In Reply: "Bottle-Opener" Effect in Bipolar Hip Prostheses Dislocations

2015 ◽  
Vol 30 (5) ◽  
pp. 895 ◽  
Author(s):  
Young-Kyun Lee ◽  
Yong-Chan Ha ◽  
Kyung-Hoi Koo
Keyword(s):  
Hip Prostheses ◽  
Bottle Opener

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.

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.

Imaging of Metal-on-Metal Hip Prostheses

2011 ◽  
Vol 197 (3) ◽  
pp. 556-557 ◽  
Author(s):  
Matthew W. Squire
Keyword(s):  
Hip Prostheses ◽  
Metal On Metal

Analysis of surface stresses for the tribological system in total hip prostheses

2006 ◽  
Vol 39 ◽  
pp. S529
Author(s):  
B.-A. Behrens ◽  
G. Helms ◽  
O. Pösse ◽  
I. Nolte ◽  
A. Meyer-Lindenberg ◽  
...  
Keyword(s):  
Hip Prostheses ◽  
Total Hip ◽  
Surface Stresses ◽  
Tribological System ◽  
Total Hip Prostheses

PIXE MICROBEAM IN LOCALIZING METALS RELEASED FROM DENTAL AND ORTHOPEDIC IMPLANTS

2005 ◽  
Vol 15 (03n04) ◽  
pp. 187-193
Author(s):  
PIETRO PASSI ◽  
ANGELA ZADRO ◽  
SILVIO GALASSINI ◽  
GIULIANO MOSCHINI ◽  
PAOLO ROSSI ◽  
...  
Keyword(s):  
Spatial Distribution ◽  
Release Rate ◽  
Pure Titanium ◽  
Orthopedic Implants ◽  
Elemental Distribution ◽  
Commercially Pure Titanium ◽  
Metal Release ◽  
Hip Prostheses ◽  
Commercially Pure ◽  
Release Processes

The release of metals and other elements from dental and orthopedic implants into the tissues has been a matter of numerous studies. However, the conditions that favor such a phenomenon have not been completely understood so far. PIXE microbeam technique has been applied to study the spatial distribution of the elements released from the implants. Subjects of interest have been implants made from commercially pure titanium, Ti -6 Al -4 V alloy and 316 LWM surgical steel. Block sections of five dental implants, as well as tissues surrounding one metal spine plate and two hip prostheses, have been examined. Rabbit bones containing copper inclusions have been taken for microbeam analysis to complete the study about the metal release processes. Samples from the tissues and bone slices have been analyzed using PIXE microbeam setup at National Laboratories of Legnaro, Italy. Traces of the implant metals, including titanium but with the exception of vanadium, were found in the surrounding tissues and maps of their elemental distribution at different distances from the contact surface with implants have been obtained. The origin and the differences of the release rate of the observed metals have been discussed.

Improving Tribological Characteristics of Hip Prostheses Using Biocompatible Nanocoatings

2013 ◽  
Vol 741 ◽  
pp. 67-72 ◽  
Author(s):  
Gheorghe I. Gheorghe ◽  
Liliana Laura Badita
Keyword(s):  
Hip Prosthesis ◽  
Protective Coatings ◽  
Scratch Resistance ◽  
Hip Prostheses ◽  
Force Microscopy ◽  
Tin Coatings ◽  
Femoral Heads ◽  
Before And After ◽  
Tin Thin Films ◽  
Steel Substrates

Total hip prosthesis (THP) is the most success of the 20th century in orthopaedic biomedical engineering. However due to difficult conditions within the human body its durability is generally limited to 15-16 years. THP is a bio-tribosystem, on which many mechanical, thermal, chemical and biological factors act. This paper presents the results of an analysis regarding the topography and tribological parameters of femoral heads structures before and after TiN coating. We report on the synthesis of TiN thin films on steel substrates by pulsed laser deposition (PLD) method for improving the mechanical characteristics of the structures. Adhesion resistance of the coating on the sub-layer was evaluated by scratching tests accompanied by Optical Microscopy (OM), Atomic Force Microscopy (AFM) and Scanning Electron Microscopy (SEM). As a principal result, this work points out that TiN protective coatings deposited by PLD technique with the maximum number of pulses can represent an alternative technology to ensure adhesion and scratch resistance of TiN coatings on femoral heads.

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