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.
Acknowledgments
M.Sc. Michael Ehrhardt constructed the mechanical setup shown in this contribution, and M.Sc. Philipp Wagner programmed the analytic algorithms in LabView®.
Author Statement
Research funding: Association for Orthopaedic Research.
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
©2019 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Review
- The peripheral cannulas in extracorporeal life support
- Research articles
- Determination of optimal positive end-expiratory pressure based on respiratory compliance and electrical impedance tomography: a pilot clinical comparative trial
- Simulation of personalised haemodynamics by various mounting positions of a prosthetic valve using computational fluid dynamics
- Recovery of signal loss adopting the residual bootstrap method in fetal heart rate dynamics
- Optimal level and order detection in wavelet decomposition for PCG signal denoising
- Simple gastric motility assessment method with a single-channel electrogastrogram
- Analysis of on-surface and in-air movement in handwriting of subjects with Parkinson’s disease and atypical parkinsonism
- Wavelet-enhanced convolutional neural network: a new idea in a deep learning paradigm
- Digital microscopic evaluation of vertical marginal discrepancies of CAD/CAM fabricated zirconia cores
- Modelling the degree of porosity of the ceramic surface intended for implants
- How Hedstrom files fail during clinical use? A retrieval study based on SEM, optical microscopy and micro-XCT analysis
- A novel measurement strategy to evaluate the human head as a transition medium for inductive ear-to-ear communication
- Short communication
- Force plates may be used for dynamic analyses of endoprostheses explantation procedures
Artikel in diesem Heft
- Frontmatter
- Review
- The peripheral cannulas in extracorporeal life support
- Research articles
- Determination of optimal positive end-expiratory pressure based on respiratory compliance and electrical impedance tomography: a pilot clinical comparative trial
- Simulation of personalised haemodynamics by various mounting positions of a prosthetic valve using computational fluid dynamics
- Recovery of signal loss adopting the residual bootstrap method in fetal heart rate dynamics
- Optimal level and order detection in wavelet decomposition for PCG signal denoising
- Simple gastric motility assessment method with a single-channel electrogastrogram
- Analysis of on-surface and in-air movement in handwriting of subjects with Parkinson’s disease and atypical parkinsonism
- Wavelet-enhanced convolutional neural network: a new idea in a deep learning paradigm
- Digital microscopic evaluation of vertical marginal discrepancies of CAD/CAM fabricated zirconia cores
- Modelling the degree of porosity of the ceramic surface intended for implants
- How Hedstrom files fail during clinical use? A retrieval study based on SEM, optical microscopy and micro-XCT analysis
- A novel measurement strategy to evaluate the human head as a transition medium for inductive ear-to-ear communication
- Short communication
- Force plates may be used for dynamic analyses of endoprostheses explantation procedures