By J. Black (auth.)
This booklet will current you the most recent and freshest resource of clinical and medical information about using ceramics and different replacement bearings in joint substitute surgery.
The Symposium can pay tribute and popularity to the lengthy expected awakening of the yank Markets to ceramics and replacement bearing applied sciences in addition to to the town of Washington with a robust historical past devoted to schooling and to overseas interaction.
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Extra resources for Bioceramics and Alternative Bearings in Joint Arthroplasty
Allergy 55: 969-972, 2000. , Meyer zum Buschenfelde K. : Cobalt-specific T lymphocytes in synovial tissue after a n allergic reaction to a c o b a l t alloy joint prosthesis. J. Rheumatol. 28 (5): 1121-8, 2001. : Nickel Chloride a n d C o b a l t Chloride, t w o c o m m o n c o n t a c t sensitizers, directly i n d u c e expression of intercellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule-1 ( V C A M - l ) , a n d endothelial leukocyte adhesion molecule (ELAM-1) by endothelial cells.
In 2 cases, both the stem and cup were loose. Extensive bursa formation anterior of the joints was observed in 5 joints. The patients received again cementless revision endoprostheses. The articulations were revised to articulations from ceramic-UHMWPE (6x), metal-UHMWPE(lOx), ceramic-ceramic (Ix). Intraoperatively, 12 patients had macroscopically a pronounced metallosis. After revision, the patients were free of symptoms. Retrieval analysis The 16 periprosthetic tissues showed only a mild foreign body reaction to wear particles from the implant materials.
Under microseparation conditions, the ceramic on ceramic bearings produced particles with a bimodal size distribution and these particles had the lowest specific biological reactivity. Combining the wear volume and specific biological activity allowed the prediction of the functional biological activity and osteolytic potential. Differences between the conventional polyethylenes were found, with the less New Developments in the Basic Science of Ceramics a n d Other Alternative Bearings Ireactive GUR1020 resin having the lowest osteolytic potential.