White Paper on Joint Replacement


Book Description

This book is published open access under a CC BY 4.0 license. White Paper on Joint Replacement This White Paper details the status of hip and knee arthroplasty care in Germany. Hip and knee replacements are amongst the most frequently performed procedures and usually become necessarily due to age-related wear of the joint, osteoarthritis and fractures of the femoral neck. In light of demographic change, demands with regard to standards of care and the procedures are likely to rise. Contents • This White Paper contains information on indications, procedures, health economic aspects and the healthcare system stakeholders involved. • It portrays current developments with regard to the prevalence of hip and knee arthroplasty, the healthcare situation and quality of care within the chain of medical care. • This book is complemented by a chapter assessing the current situation from an expert perspective with contributions from renowned experts in the fields of science, medical technology and medical practice. This book addresses people involved in shaping and representing the healthcare system from a variety of fields including medical professions, health insurances and health sciences as well as journalists and patient representatives.




Personalized Hip and Knee Joint Replacement


Book Description

This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications. The techniques described in the book aim to reproduce patients’ native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality. Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery




Total Knee Arthroplasty


Book Description

This comprehensive reference on total knee arthroplasty describes all surgical techniques and prosthetic designs for primary and revision arthroplasty, discusses every aspect of patient selection, preoperative planning, and intraoperative and postoperative care.




Perspectives in Total Hip Arthroplasty


Book Description

Total hip arthroplasty, the most commonly performed orthopedic procedure, is used to replace or reconstruct the hip with an artificial joint. Perspectives in Total Hip Arthroplasty outlines developments in technologies and biomaterials used for this procedure, with a focus on the tribological interactions of the materials used. Part one outlines the history of total hip arthroplasty and goes on to explore advances in techniques and biomaterials. Part two focuses on the tribology of materials used to perform this procedure, explaining the impact of wear on the load-bearing surface, a major cause of failure in hip prostheses. Chapters review a range of materials, including modern biomaterials, hybrid materials, metal, ceramic, and polyethylene. The book also discusses the tribological interactions of these materials when used in total hip arthroplasty. Perspectives in Total Hip Arthroplasty is a key resource for clinicians, researchers, and academics interested in the tribology of total hip arthroplasty, as well as materials researchers, engineers, and academics concerned with the tribology of biomaterials. - Covers techniques from innovative surgeons and designs from multinational manufacturers, as well as information on improvements in technologies and biomaterials - Discusses the tribology of all the major materials used in total hip arthroplasty




The Engineering of Human Joint Replacements


Book Description

Since the major pioneering of joint replacement surgery more than fifty years ago, much research and progress has been made in the field of arthroplasty with new insights into better materials, types of cement and bone-cell compatible coatings, and a better understanding of the causes of implant failure. With an increasingly ageing population the requirement for arthroplastic surgery is manifest; over 800,000 hips worldwide are replaced each year, and replacement surgery is performed for almost every joint of the body. The Engineering of Human Joint Replacements covers the design, engineering, production and manufacture of human joint replacements, as well as associated engineering concerns such as surface coatings, orthopedic bone cement, the causes and effects of wear and tear, and rapid prototyping for clinical evaluation. Materials evaluation and selection is discussed, as well as production processes and insertion methods. The author provides an overview of skeletal anatomy and the effects of pain and deterioration in order to put the engineering principles into a medical context. Examples of joint replacements for the most common regions of the body are included, and aspects of clinical studies of these cases are discussed. Key Features: • Provides an overview of the engineering materials and processes involved in the manufacture of human joint replacements • Sets the scene for engineers and clinicians embarking on research into joint replacements • Includes clinical and industrial examples and points the way to future developments • Provides information on medical device companies with an engineering guide to the requirements for joint replacement The Engineering of Human Joint Replacements bridges the divide between engineering and orthopaedic surgery, offering an introductory text to young engineers entering the field, as well as a reference for medical staff who will benefit from an understanding of the materials and methods used in their design, engineering and manufacture.




UHMWPE Biomaterials Handbook


Book Description

UHMWPE Biomaterials Handbook describes the science, development, properties and application of of ultra-high molecular weight polyethylene (UHMWPE) used in artificial joints. This material is currently used in 1.4 million patients around the world every year for use in the hip, knee, upper extremities, and spine. Since the publication of the 1st edition there have been major advances in the development and clinical adoption of highly crosslinked UHMWPE for hip and knee replacement. There has also been a major international effort to introduce Vitamin E stabilized UHMWPE for patients. The accumulated knowledge on these two classes of materials are a key feature of the 2nd edition, along with an additional 19 additional chapters providing coverage of the key engineering aspects (biomechanical and materials science) and clinical/biological performance of UHMWPE, providing a more complete reference for industrial and academic materials specialists, and for surgeons and clinicians who require an understanding of the biomaterials properties of UHMWPE to work successfully on patient applications. - The UHMWPE Handbook is the comprehensive reference for professionals, researchers, and clinicians working with biomaterials technologies for joint replacement - New to this edition: 19 new chapters keep readers up to date with this fast moving topic, including a new section on UHMWPE biomaterials; highly crosslinked UHMWPE for hip and knee replacement; Vitamin E stabilized UHMWPE for patients; clinical performance, tribology an biologic interaction of UHMWPE - State-of-the-art coverage of UHMWPE technology, orthopedic applications, biomaterial characterisation and engineering aspects from recognised leaders in the field




Interfaces in Total Hip Arthroplasty


Book Description

Total hip arthroplasty is carried out to relieve pain and restore function and the implant should outlast the patient. However, failure at one of the interfaces represents the commonest cause of failure of total hip replacement. The durability of the fixation interfaces and the articular interface are therefore critical in determining the long-term performance of the implant. This book accesses the opinions of a number of experts in their field on the important issues and factors influencing the component cement and bone cement interface that contribute to durability of fixation in these areas. In addition they explore how this fixation can be influenced both by the design of the implant, the material properties and the cement. The various material combinations that are available at the articular interface are also presented and the wear properties of and generation of debris from the interfaces are revealed.




Materials for Total Joint Arthroplasty


Book Description

"The replacement of a degenerated joint such as the hip and knee is one of the most outstanding interventions that allows the medical community to restore the patient's quality of life. However, today's patient is increasingly younger and more active and this presents a challenge for the orthopaedic community as a greater demand has been created for a longer lasting artificial joint that can allow the patient to maintain their lifestyle and thus new approaches in biotribology have been focused on this area of research. This invaluable book provides a broad introduction to the boundary conditions, developments and latest research activities already available to the surgeon and offers an insight into solutions being developed for new high performance bearings in joint replacements. The contributors are leading experts in their field and this is the first complete volume to bring together such unique insights. Orthopaedic engineers, surgeons and researchers concerned with new biomaterials would find this a vital reference volume to evaluate the latest state of research in the area."--




The Unhappy Total Knee Replacement


Book Description

This book addresses the need for improved diagnostic and treatment guidelines for patients in whom total knee arthroplasty (TKA) has had an unsatisfactory outcome. It opens by discussing the basics of TKA and the various causes of failure and pain. Diagnostic aspects are considered in detail, with attention to advances in clinical investigation, laboratory analysis and in particular, imaging techniques. In addition, helpful state of the art diagnostic algorithms are presented. Specific pathology-related treatment options, including conservative approaches and salvage and revision TKA strategies, are then explained, with identification of pitfalls and key points. A series of illustrative cases cover clinical scenarios frequently encountered in daily clinical practice. The evidence-based, clinically focused guidance provided in this book, written by internationally renowned experts, will assist surgeons in achieving the most effective management of these challenging cases.




Joint Arthroplasty


Book Description

The introduction of total joint arthroplasty throughout the world has contributed manifold benefits to patients who suffer from joint diseases. Concurrently, however, there has been an increase in revision surgery. Many orthopedic surgeons agree that durability of prostheses is an eternal problem. In particular, periprosthetic osteolysis recently has been identified as one of the serious problems affecting prosthetic dura bility. To improve durability, osteolysis and many other problems must be investi gated and solved both experimentally and clinically with respect to such aspects as prosthetic material, design, and biological and biomechanical behavior. This book comprises 37 papers that were presented by orthopedic surgeons and biomedical engineers at the 28th Annual Meeting of the Japanese Society for Replace ment Arthroplasty, held in March 1998 in Kanazawa, Japan. The volume is thus a compilation of the latest knowledge about the pathogenesis and reduction of osteolysis and wear, newly developed total hip prostheses, and other current topics of total knee arthroplasty. We earnestly hope that this book will be of benefit to clinicians and researchers, and that it will contribute to the creation of more durable total joint prostheses in the future. SHINICHI IMURA v Contents Preface .................... '" .. .. .. ... . .. .. .. . ... .. . . .. . ... . . .. . V List of Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI . . . . . . . . . . . . Part 1 Wear and Pathogenesis of Osteolysis Friction and Wear of Artificial Joints: A Historical Review N. AKAMATSU ................................................ , 3 Matrix Degradation in Osteoclastic Bone Resorption Under Pathological Conditions .