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Die Hüftarthroplastik mit isoelastischen Totalprothesen im Tierexperiment

✍ Scribed by G. Muhr; H. Stockhusen; O. Müller


Publisher
Springer
Year
1976
Tongue
English
Weight
978 KB
Volume
86
Category
Article
ISSN
1434-3916

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✦ Synopsis


Uncemented fixation and low-fraction materials are the basis of this experiment. Plastics with an elasticity similar to the bone ("isoelasticity") show very propitious material qualities. The direct cementless incorporation of test bodies must be checked. In 63 sheep isoelastic total hip joints were implanted. After 2 till 51 weeks the animals were sacrificed and 44 specimen of hips and organs were explored macroscopically, radiologically, spherimetrically and histologically. The result was: 1. Plastic hip prosthesis are incorporated in the bone, but the boundary layer is built by a collagenous fiber tissue. 2. Loosening brings resoption of the bone and expansion of the structural changed soft tissue. 3. The transformation of the femoral cortex to osteoporosis is considered possibly as the consequence of an insufficient biological transfer of the weight. 4. Fractures of the femoral prosthesis-stem could not be observed. 5. The radiology allows at the pelvis prosthesis a concret statement concerning stability, on the femoral part a probable one. 6. The abrasion is minimal, the tissue reaction to abrasion products is unessential. 7. Small abrasion particles are carried of by the lymph tract and stored in the first regional gland. A more distant spreading is not demonstrable.


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In 28 laboratory animals were implanted micro total prostheses prepared fl'om original alloplastic Mueller-Charnley total hip joint prostheses. This series of experiments should primarily have given information about reaction of the rat organism to the products of abrasion from alloplastic joint un