A numerical optimization technique was used to improve the design of a coated, cementless hii3 prosthesis. The prosthesis was represented by a simple one-dimensional finite element model, and its diameter and coating thickness at various points were altered so as to minimize stress shielding while k
A cementless system of total hip prosthesis
β Scribed by Yasuto Itami; Noriya Akamatsu; Yoshitsugu Tomita; Motohiro Nagai
- Publisher
- Springer
- Year
- 1982
- Tongue
- English
- Weight
- 845 KB
- Volume
- 100
- Category
- Article
- ISSN
- 1434-3916
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β¦ Synopsis
It is essential that the prosthetic material should not be harmful to the human body, it should be strictly fitted to the body and it should have sufficient durability.
To investigate those conditions of an artificial joints as mentioned above, it is important to have experimental studies using a model of the artificial joint in animals instead of a simulator.
The authors have developed their own total hip prosthesis for a dog since 1970 These prostheses were fixed to the bone without bone cement.
These dogs were killed periodically from 8 weeks to 3 years after surgery of total hip replacement.
Not only were pathohistological studies on the joint capsule and bony tissue of the femur surrounding the prosthesis performed, but also scanning electron microscopic examination on capsule and the surface of the prosthetic head were performed.
The results were excellent Ther was no loosening or wear when the new type of acetabular socket with large spikes was used On the other hand, in the case of the old type socket with its smooth surface and smaller spikes, loosening of the socket and prosthetic stem occurred within one year after surgery.
Zusammenfassung Es ist entscheidend, da B das Material eines Kunstgelenkes sich im menschlichen Organismus inert verhalt, da B es im K 6 rper sehr genau eingepa Bt wird und dal es eine ausreichende Haltbarkeit aufweist.
Fiir die Erforschung dieser Bedingungen ist es wichtig, mit einem Modell des Kunstgelenkes tierexperimentelle Untersuchungen durchzufuihren, anstatt einen Simulator zu verwenden.
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Our investigations in human specimens and animal experiments show that prostheses with a spongy metal surface can become fixed by bony ingrowth to varying degrees. After consistent clinical and radiological follow-up over 12-65 months (mean 34 months) in a prospective study of 100 consecutive patien