Inadequate bone stock is often found in revision surgery of femoral components of total knee replacements. Our aim was to test the hypothesis that these remodelling patterns can be explained by stress shielding, and that prosthetic bonding characteristics affect maintenance of bone mass. We made a three-dimensional finite-element model of an average male femur with a cemented femoral knee compo...

Introduction: Fixation of massive bone tumour endoprosthetic replacements is not as successful as conventional joint replacement surgery and aseptic loosening is the major cause of implant failure. Increased bone growth and contact to the implan shaft by bony bridging has been shown vital in reducing implant failure. Our previous work has shown that spraying autogenic bone marrow derived mesenc...

Inadequate bone stock is often found in revision surgery of femoral components of total knee replacements. Our aim was to test the hypothesis that these remodelling patterns can be explained by stress shielding, and that prosthetic bonding characteristics affect maintenance of bone mass. We made a three-dimensional finite-element model of an average male femur with a cemented femoral knee compo...

INTRODUCTION Aseptic loosening is the commonest cause of failure of total joint replacements. The pathogenesis of this process remains controversial but appears to involve prosthetic migration, joint fluid pressure and the host response to particulate wear debris. The Swedish Hip Registry has shown that the type of bone cement used effects the risk of revision for aseptic loosening. It has been...

The ROBODOC system was designed to address potential human errors in performing cementless total hip replacement. The system consists of a preoperative planning computer workstation (called ORTHODOC) and a five-axis robotic arm with a high speed milling device as an end effector. The combined experience of the United States Food and Drug Administration multicenter trial and the German postmarke...

The first hip replacements were performed about 50 years ago. As surgical techniques subsequently evolved, radiological criteria for evaluating prosthesis components and their complications adapted accordingly. Our hospital has performed more than 200 hip replacements annually over the past 14 years. Surgeons have used a variety of materials to replace the hip joint, including metal, polyethyle...

Poly aryl-ether-ether-ketone (PEEK) is an alternative to metal alloys in orthopedic applications. Although the polymer provides many significant advantages such as excellent mechanical properties and non-toxicity, it suffers from insufficient elasticity and biocompatibility. Since the elastic modulus of diamond-like carbon (DLC) is closer to that of cortical bone than PEEK, the DLC/PEEK combina...

Hip replacements provide a means of achieving a higher quality of life for individuals who have, through aging or injury, accumulated damage to their natural joints. This is a very common operation, with over a million people a year benefiting from the procedure. The replacements themselves fail mainly as a result of the mechanical loosening of the components of the artificial joint due to dama...