ABSTRACT
This biographical sketch of Sir John Charnley corresponds to the historic text, The Classic: The Bonding of Prostheses to Bone by Cement, available at DOI 10.1007/s11999-010-1545-8 .
Subject(s)
Orthopedic Procedures/history , Arthroplasty, Replacement, Hip/history , Bone Cements/history , England , History, 20th Century , HumansABSTRACT
This article reviews the development and current status of cemented fixation in total hip replacement in Europe. Key points include the wide country-to-country variation in use of cemented vs. non-cemented fixation and the largely overlooked importance of the choice of bone cement as a factor highly correlated with clinical outcome. Laboratory studies by the authors are also reviewed. Results suggest that the type of acrylic bone cement used affects wear phenomena at the implant/cement interface. Further studies by microcalorimetry suggest that certain aspects of acrylic starting materials (low molecular weight and use of radiation sterilization) affect long-term physico-chemical stability and may thus influence clinical outcomes.
Subject(s)
Bone Cements/therapeutic use , Cementation/methods , Polymethyl Methacrylate/therapeutic use , Arthroplasty, Replacement , Bone Cements/chemistry , Bone Cements/history , Cementation/history , Europe , History, 20th Century , Humans , Joint Prosthesis , Materials Testing , Polymethyl Methacrylate/chemistry , Polymethyl Methacrylate/history , Prosthesis DesignABSTRACT
This article discusses issues surrounding acrylic bone cement and covers functional results, mechanism and definition of failure, design issues, wear and alternate bearing surfaces, revision, and evolution of concepts regarding infection, dislocation, thromboembolic issues, surgical approach, bone loss and bone grafts, and finally a couple of problems the author sees for the future.
Subject(s)
Bone Cements , Polymethyl Methacrylate , Arthroplasty, Replacement/history , Bone Cements/history , History, 20th Century , Humans , Joint Prosthesis , Materials Testing , Polymethyl Methacrylate/history , Prosthesis Design , Prosthesis Failure , United StatesABSTRACT
The use of PMMA bone cement has been a key factor in the advent of joint replacement as a surgical option. Despite revolutionary changes in joint replacement technology for the treatment of hip and knee arthritis, the use of PMMA bone cement in its intraoperative application has not significantly changed since Harris' description of third generation cement technique. Future answers to questions regarding cemented implant longevity may lie in the further improvement of existing PMMA technology and standardization of the manufacturing of PMMA bone cement intraoperatively.
Subject(s)
Arthroplasty, Replacement/methods , Bone Cements/therapeutic use , Cementation/methods , Polymethyl Methacrylate/therapeutic use , Arthroplasty, Replacement/history , Bone Cements/history , Cementation/history , History, 20th Century , Humans , Polymethyl Methacrylate/historyABSTRACT
One hundred years ago Themistocles Gluck reported for the first time about artificial joint replacements and the fixation by cement in a most important publication. Extirpation even of internal organs and differentiated possibilities of their replacement were standing in the center of the scientific work of this genius but first of all controversial discussed German doctor.
Subject(s)
Bone Cements/history , Joint Prosthesis/history , Germany , History, 19th Century , HumansABSTRACT
Implants have become an important part of the foot surgeon's armamentarium. They have facilitated or improved the results in many reconstructive procedures. Understanding the concepts, applications, and characteristics of the various implants and biomaterials is important to providing maximal benefits to patients.