Implant Bone Interface

An update on current knowledge is given for surgeons and researchers involved in implant surgery and the development of implant arthroplasty. The contributions come from a distinguished international faculty of orthopaedic surgeons, biologists and engineers. They examine the junctional tissues between an implant and the bone in joint replacement surgery. The factors that influence junctional tissues and so affect the life-span of the implant are thoroughly discussed. These include: detailed data on the microscopy of the junctional tissues, the mechanical properties of cement, and the architecture of bone and implant design. The discussions following each contribution give meaningful insight into background information and the controversial aspects of surgical implants. Front Matter....Pages i-xxii Front Matter....Pages 1-1 An Overview of the Histology of the Principal Interface Types in Orthopaedic Surgery Today....Pages 3-5 Biological Factors of Importance for Bone Integration of Implanted Devices....Pages 7-19 The Reaction of Bone to Bone Cement in Animals and Humans....Pages 21-24 New Observations on the Bone Cement—Bone Interface....Pages 25-26 Morphology of Implant—Bone Interface in Cemented and Non-cemented Endoprostheses....Pages 27-34 Tissue Reactions to Metallic Biomaterials....Pages 35-41 Osseo-integration of Metallic Implants in Animals and Humans....Pages 43-49 Histology of the Failed Implant....Pages 51-57 The Effects of Wear Particles on Periprosthetic Tissues....Pages 59-65 Failure Modes of Artificial Joint Implants Due to Particulate Implant Material....Pages 67-75 Pathology of Cemented Low-Friction Arthroplasties in Autopsy Specimens....Pages 77-82 Front Matter....Pages 83-83 Time-Dependent Properties of Polymethylmethacrylate Bone Cement....Pages 85-90 The Scientific Basis of Vacuum Application of Bone Cement....Pages 91-93 Intrafemoral Pressure in Total Hip Replacement....Pages 95-98 Front Matter....Pages 99-99 Bone: The Architecture of Bone and How it is Influenced by External Loading....Pages 101-113 Front Matter....Pages 115-115 Endosteal Lysis....Pages 117-121 Micro-motion: Consequences of Material Choices, Implant Design and Fit....Pages 123-129 Differential Movement Between Implant and Bone....Pages 131-135 A Preliminary Report on the Stem—Cement Interface and its Influence on the Bone—Cement Interface....Pages 137-145 Calcar/Collar Contact in Cemented Total Hip Arthroplasty....Pages 147-148 Front Matter....Pages 115-115 Trial of Cementless Versus Cemented Total Hip Arthroplasty: Preliminary Results....Pages 149-150 Intramedullary Cement Fixation: A Comparison of the Fixation of Custom-Made Prostheses with the Fixation of Standard Joint Replacements....Pages 151-163 Hydroxyapatite Crystals in Bone Ingrowth and Comparison of Autografts and Allographs: Preliminary Report....Pages 165-167 Fluoroscopically Controlled Radiographs in Examination of the Bone—Implant Interface: Preliminary Results....Pages 169-171 Conclusion....Pages 173-174 Back Matter....Pages 175-177