Startseite Force plates may be used for dynamic analyses of endoprostheses explantation procedures
Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

Force plates may be used for dynamic analyses of endoprostheses explantation procedures

  • Hendrik Kohlhof , Sebastian Köhring , Dieter Christian Wirtz und Hartmut Witte EMAIL logo
Veröffentlicht/Copyright: 2. März 2018
Veröffentlichen auch Sie bei De Gruyter Brill

Abstract

The number of hip and knee arthroplasty replacement surgeries is increasing steadily. In combination with demographic aging and the number of periprosthetic complications, this development has lead to the phenomenon where the need for revision surgery is rising. The problem is, that, while implantation procedures of hip arthroplasties are more or less standardized, explantation is a non-standardized task for experienced specialists, due to the unpredictability of the adequate loosening method. The surgeon often only gets to decide on which tools and methods may be applied to detach the prosthesis, only after getting access to the operation site. The time taken to detach the prosthesis is hardly predictable and mainly depends on the surgeons’ skills. To gain objective data on the mechanics of explantation, new measurement methods are required. One technical base for studies on revision procedures are standard force plates, available in biomechanics laboratories.


Corresponding author: Prof. Dr. Hartmut Witte, Technische Universität Ilmenau, Fachgebiet Biomechatronik, Max-Planck-Ring 12, D-98693 Ilmenau, Germany, Phone: +49 3677 69 2456, Fax: +49 3677 69 1280

Acknowledgments

M.Sc. Michael Ehrhardt constructed the mechanical setup shown in this contribution, and M.Sc. Philipp Wagner programmed the analytic algorithms in LabView®.

  1. Author Statement

  2. Research funding: Association for Orthopaedic Research.

  3. Conflict of interest: Authors state no conflict of interest.

References

[1] Haenle M, Skripitz C, Mittelmeier W, Skripitz R. Economic impact of infected total hip arthroplasty in the German diagnosis-related groups system. Orthopäde 2012;41:467–76.10.1007/s00132-012-1939-2Suche in Google Scholar PubMed

[2] Kurtz SM, Ong KL, Schmier J, Mowat F, Saleh K, Dybvik E, et al. Future clinical and economic impact of revision total hip and knee arthroplasty. J Bone Joint Surg [Am] 2007;89 Suppl 3:144–51.10.2106/JBJS.G.00587Suche in Google Scholar PubMed

[3] Kurtz SM, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg [Am] 2007;89:780–5.10.2106/00004623-200704000-00012Suche in Google Scholar

[4] Kurtz SM, Lau EMS, Ong K, Vail TP, Berry DJ. The epidemiology of revision total hip arthroplasty in the United States. Bozic J Bone Joint Surg [Am] 2009;91:128–33.10.2106/JBJS.H.00155Suche in Google Scholar PubMed

[5] Kurtz SM, Lau E, Watson H, Schmier JK, Parvizi J. Economic burden of periprosthetic joint infection in the United States. J Arthroplasty 2012;27(8 Suppl. 1):61–65e.1.10.1016/j.arth.2012.02.022Suche in Google Scholar PubMed

[6] Oduwole KO, Molony DC, Walls RJ, Bashir SP, Millhall KJ. Increasing financial burden of revision total knee arthroplasty. Knee Surg Sports Traumatol Arthroscop 2010;18:945–8.10.1007/s00167-010-1074-8Suche in Google Scholar PubMed

[7] Patel A, Pavlou G, Mújica-Mota RE, Toms AD. The epidemiology of revision total knee and hip arthroplasty in England and Wales – a comparative analysis with projections for the United States. A study using the National Joint Registry dataset. Bone Joint J 2015;97-B:1076–81.10.1302/0301-620X.97B8.35170Suche in Google Scholar PubMed

[8] Bengtsson A, Donahue GS, Nemes, Garellick G, Rolfson O. Consistency in patient-reported outcomes after total hip replacement. Acta Orthop 2017;88:484–9.10.1080/17453674.2017.1339541Suche in Google Scholar PubMed PubMed Central

[9] Taniguchi T, Taniguchi W, Miyamoto E, Miyazaki N, Yoshida M. A strategic protocol to improve the process and outcomes of two-stage revision total hip arthroplasty. Acta Med Okayama 2017;71:301–7.Suche in Google Scholar

[10] Trampuz A, Zimmerli W. Diagnosis and treatment of implant-associated septic arthritis and osteomyelitis. Curr Infect Dis Rep 2008;10:394–403.10.1007/s11908-008-0064-1Suche in Google Scholar PubMed

Received: 2017-08-29
Accepted: 2017-10-04
Published Online: 2018-03-02
Published in Print: 2019-04-24

©2019 Walter de Gruyter GmbH, Berlin/Boston

Heruntergeladen am 25.9.2025 von https://www.degruyterbrill.com/document/doi/10.1515/bmt-2017-0152/html
Button zum nach oben scrollen