Vanishing Bone

Conquering a Stealth Disease Caused by Total Hip Replacements

William H. Harris (Autor)

Buch | Hardcover

248 Seiten

2018
Oxford University Press Inc (Verlag)
978-0-19-068776-2 (ISBN)

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When dozens of holes appeared in a patient's femur alongside his hip prosthesis, experts were baffled as such a phenomenon had never been seen before. Over the first four decades of total hip surgery, the severe bone destruction multiplied, crippling many thousands of patients. Eventually identified as "periprosthetic osteolysis," this devastating disease affected over 1 million patients and was the leading cause of failure in total hip surgery. While total hip surgery dramatically reversed severe arthritis of the hip, the same operation simultaneously created a relentless 'particle generator' in the body. Ironically, in the effort to do good, doctors were simultaneously doing major harm.

Vanishing Bone: Conquering a Stealth Disease Caused by Total Hip Replacements takes readers on a detective adventure in contemporary medical science, from the identification of the cause of the disease through the complex process of affecting its cure. Dr. William H. Harris and his colleagues played an important role in solving the mystery of this disease, pointing to its molecular biology, recognizing the unusual wear of the prostheses, and ultimately developing a new material for use in the manufacture of hip implants. With more than 6 million people walking on this stable, low-wear material, the disease has been virtually eliminated among those with total hip replacements worldwide. Diseases are rarely observed, revealed, and eliminated in one lifetime. Vanishing Bone tells the captivating story of one such disease through an engaging account of scientific and medical innovation.

William H. Harris, MD, DSc is the Alan Gerry Clinical Professor of Orthopaedic Surgery, Emeritus at Harvard Medical School and Massachusetts General Hospital in Boston, Massachusetts. The Harris Orthopaedic Laboratory at Massachusetts General was founded in 1969 and directed by Dr. Harris until 2004.

Part I. Astonishing Discoveries
Chapter 1: The Game is Afoot!
Chapter 2: The Cart Before the Horse
Chapter 3: Uniquely Creative, but Dangerous
Chapter 4: The First Real Breakthrough
Chapter 5: Meanwhile, Back at the RanchEL
Chapter 6: Is It Really Cement Disease?
Chapter 7: An Unexpected First Step
Chapter 8: Flying Blind
Chapter 9: The Gamble Pays Off
Chapter 10: Success at Last!

Part II. Final Hurdles
Chapter 11: Terra Incognita: Here Be Dragons
Chapter 12: Suddenly, to the FDA
Chapter 13: A Regrettable Diversion
Chapter 14: Unforeseen Complications
Chapter 15: Panic
Chapter 16: Ubiquitous Success
Chapter 17: Reprise: The Reward of the Clinician-Scientist

Part III. Appendix
Further Reading
Timeline of Key Events
About the Author

Erscheinungsdatum	29.01.2018
Verlagsort	New York
Sprache	englisch
Maße	147 x 211 mm
Gewicht	476 g
Themenwelt	Medizinische Fachgebiete ► Chirurgie ► Unfallchirurgie / Orthopädie
	Medizin / Pharmazie ► Physiotherapie / Ergotherapie ► Rehabilitation
	Studium ► Querschnittsbereiche ► Geschichte / Ethik der Medizin
ISBN-10	0-19-068776-2 / 0190687762
ISBN-13	978-0-19-068776-2 / 9780190687762
Zustand	Neuware