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Metal-on-Metal Bearings

A Clinical Practicum

Lynne C. Jones, Warren O. Haggard, A. Seth Greenwald (Herausgeber)

Buch | Hardcover

200 Seiten

2013
Springer-Verlag New York Inc.
978-1-4614-8998-6 (ISBN)

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This book addresses the background and significance of the factors potentially influencing the clinical and biological outcomes of metal-on-metal hip implants. Metal-on-metal bearings were introduced and evaluated as an alternative to other bearing couples, particularly metal-on-polyethylene, due to their enhanced wear resistance as determined in laboratory testing. Initially, reports of short-term clinical outcomes were favorable and an increasing number of metal-on-metal prostheses were implanted. Subsequently, isolated case findings describing adverse tissue responses around the articulation became the harbinger of an increasing number of reports describing pseudotumors and other significant lymphocytic-based responses associated with metal-on-metal prostheses. Questions have been raised as to whether this is an implant, design, or patient-specific response. The reasons why some patients have a negative biological response and pathology while others do not remain to be determined, but tens of thousands of patients in the US, the UK, and around the world are considered to be at risk. Leading researchers and clinicians describe the issues related to the nature of the biological and pathological responses and the protocols that should be followed to determine if an adverse response is occurring. This book is essential reading for researchers, engineers, and orthopaedic surgeons who are involved in the design, evaluation, and implantation of metal-on-metal prostheses.

Preface.- Part I: Introduction.- Chapter 1: Overview of Metal-on-Metal Implants.- Chapter 2: Bearing Surfaces for Joint Replacement: New Materials or New Problems?.- Part II: Clinical.- Chapter 3: Outcome Studies for Metal-on-Metal Bearings: What Evidence-Based Medicine Tells Us.- Chapter 4: Metal Reactivity: Its Influence on Primary and Revision Outcomes.- Chapter 5: Are metal ion levels a trigger for surgical intervention?.- Chapter 6: Metal Sensitivity: Is it possible to Determine Clinically?.- Part III: Biology.- Chapter 7: Wound healing, chronic inflammation, and immune responses.- Chapter 8: Benign Responses to Orthopaedic Implants: Really?.- Chapter 9: What does the Histology Tell Us?.- Part IV: Biomechanics.- Chapter 10: Why metal-on-metal -what laboratory tests have shown us.- Chapter 11: What do the Retrievals really tell us?.- Future Directions.- Index.

Zusatzinfo	26 Illustrations, color; 20 Illustrations, black and white; X, 200 p. 46 illus., 26 illus. in color.
Verlagsort	New York, NY
Sprache	englisch
Maße	155 x 235 mm
Themenwelt	Medizinische Fachgebiete ► Chirurgie ► Unfallchirurgie / Orthopädie
	Medizin / Pharmazie ► Physiotherapie / Ergotherapie ► Orthopädie
	Technik ► Maschinenbau
	Technik ► Medizintechnik
Schlagworte	Adverse Tissue Reaction • ALVAL • Arthroplasty • Bearing Surfaces Materials • Histology and Metal-on-Metal Bearings Response • Metal-on-Metal • Metal-on-Metal Bearings Book • Metal-on-Metal Bearings Pseudotumor • Metal Reactivity Bearings Response • Metal Sensitivity Bearings Response • Outcome Studies Metal-on-Metal Bearings • Pseudotumor • Total Joint Arthroplasty
ISBN-10	1-4614-8998-9 / 1461489989
ISBN-13	978-1-4614-8998-6 / 9781461489986
Zustand	Neuware