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Prototype of minimally invasive hip resurfacing endoprosthesis - bioengineering design and manufacturing

Wybrane pełne teksty z tego czasopisma
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The resurfacing arthroplasty (RA) has become at present the most developed minimally invasive kind of all total arthroplasties, which is a result of the progress in biomaterials engineering, biomechanical design and surgical fixation methods achieved over the past decade. Despite the raising popularity of RA, which undergoes at present its renaissance, it still causes several clinical complications. In this paper, we present the most important result our research project (4T07C05629), finished in February 2008, which is the prototype of original minimally invasive endoprosthesis for total hip resurfacing arthroplasty (THRA). We propose the essential innovation in fixation technique of the RA endoprosthesis components in trabecular bone by means of the multi-spiked connecting scaffold, offering the possibility of totally cementless fixation and the physiological blood supply in trabecular bone of femoral head, which is not possible in contemporary used cemented RA endoprostheses. Moreover, the femoral component is designed to preserve the femoral neck and head blood vessels. The prototype of the new kind of hip resurfacing endoprosthesis was CAD-designed in the frames of the Rogala's international patent general assumptions (1)-(3), optimized on the basis of the preliminary biomechanical tests on the pre-prototypes, and manufactured in the Selective Laser Melting (SLM) of both CoCrMo powder and Ti6Al7Nb powder.
Rocznik
Strony
65--70
Opis fizyczny
Bibliogr. 17 poz., rys.
Twórcy
autor
autor
  • Department of Medical Bioengineering Fundamentals, Institute of Technology, Kazimierz Wielki University, Bydgoszcz, uklejew@ukw.edu.pl
Bibliografia
  • [1] ROGALA P., European patent No. 072418 B1: Endoprosthesis, 1999.
  • [2] ROGALA P., US patent No. 5,91,759: Acetabulum endoprosthesis and head, 1999.
  • [3] ROGALA P., Canadian patent No. 2,200,064: Method and endoprosthesis to apply this implantation, 2002.
  • [4] BOBYN J.D., MORTIMER E.S., GLASSMAN A.H., ENGH C.A., MILLER J.E., BROOKS C.E., Producing and avoiding stress shielding. Laboratory and clinical observations of noncemented total hip arthroplasty, Clin. Orthop. Relat. Res., 1992, 274, 79–96.
  • [5] PELTIER L.F., A history of hip surgery, [in] Callaghan J.J., Rosenberg A.G., Rubash H.E., (eds.), The Adult Hip, Lippincott- Raven Publishers, Philadelphia, New York, 1998, 3–38.
  • [6] LACHIEWICZ P.F., Resurfacing arthroplasty: Time to consider it again? No, AAOS 2006 Annual Meeting Proceedings, 2006, 77.
  • [7] AMSTUTZ H.C., BEAULÉ P.E., DOREY F.J., Le DUFF M.J., CAMPBELL P.A., GRUEN T.A., Metal-on-metal hybrid surface arthroplasty: two to six-year follow-up study, J. Bone Joint Surg. Am., 2004, 86, 28–39.
  • [8] DANIEL J., PYNSENT P.B., McMINN D.J.W., Metal-on-metal resurfacing of the hip in patients under the age of 55 years with osteoarthritis, J. Bone Joint Surg. Br., 2004, 86, 177–184.
  • [9] AMSTUTZ H.C., CAMPBELL P.A., Le DUFF M.J., Fracture of the neck of the femur after surface arthroplasty of the hip, J. Bone Joint Surg. Am., 2004, 86, 1874–1877.
  • [10] SHIMMIN A.J., BACK D., Femoral neck fractures following Birmingham hip resurfacing: a national review of 50 cases, J. Bone Joint Surg. Br., 2005, 87, 463–464.
  • [11] SHIMMIN A.J., BARE J., BACK D.L., Complications associated with hip resurfacing arthroplasty, Orthop. Clin. North Am., 2005, 36, 187–193.
  • [12] MANGE M., Seven years of experience in MoM resurfacing: Results and open questions, [in:] Benazzo F., Falez F., Dietrich M. (eds.), Bioceramics and Alternative Bearings in Joint Arthroplasty, Steinkopff Verlag, Darmstadt, 2006, 23–30.
  • [13] HOWIE D.W., CORNISH B.L., VERNON-ROBERTS B., Resurfacing hip arthroplasty. Classification of loosening and the role of prosthesis wear particles, Clin. Orthop. Relat. Res., 1990, 225, 144–159.
  • [14] HOWALD R., KESTERIS U., KLABUNDE R., KREVOLIN J., Factors affecting the cement penetration of a hip resurfacing implant: An in vitro study, Hip Int., 2006, 16, Suppl. 4., S82–S89.
  • [15] ROGALA P., UKLEJEWSKI R., Needle-palisade fixation for total resurfacing arthroplasties of hip and other joints – biomechanical principles, J. Biomech., 2006, 39, Suppl. 1, S513.
  • [16] ROGALA P., UKLEJEWSKI R., STRYŁA W., New needlepalisade technology for hip and other joints endoprostheses fixation. Implications for postoperative rehabilitation, Int. J. Rehab. Res., 2007, 30, Suppl. 1, 57–58.
  • [17] UKLEJEWSKI R., ROGALA P., WINIECKI M., MIELNICZUK J., AUGUŚCIŃSKI A., BERDYCHOWSKI M., Modern trends in bioengineering design of low-invasive joint endoprosthesis, Engineering of Biomaterials, 2008, 11(77–80), 32–33.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPBB-0001-0025
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