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Verschleiß und aseptische Prothesenlockerung

Eine Bestandsaufnahme

Implant wear and aseptic loosening

An overview

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  • Published:
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Zusammenfassung

Der Verschleiß von Gelenkimplantaten unterliegt multifaktoriellen Einflussgrößen, die in Ihrem Zusammenspiel auch bei nominell identischen Gleitpaarungen höchst unterschiedliche Partikelmengen und -formen generieren können. Die biologische Reaktion und damit letztendlich der klinische Erfolg des Implantats wird dabei von den speziellen Partikeleigenschaften beeinflusst. Eine dauerhafte Implantatversorgung bedingt einen optimierten Kompromiss zwischen Material, Design, Operationsmethode und patientenspezifischen Faktoren.

Abstract

Wear of total joint implants is multifactorial in nature. Even for identical materials and geometries, the interaction of those parameters can generate different numbers of particles as well as different particle sizes and shapes. These different wear-particle characteristics will directly influence the biological response to an implant and thereby its clinical success. The long-term success of a total joint replacement requires an optimized compromise among implant material, design, surgical procedure, and biological performance.

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Authors and Affiliations

  1. EndoLab GmbH, Seb.-Tiefenthaler Straße 13, 83101, Thansau/Rosenheim, Deutschland

    C. Kaddick

  2. Mechanical Engineering and Department of Surgery, University, Ottawa, Kanada

    I. Catelas

  3. Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Rheinische Friedrich-Wilhelms-Universität, Bonn, Deutschland

    P.H. Pennekamp

  4. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, USA

    M.A. Wimmer

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  1. C. Kaddick
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  2. I. Catelas
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  3. P.H. Pennekamp
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  4. M.A. Wimmer
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Correspondence to C. Kaddick.

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Kaddick, C., Catelas, I., Pennekamp, P. et al. Verschleiß und aseptische Prothesenlockerung. Orthopäde 38, 690–697 (2009). https://doi.org/10.1007/s00132-009-1431-9

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