The Effect of Intramedullary Stem Curvature on the Torsional Stability of Cemented Joint Replacement Systems

2011 ◽  
Author(s):  
Yara K. Hosein ◽  
Meghan P. Clynick ◽  
Sarah E. Takaki ◽  
Stewart D. McLachlin ◽  
Cynthia E. Dunning
Keyword(s):  
Bone Cement ◽  
Joint Replacement ◽  
Revision Surgery ◽  
Host Bone ◽  
Common Complication ◽  
Implant Loosening ◽  
Torsional Stability ◽  
Stem Curvature

Joint replacement surgeries are a common treatment for diseased or damaged joints. The procedure typically involves the insertion of a metal stemmed component into the bone canal, either with or without bone cement, to achieve fixation to the host bone. Although this procedure has proven effective, implant loosening remains a relatively common complication, leading to pain and the eventual need for revision surgery.

Development of Methodology to Assess the Effect of Stem Surface Finish on Implant Loosening

2010 ◽  
Author(s):  
Yara K. Hosein ◽  
Stewart D. McLachlin ◽  
Graham J. W. King ◽  
Cynthia E. Dunning
Keyword(s):  
Bone Cement ◽  
Surface Finish ◽  
Joint Replacement ◽  
Revision Surgery ◽  
Relative Displacement ◽  
Common Complication ◽  
Implant Loosening ◽  
Joint Replacement Surgery ◽  
Replacement Surgery ◽  
Orthopaedic Procedure

Joint replacement surgery is a common orthopaedic procedure used for the treatment of diseased or damaged joints. The majority of these replacement systems incorporate a stemmed portion which is inserted into the bone canal, either with or without bone cement, to achieve fixation to the host bone. Although this procedure has proven effective, relative displacement at the bone-cement and/or cement-stem interfaces (i.e., implant loosening) is a common complication, leading to pain and the need for revision surgery.

Autophagy inhibitors 3-MA and LY294002 repress osteoclastogenesis and titanium particle-stimulated osteolysis

2021 ◽  
Author(s):  
Weishen Chen ◽  
Guoyan Xian ◽  
Minghui Gu ◽  
Baiqi Pan ◽  
Xiaoyu Wu ◽  
...  
Keyword(s):  
Aseptic Loosening ◽  
Joint Replacement ◽  
Revision Surgery ◽  
Wear Particle ◽  
Common Complication ◽  
Titanium Particle ◽  
Inflammation Response

Aseptic loosening caused by peri-implant osteolysis (PIO) is a common complication after joint replacement, and there is still no better treatment than revision surgery. The wear particle-induced inflammation response, especially...

The effect of stem curvature on torsional stability of a generalized cemented joint replacement system

2012 ◽  
Vol 11 (3) ◽  
pp. 167-171
Author(s):  
Yara K. Hosein ◽  
Meghan P. Clynick ◽  
Stewart D. McLachlin ◽  
Graham J.W King ◽  
Cynthia E. Dunning
Keyword(s):  
Joint Replacement ◽  
Replacement System ◽  
Torsional Stability ◽  
Stem Curvature

Influence of Antibiotics Addition in Bone Cements for Hip Arthroplasty on their Mechanical Properties: Clinical Perspective and In Vitro Tests

2016 ◽  
Vol 695 ◽  
pp. 123-127
Author(s):  
Razvan Ene ◽  
Zsombor Panti ◽  
Mihai Nica ◽  
Marian Pleniceanu ◽  
Patricia Ene ◽  
...  
Keyword(s):  
Mechanical Properties ◽  
Bone Cement ◽  
Hip Arthroplasty ◽  
Revision Surgery ◽  
Bone Cements ◽  
Artificial Joints ◽  
The One ◽  
Prophylactic Method ◽  
Active Substances

Bone cement has been used for over half a century, to successfully anchor artificial joints. From its emergence there have appeared a number of types of bone cement, with the 2 major classes being bone cement with or without active substances. The one with the added antibiotics is used primarily in the treatment and revision surgery of infected total hip arthroplasty (THA), as well as a prophylactic method in primary THA in patients with high risks for this complication. The purpose of this study is to determine the mechanical properties of bone cement with added antibiotics. Over a period of 2 years, a number of 41 cases were chosen for this study: 25 with revision surgery for THA, where bone cement with antibiotics was used, and 16 with primary THA, where regular bone cement was used. A number of studies have been performed on the mechanical properties of the 2 types of cement, which determined that the cement with antibiotics presents a slightly lower compressive strength, tensile strength, elastic modulus and fatigue strength compared with regular cement. These variations, however, become more pronounced as the quantity of the antibiotic goes up. The mechanical properties of the cement with antibiotics are similar with those of the regular cement, when low doses of antibiotics are used and become more evident as the doses go up. In conclusion, the antibiotic bone cement is a trustworthy tool in the surgeon’s arsenal against infection, with minimal detriments from the mechanical view.

The use of water-jetting technology in prostheses revision surgery?First results of parameter studies on bone and bone cement

2000 ◽  
Vol 53 (6) ◽  
pp. 781-790 ◽  
Author(s):  
Matthias Honl ◽  
Reemt Rentzsch ◽  
Gerd M�ller ◽  
Carsten Brandt ◽  
Andrea Bluhm ◽  
...  
Keyword(s):  
Bone Cement ◽  
Revision Surgery ◽  
First Results ◽  
Surgery First

A Comparison of Outcomes of Treatment with Resection Prosthesis of the Hip in Revision and Oncological Surgery

2017 ◽  
Vol 19 (2) ◽  
pp. 145-156 ◽  
Author(s):  
Paweł Kamiński ◽  
Jakub Szmyd ◽  
Jarosław Ambroży ◽  
Jerzy Jaworski ◽  
Bogusław Frańczuk
Keyword(s):  
Blood Loss ◽  
Revision Surgery ◽  
Revision Arthroplasty ◽  
Bone Defects ◽  
Harris Hip Score ◽  
Femoral Bone ◽  
Implant Loosening ◽  
Oncological Treatment ◽  
Tumour Metastasis ◽  
Perioperative Blood Loss

Introduction. The introduction of resection prostheses paved the way for the development of limb-sparing surgery in patients with primary or metastatic bone tumours. After some time, the developing possibilities of treatment of extensive bone defects allowed for the use of resection prostheses as an emergency procedure in patients undergoing revision surgery due to hip implant loosening. The aim of this paper is to compare treatment outcomes in patients receiving the Modular Universal Tumour and Revision System (MUTARS) resection prosthesis during arthroplasty performed for different indications: treatment of a tumour metastasis and revision surgery in cases of implant loosening. Material and methods. A total of 34 MUTARS femoral resection prostheses were implanted in 34 patients at the Cracow Centre of Rehabilitation and Orthopaedics between December 2008 and January 2016. The procedure was indicated due to the presence of a tumour metastasis (in 13 cases) or due to implant loosening that required revision arthroplasty with a resection prosthesis (in 21 cases). Femoral bone defects were classified according to Paprosky and Katthagen in all operated patients. Clinical assessment was conducted with the modified Harris Hip Score before the surgery and at one year after the procedure. In addition, pain intensity was assessed with a Visual Analogue Scale (VAS). Results. No statistically significant differences were observed between the groups with respect to the length of the femoral bone resected, perioperative blood loss and the number of packed red blood cell (PRBC) units required. A statistically significant difference was found in duration of the surgery and hospital stay, which were longer in the revision arthroplasty group. No statistically significant differences were observed between the groups in the post-operative HHS scores and pain assessment in the VAS scale. The revision arthroplasty group showed significantly more dislocations (8 vs. 2) and cases of surgical site infection. Conclusions. 1.The use of the MUTARS modular resection prosthesis allows for fast clinical improvement that meets the patient’s expectations both in oncological treatment and in revision arthroplasty. 2. The extent of bone resection, procedure duration and perioperative blood loss associated with the surgical placement of a resection prosthesis are similar in oncological treatment and in revision arthroplasty. 3. The use of a resection prosthesis in revision arthroplasty is associated with a high risk of implant dislocation.

Development of operator independent bone cement vacuum mixing system for joint replacement surgery

2006 ◽  
Vol 35 (8) ◽  
pp. 317-323 ◽  
Author(s):  
N. Dunne ◽  
Y. Xu ◽  
C. Daly ◽  
J. Makem ◽  
G. Walker ◽  
...  
Keyword(s):  
Bone Cement ◽  
Joint Replacement ◽  
Joint Replacement Surgery ◽  
Replacement Surgery ◽  
Vacuum Mixing

scholarly journals Antibiotic-loaded Bone Cement as Prophylaxis in Total Joint Replacement

2017 ◽  
Vol 9 (4) ◽  
pp. 331-341 ◽  
Author(s):  
Javier Martínez-Moreno ◽  
Virginia Merino ◽  
Amparo Nácher ◽  
José Luis Rodrigo ◽  
Mónica Climente ◽  
...  
Keyword(s):  
Bone Cement ◽  
Joint Replacement ◽  
Total Joint Replacement
Sign in / Sign up

Export Citation Format

Share Document