  
Synovial Fluid ◽  
Wear Debris ◽  
Hip Prosthesis

scholarly journals Metal-on-metal bearing in hip prosthesis generates 100-fold less wear debris than metal-on-polyethylene

1999 ◽  
Vol 70 (6) ◽  
pp. 578-582 ◽  
Author(s):  
H Lucas Anissian ◽  
André Stark ◽  
Allen Gustafson ◽  
Victoria Good ◽  
Ian C Clarke
Keyword(s):  
Wear Debris ◽  
Hip Prosthesis ◽  
Metal On Metal

Ceramic wear debris in synovial fluid allow early diagnosis of hip prosthesis failure

Bone ◽  
2009 ◽  
Vol 44 ◽  
pp. S289 ◽  
Author(s):  
S. Stea ◽  
F. Traina ◽  
A. Beraudi ◽  
M. Montesi ◽  
S. Squarzoni ◽  
...  
Keyword(s):  
Synovial Fluid ◽  
Early Diagnosis ◽  
Wear Debris ◽  
Hip Prosthesis ◽  
Prosthesis Failure

Non-cytotoxic and non-genotoxic wear debris of strontium oxide doped (Zirconia Toughened Alumina) (SrO-ZTA) implant for hip prosthesis

2021 ◽  
Vol 274 ◽  
pp. 125187
Author(s):  
Nibedita Nayak ◽  
Shaik Akbar Basha ◽  
Surya Kant Tripathi ◽  
Bijesh K. Biswal ◽  
Monalisa Mishra ◽  
...  
Keyword(s):  
Wear Debris ◽  
Hip Prosthesis ◽  
Strontium Oxide ◽  
Zirconia Toughened Alumina

Novel methods for demonstrating osseointegration of hydroxylapatite-coated titanium hip prostheses

1991 ◽  
Vol 49 ◽  
pp. 34-35 ◽  
Author(s):  
P. Frayssinet ◽  
J. Hanker ◽  
D. Hardy ◽  
B. Giammara
Keyword(s):  
Hip Prosthesis ◽  
Ethanol Concentration ◽  
Bone Matrix ◽  
Electron Microscopic Examination ◽  
Electron Microscopic ◽  
Hip Prostheses ◽  
Cellular Inclusions ◽  
Microscopic Studies ◽  
Diamond Saw ◽  
Plasma Sprayed

Prostheses implanted in hard tissues cannot be processed for electron microscopic examination or microanalysis in the same way as those in other tissues. For these reasons, we have developed methods allowing light and electron microscopic studies as well as microanalysis of the interface between bone and a metal biomaterial coated by plasma-sprayed hydroxylapatite(HA) ceramic.An HA-coated titanium hip prosthesis (Corail, Landos, France), which had been implanted for two years, was removed after death (unrelated to the orthopaedic problem). After fixation it was dehydrated in solutions of increasing ethanol concentration prior to embedment in polymethylmethacrylate(PMMA). Transverse femur sections were obtained with a diamond saw and the sections then carefully ground to a thickness of 200 microns. Plastic-embedded sections were stained for calcium with a silver methenamine modification of the von Kossa method for calcium staining and coated by carbon. They have been examined by back-scatter SEM on an ISI-SS60 operated at 25 KV. EDAX has been done on cellular inclusions and extracellular bone matrix.

Femoral-shaft fracture below hip prosthesis

JAMA ◽  
1965 ◽  
Vol 194 (13) ◽  
pp. 1378-1381
Author(s):  
O. E. Aufranc
Keyword(s):  
Femoral Shaft Fracture ◽  
Hip Prosthesis ◽  
Femoral Shaft ◽  
Shaft Fracture

Analysis of 18F-FDG uptake patterns in PET for diagnosis of septic and aseptic loosening after total hip arthroplasty

2003 ◽  
Vol 42 (06) ◽  
pp. 234-239 ◽  
Author(s):  
T. Mumme ◽  
P. Reinartz ◽  
D. Wirtz ◽  
F. U. Niethard ◽  
U. Büll ◽  
...  
Keyword(s):  
Aseptic Loosening ◽  
Femoral Component ◽  
Hip Prosthesis ◽  
Prosthetic Infection ◽  
Clinical Value ◽  
Septic Loosening ◽  
Hip Prostheses ◽  
Fdg Uptake ◽  
Positron Emission ◽  
Painful Hip

Summary Aim: Identification of typical patterns for fluorodeoxyglucose (FDG) uptake in positron emission tomography (PET) to detect aseptic loosening of hip prosthesis (ace-tabular and/or femoral component) and prosthetic infection. Methods: 18 patients with painful hip prosthesis underwent PET using a dedicated full ring scanner after application of 200-300 MBq FDG. The interface between bone and surrounding soft tissue or bone as displayed on coronal slices was divided into 12 segments in accordance with the classifications of Delee and Gruen. FDG uptake in each of the segments was scored (0-3) by two independent observers. Intraoperative findings were regarded as the gold standard. Results: After surgical revision 14 acetabular components and 9 femoral components were found to be loose and prosthetic infection was present in 7 prostheses. Loosening of the acetabular component was correlated to enhanced uptake in the middle of the acetabular interface, while loosening of the femoral component was correlated to enhanced uptake in the proximal and middle segment of the lateral femoral interface and the proximal segment of the medial femoral interface. A similar pattern was found in prosthetic infection with high uptake along the middle portion of the lateral fe-moral interface. In 6 of 7 infected prostheses loosening of the acetabular and of the femoral component was present. Taking the typical uptake patterns as criteria for loosening and grade 3 uptake as an additional criterion for septic loosening the accuracy of PET imaging in the detection of loosening of the acetabular or the femoral component and of prosthetic infection was 72, 78 and 89%, respectively. Conclusion: This pilot study presents FDG-PET as a promising diagnostic tool for patients with painful hip prostheses. Its clinical value should be evaluated in a larger patient population.

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