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Late aseptic loosening of cemented acetabular components is governed by the progressive, three-dimensional resorption of the bone immediately adjacent to the cement mantle. This process begins circumferentially at the intraarticular margin and progresses toward the dome of the implant. Evidence of bone resorption at the cement-bone interface was present(More)
Thirty-four hips in which there had been prosthetic replacement were selected for study because of the presence of linear (diffuse) or lytic (localized) areas of periprosthetic bone loss. In all hips, there was careful documentation of the anatomical location of the material that had been obtained for histological analysis, and the specific purpose of the(More)
Cylindrical porous-coated implants were placed in the distal femoral metaphyses of twenty dogs and were subjected to zero, twenty, forty, or 150 micrometers of oscillatory motion for eight hours each day for six weeks with use of a specially designed loading apparatus. The in vivo skeletal responses to the different magnitudes of relative motion were(More)
Twenty hips in twenty patients had development of femoral endosteal cortical erosion after a cementless total hip replacement with the Harris-Galante porous-coated implant. Serial anteroposterior and lateral radiographs of all of the affected femora were reviewed to determine the interval between the operation and the first recognition of the osteolytic(More)
Most existing stress analyses of the skeleton which consider cancellous bone assume that it can be modelled as a continuum. In this paper we develop a criterion for the validity of this assumption. The limitations of the continuum assumption appear in two areas: near biologic interfaces, and in areas of large stress gradients. These limitations are explored(More)
  • M Jasty
  • 1998
Revision of failed acetabular components presents a formidable problem due to associated loss of bone and sclerosis of the remaining bone. Uncemented acetabular components with porous surfaces have revolutionized acetabular revision surgery. They can be stabilized into the existing host bone with supplemental screws even in the face of major bone loss.(More)
Crosslinking has been shown to improve the wear resistance of ultra-high molecular weight polyethylene in both in vitro and clinical in vivo studies. The molecular mechanisms and material properties that are responsible for this marked improvement in wear resistance are still not well understood. In fact, following crosslinking a number of mechanical(More)
Total joint arthroplasties with metal, plastic, and acrylic materials have revolutionized the surgical treatment of arthritis. Wear of the materials at the articulation and at the sites of attachment to skeleton, however, is a major long-term concern. The particles liberated by fatigue, abrasion, fretting, and corrosion cause foreign body granulomatous(More)
One hundred and forty revisions for loosening of the acetabular component were performed in 124 patients, with the use of an uncemented Harris-Galante acetabular prosthesis. A component was considered loose if there was a change in its position or vertical or horizontal migration, or both, of four millimeters or more, as demonstrated on serial radiographs.(More)
Thirteen femora that were obtained at autopsy from patients in whom a cemented total hip replacement had been implanted from forty months to 17.5 years earlier were evaluated radiographically and morphologically. All of the patients had been functioning well, and only one of the prostheses showed radiographic evidence of loosening. Serial sections of the(More)