Manual of cementing technique
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書誌事項
Manual of cementing technique
Springer, c1999
- : alk. paper
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注記
Includes bibliographical references (p. [99]-105) and index
内容説明・目次
内容説明
Today the cemented joint prosthesis operation is one of the most frequent procedures in orthopaedic surgery. During the past 30 years the individual steps of such an operation have been carefully validated and thus allow for a reproducible and standardized operation, including a reliable prognosis for the maintenance of the joint. This manual is a practical guide to a complication preventing cementing technique, cement fixation, maintenance of the bone and diamond technique. Clear drawings and diagrams guide the reader through the pre-operative, peri-operative and post-operative steps. The manual covers all possible complications and gives clear instructions, so as to prevent complications but also to cope with them if they occur. Finally, it covers all forensic criteria to be considered.
目次
1 Historical Background.- 1.1 Conditions Before Charnley.- 1.2 John Charnley.- 2 Histomorphology of the Bone-to-Cement Contact.- 2.1 The Cemented Total Hip Arthroplasty.- 2.2 Histomorphology of the Bone-to-Cement Contact (Animal Experiments).- 2.2.1 Changes Around Normal Bone Cements.- 2.2.2 TCP/HA Bone Cements.- 2.3 Histomorphology of Human Samples.- 2.3.1 Material and Methods.- 2.3.2 Summary of Results.- 3 Can Cancellous Bone Carry the Load?.- 3.1 About the Deformation Behavior of Spongiosa.- 3.1.1 Elasticity.- 3.1.2 Viscoelasticity.- 3.1.3 Isotropic Deformation.- 3.1.4 Resilience and Damping.- 3.1.5 Damping.- 3.1.6 Breaking (Tensile) Strength and Toughness.- 3.1.7 Compliance.- 3.1.8 Energy.- 3.1.9 Impact.- 3.2 Deformation of Bone Through Different Implants.- 3.3 Stiffening of Spongiosa with Bone Cement.- 3.3.1 Human Histopathological Key Findings.- 3.3.2 Histomorphological Findings in the Proximal Femur After Joint Surface Replacement.- 3.3.3 Histomorphological Findings on Cancellous Bone Stiffened with Bone Cement in the Distal Epiphysis of the Femur in Rabbits.- 4 Approach to the Hip Joint.- 4.1 Posterolateral Approach.- 4.2 Transgluteal Approach.- 5 Preparation of the Acetabulum.- 5.1 Preparatory Steps.- 5.2 Exposure of the Acetabulum.- 5.3 Fossa Acetabuli.- 5.4 Preparation of the Bony Acetabulum.- 5.5 Anatomical Composition of the Joint Surface of the Acetabulum.- 5.6 Lavage, Anticoagulation and Stiffening of the Acetabular Roof.- 5.7 Inclination and Alignment.- 6 Preparation of the Bone Cement.- 6.1 Advantages of Standard Viscosity Bone Cement.- 6.2 Cold Storage as a Simple Method To Achieve a Temporarily Lower Viscosity.- 6.3 Homogeneous and Bubble-Free Mixture.- 6.4 Prepressurizing Bone Cements, a Conditio Sine Qua Non.- 6.5 Application of the Bubble-Free Bone Cement.- 7 Preparation of the Femur.- 7.1 Opening of the Medullary Canal and Implantation Axis.- 7.2 Surgical Diamond Instrumentation.- 7.3 Drainage of the Medullary Canal.- 7.4 Preparation of the Implant's Bed.- 7.5 Lavage.- 7.6 Plugging the Medullary Cavity.- 7.7 Heparinization, Cementation, and Implantation.- 8 Scientific Background of Vacuum Application.- 8.1 The Problem of Thromboembolism and Drainage of the Medullary Canal.- 8.2 The Distal Drill Hole.- 8.3 The Stem-Canal Volume Relationship.- 9 Consideration of the Prosthetic Design of the Femoral Stem.- 9.1 Stiffening Spongiosa of the Femur.- 9.2 Calcar Femoris.- 9.3 Stem Design.- 9.4 Preoperative Planning.- 9.4.1 Plane of the Metaphyseal "V".- 9.4.2 Offset and Alignment.- 9.5 Centralizing Anatomical Design.- 10 Instrumentation.- 11 Conclusions: The Success of Cemented Components.- 11.1 First-Generation Cementing Techniques.- 11.2 Success of the Cemented Component Is Due to Stiffened Bone Structures.- 11.3 Cancellous Bone Stiffened by Bone Cement Can Survive.- 11.4 Preservation of Cancellous Bone.- References.- Author Index.
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