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Bone-Implant Interface in Orthopedic Surgery de Theofilos Karachalios

Bone-Implant Interface in Orthopedic Surgery

Editat de Theofilos Karachalios
en Limba Engleză Paperback – 23 aug 2016

Tabelele sintetice, figurile și imaginile clinice constituie fundamentul vizual al acestui volum, facilitând înțelegerea proceselor complexe de osteointegrare. În Bone-Implant Interface in Orthopedic Surgery, editorul Theofilos Karachalios abordează punctul critic al succesului pe termen lung în artroplastia totală: stabilitatea biologică și mecanică a zonei de contact dintre proteză și os. Considerăm că valoarea acestui tratat rezidă în capacitatea de a traduce limbajul tehnic al cercetătorilor în soluții pragmatice pentru sala de operație.

Structura volumului este riguros organizată, pornind de la o privire de ansamblu asupra designului suprafețelor de fixare în artroplastia de șold, continuând cu analiza detaliată a interfețelor specifice: de la acoperirile poroase cu titan sau cobalt-crom, până la tehnologiile de sablare (grit blasted) și straturile de hidroxiapatită. Clinicienii care folosesc Implant Bone Interface de John Older ca referință vor găsi aici o completare necesară privind noile materiale metalice trabeculare și mecanismele moleculare ale slăbirii aseptice. Subliniem relevanța capitolelor dedicate reviziilor de artroplastie, unde interfața ciment-os necesită o abordare distinctă față de intervențiile primare.

Apreciem continuitatea academică a editorului; dacă în lucrarea sa anterioară, Total Knee Arthroplasty, Theofilos Karachalios s-a concentrat pe designul optim și standardele de aur în reconstrucția genunchiului, volumul de față extinde perspectiva asupra bazelor biologice ale fixării aplicabile tuturor articulațiilor mari. Este o resursă care elimină discrepanța dintre datele de laborator și realitatea chirurgicală, oferind o analiză critică a metodelor de îmbunătățire a încorporării implantului.

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Specificații

ISBN-13: 9781447170945
ISBN-10: 1447170946
Pagini: 356
Ilustrații: XI, 342 p. 117 illus., 51 illus. in color.
Dimensiuni: 178 x 254 x 20 mm
Greutate: 0.67 kg
Ediția:Softcover reprint of the original 1st edition 2014
Editura: Springer
Locul publicării:London, United Kingdom

De ce să citești această carte

Această lucrare se adresează chirurgilor ortopezi și cercetătorilor în biomateriale care doresc să înțeleagă de ce anumite implanturi eșuează în timp ce altele ating o supraviețuire pe termen lung. Cititorul câștigă o înțelegere profundă a interacțiunii dintre metal, ciment și țesut viu, esențială pentru optimizarea rezultatelor clinice și selectarea corectă a tipului de proteză în funcție de calitatea osoasă a pacientului.

Descriere scurtă

Total joint arthroplasty is an effective surgical procedure for end-stage osteoarthritis of major joints with satisfactory long term clinical outcome. A large and growing number of arthroplasties are performed annually worldwide and a great number of orthopaedic surgeons are practicing arthroplasty surgery as their main surgical activity. The biological behavior of the bone-implant interface is crucial for the long term survival of the artificial joint. All factors which have a positive or negative effect on the interface are of great interest for those practicing arthroplasty surgery. Basic scientists and the industry are continuously searching for new implant fixation mechanisms and improved materials. There is an accumulation of a great amount of basic science data (both biological, material and mechanical) related to the incorporation or loosening of the bone-implant interface. However, basic science data does not always translate to satisfactory clinical application, and orthopaedic practitioners often wonder which piece of information is clinically useful. A further problem is that basic scientists often speak their own scientific language and may not fully appreciate common clinical practice needs. In this textbook the biological and mechanical mechanisms of implant incorporation and loosening will be presented. All new data concerning materials and methods for incorporation enhancement will be critically analyzed. Data useful for clinical application will be stressed.Orthopaedic Surgeons will find information which will improve their clinical practice and basic scientists will be helped to understand and appreciate clinical needs.

Cuprins

Current evidence in designs and fixation surfaces in total hip arthroplasty (a brief overview).- Early and late mechanical stability of the cementless bone implant interface in total joint arthroplasty.- Cement- bone interface in total joint arthroplasty.- The implant cement interface in total hip arthroplasty.- Cobalt-Chrome porous coated implant-bone interface in total joint arthroplasty.- Titanium porous coated implant-bone Interface in Total Joint Arthroplasty.- Grit blasted implant bone interface in total joint arthroplasty Eduardo García-Rey, Eduardo García-Cimbrelo.- HA coated implant - bone interface in total joint arthroplasty.- Trabecular metal - bone interface in total joint arthroplasty.- Assessment of bone implant interface failure in total joint arthroplasty.- The biology of aseptic loosening.- Cement-bone interface in total joint revision arthroplasty.- Cementless fully porous coated implant-bone interface in revision total hip arthroplasty.- Cementless tapered fluted implant bone interface in revision total joint arthroplasty.- Bone-graft and implant-graft interface in total hip arthroplasty.- The effect of pharmacological agents on the bone implant interface.- Bone-implant interface in biofilm associated bone and joint infections.- Modular interfaces.- Local and distant reaction to metallic wear debris.- Bone-implant interface in spine surgery.- Bone-tendon and bone- ligament interface.- Bone implant interface in patients with neoplasmatic disease.

Recenzii

“This is an atlas and text about plastic and metal hardware with orthopaedic implants designed for bone growth. Molecular and biomaterial approaches to osteosyntheses is excellent. … I highly recommend this text to orthopedic docs and researchers.” (Joseph J. Grenier, Amazon.com, August, 2015)
“This book provides a general overview of many of the aspects and concerns regarding the physical and chemical interactions that take place where an implant meets the bone, mainly with regard to total hip replacement. … the book will be best appreciated by surgeons, scientists, and engineers who have an interest in this very focused area.” (Samuel J. Chmell, Doody’s Book Reviews, February, 2014)

Textul de pe ultima copertă

What is the optimal design and fixation of the implants we use for orthopedic reconstructions?
What is the gold standard for the management of patients requiring implants?
Is there scope for improvement still further?
 
Huge efforts have been made both by research scientists in orthopedics and the implant industry to furthering the options available for arthroplasty  without necessarily considering the cost-effectiveness of this research to clinical outcomes. It has also become apparent that theoretical and laboratory studies do not always match the results of long-term clinical studies of which there regretfully few of sufficient quality.
 
The Editor and his carefully chosen selection of contributors critically evaluate data from basic science, experimental in vivo and in vitro biological and mechanical models, autopsy specimens and long-term clinical studies to answer these questions.
 
Bone-Implant Interface in Orthopedic Surgery: Basic Science to Clinical Applications focuses on the bone-orthopedic implant interface in general and will be useful both for the novice who seeks a quick introduction to this specific topic and for more experienced surgeons who seek an in depth critical review of current practices.

Caracteristici

Provides Orthopedic Surgeons with an in depth review of the topic Describe clinically useful information ito improve clinical practice Benefits basic scientists who are looking for in depth understanding of clinicians needs