Abstract
To overcome the problems in cemented arthroplasty and obtain reliable permanent fixation in the absence of cement, several types of cementless prosthesis have been developed. The uncoated, press-fit, cementless stem for total hip arthroplasty (THA) used in young age groups frequently result in marked subsidence and loosening around ten years postoperatively, even with the most precise surgical techniques. The porous, full-coated, cementless stem was then developed in an attempt to encourage bony ingrowth into the pores, thus aiming at firm mechanical anchoring between the stem and the femur. This prosthesis model, however, provoked bone absorption along the stem presumably due to the stress-shielding effect on the femur.
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Tamura, J., Kawanabe, K., Nakamura, T. (2004). Ceramic Coating. In: Poitout, D.G. (eds) Biomechanics and Biomaterials in Orthopedics. Springer, London. https://doi.org/10.1007/978-1-4471-3774-0_13
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DOI: https://doi.org/10.1007/978-1-4471-3774-0_13
Publisher Name: Springer, London
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