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Interfaces in Total Hip Arthroplasty

  • Book
  • © 2000

Overview

Editors:
  1. Ian D. Learmonth

    1. Department of Orthopaedic Surgery, University of Bristol, UK
      Bristol Royal Infirmary and Southmead Hospital, UK

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  • Addresses the important issues and factors influencing the component cement and bone cement interface that contribute to durability of fixation
  • Examines and evaluates combinations of materials to determine the most durable and the most cost-effective
  • Written by experts in the field using the results of their extensive work and research on hip interfaces

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Table of contents (14 chapters)

  1. Front Matter

    Pages i-xii
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  3. Cement-Bone Interface

    1. Front Matter

      Pages 31-31
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    2. Histological Analysis of the Interface

      • H. G. Willert, G. H. Buchhorn
      Pages 33-43

    3. Mechanical Analysis of the Interface

      • A. McCaskie
      Pages 45-55

  4. Modular Interface

    1. Front Matter

      Pages 57-57
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    2. Clinical Implications of Component Modularity in Total Hip Replacement

      • I. D. Learmonth
      Pages 59-68

  5. Component-Bone Interface

    1. Front Matter

      Pages 69-69
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    2. Component Bone Interface in Cementless Hip Arthroplasty

      • J. D. J. Eldridge, I. D. Learmonth
      Pages 71-80

    3. Importance of Prosthesis Design and Surface Structure for the Primary and Secondary Stability of Uncemented Hip Joint Prostheses

      • S. Weller, A. Braun, J. C. Gellrich, U. Gross
      Pages 81-101

  6. Articular Interface

    1. Front Matter

      Pages 103-103
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    2. Polyethylene as a Bearing Surface

      • J. E. Parr, W. Haggard, H. H. Trieu
      Pages 105-112

    3. The Metal/Polyethylene Interface

      • J. L. Tipper, A. A. Besong, H. Minakawa, M. H. Stone, B. M. Wroblewski, E. Ingham et al.
      Pages 113-120

    4. Metal on Metal Articulation in Total Hip Replacement

      • P. Roberts, P. Grigoris
      Pages 121-133

    5. Alumina on Polyethylene Bearings

      • L. Sedel
      Pages 135-141

    6. Ceramic on Ceramic Bearing Surfaces

      • J. Witvoet, R. Nizard, L. Sedel
      Pages 143-150

  7. Infected Interface

    1. Front Matter

      Pages 151-151
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Keywords

About this book

This book incorporates the experience of numerous experts who explore contemporary opinion of how best to rationalise and optimise the interfaces at total hip replacement to provide the most favourable and durable results. The survival of a total hip replacement depends principally on the enduring integrity of the fixation interfaces and of the articular interface. The design of the stem and the material properties of cement largely determine the state of the component-cement inter­ face, while the bone-cement interface is significantly influenced by both mechanical and biological factors. The surface finish and shape of cementless implants are designed to preserve the integrity of biological fixation (osseo-integration) at the bone-component interface. Once again, both mechanical and biological factors have to be considered, while bioactive coatings accelerate bone ongrowth. Metal-on-polyethylene is the most widely used articular interface. However, it has been suggested that wear of polyethylene is one of the major factors contributing to failure of total hip replacements. The increasing prevalence of total hip replacement in younger patients has stimulated the investigation of alternative, more durable couples -including ceramic-polyethylene, ceramic-ceramic and metal-on-metal. Modularity provides greater intra-operative flexibility, but each new modular interface introduces new mechanisms of failure. These need to be anticipated and appropriate measures taken to avoid them. Hopefully this book will provide a better understanding of the factors that contribute to stable interfaces and long-term survival of total hip arthroplasty.

Editors and Affiliations

  • Department of Orthopaedic Surgery, University of Bristol, UK

    Ian D. Learmonth

  • Bristol Royal Infirmary and Southmead Hospital, UK

    Ian D. Learmonth

Bibliographic Information

  • Book Title: Interfaces in Total Hip Arthroplasty

  • Editors: Ian D. Learmonth

  • DOI: https://doi.org/10.1007/978-1-4471-0477-3

  • Publisher: Springer London

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag London 2000

  • Hardcover ISBN: 978-1-85233-205-1Due: 23 March 2000

  • Softcover ISBN: 978-1-4471-1150-4Published: 16 October 2012

  • eBook ISBN: 978-1-4471-0477-3Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: XII, 168

  • Topics: Orthopedics, Imaging / Radiology, Rheumatology

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