On stabilization of loosened hip stems via cement injection into osteolytic cavities

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On stabilization of loosened hip stems via cement injection into osteolytic cavities.

BACKGROUND Cement injection into osteolytic areas around the cement mantle is a technique for refixation of loose hip implants for patients who cannot undergo standard revision surgery. Preliminary clinical results show the improvement in walking distance, patients' independence and pain relief. METHODS In this study, we use a detailed finite element model to analyze whether cement injection ...

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Gene therapy and cement injection for restabilization of loosened hip prostheses.

Loosening of orthopedic hip prostheses is an increasing health problem. In elderly patients with comorbidity,revision surgery may lead to high mortality rates. A less invasive surgical technique is therefore required to reduce these patient risks. To this end a percutaneous gene therapy approach was designed to destroy the periprosthetic loosening membrane, and enable refixing of the hip prosth...

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Retrieval studies have indicated that debonding of the stem cement interface in total hip arthroplasty precedes clinical failure of femoral components. This study addressed the mechanisms that play a role in the debonding process by analyzing how debonding is likely to proceed in the course of time. It was investigated whether debonding is an immediate process or if it is likely to develop slow...

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ژورنال

عنوان ژورنال: Clinical Biomechanics

سال: 2012

ISSN: 0268-0033

DOI: 10.1016/j.clinbiomech.2012.04.004