Paper Titles
Hydroxyapatite Ceramic Hip Survey: Ceramic/Ceramic Bearings
p.1283
Ceramic Total Knee Prosthesis with Smooth Surface Keeps High Wear Resistance in Long Clinical Use
p.1287
Valuation of Ceramic Explants after 19 Years In Vivo
p.1291
Pilot Study of Safety and Performance of a Mixture of Calcium Phosphate Granules Combined with Cellulosic-Derived Gel after Tunnel Filling Created during Surgical Treatment of Femoral Head Aseptic Osteonecrosis
p.1295
16 to 21 Year Clinical Results of Total Hip Arthroplasty with HA Granules at Cement-Bone Interface (Interface Bioactive Bone Cement)
p.1299
Clinical Results for 19 to 21 Years on Total Hip Prosthesis with Ceramic Head Combined with UHMWPE Socket
p.1303
Total Knee Replacement for Rheumatoid Arthritis by Using Improved Cement Technique by Interposing Hydroxyapatite Granules
p.1307
Clinical Experiences of Ceramic Total Knee Arthroplasty More than 26 Years
p.1311
Nineteen Years Review of Hydroxyapatite Ceramic Coated Hip Implants: A Clinical and Histological Evaluation
p.1315

16 to 21 Year Clinical Results of Total Hip Arthroplasty with HA Granules at Cement-Bone Interface (Interface Bioactive Bone Cement)

Article Preview

Abstract:

To augment cement-bone bonding, hydroxyapatite (HA) granules were interposed at cement-bone interface (IBBC technique). HA granules were smeared on the bone surface just before cementing components. Porous HA granules of 300 to 500μm in diameter and 100 to 300μm in diameter were used from 1986 to 1988(first generation) and 1989 to 1991(second generation), respectively. 222 hips of 151 patients in the first generation and 252 hips of 170 patients in second generation could be followed. After 16 to 21 year follow up, radiolucent line (space), less than 1mm, was observed in 4 hips(1.8%) in the first generation and in 15 hips(6.2%) in the second generation(p<0.01). osteolysis was observed in 1 hip(0.5%) and 6 hips (1.6%), respectively. Loosening (separation) was observed only 2 cups (0.8%) in the second generation.

You might also be interested in these eBooks
Bioceramics 20 View Preview

Info:

Periodical:

Key Engineering Materials (Volumes 361-363)

Pages:

1299-1302

DOI:

https://doi.org/10.4028/www.scientific.net/KEM.361-363.1299

Citation:

Cite this paper

Online since:

November 2007

Authors:

Hironobu Oonishi, Hiroyuki Oonishi Jr., Sok Chol Kim, Hirotsugu Ohashi, Satoshi Ojima

Keywords:

Arthroplasty, Cement Bone, HA Grandules

Export:

RIS, BibTeX

Price:

Permissions CCC:

Request Permissions

Permissions PLS:

Request Permissions

Сopyright:

© 2008 Trans Tech Publications Ltd. All Rights Reserved

Share:

Citation:

References

[1] Oh I, Carlson CE, Tomford WW, Harris WH: Improved fixation of the femoral component after total hip replacement using a methacrylate intramedullary plug. J Bone Joint Surg[Am]1978; 60: 608-613.

DOI: 10.2106/00004623-197860050-00004

Google Scholar

[2] Oonishi H, Kushitani S, Aono M, et al: interface bioactive bone cement by using PMMA and hydroxyapatite granules. In: Oonishi h, Aoki H, Sawai K, ed. Bioceramics Vol. 1. Tokyo, St. Louis: Ishiyaku-Euro America, Inc., 1989: 102-107.

DOI: 10.1016/0021-9290(90)90123-k

Google Scholar

[3] Oonishi H, Kadoya Y, iwaki H, Kin N: Total hip arthroplasty with a modified cementing technique using hydroxyapatite granules. J Arthroplasty 2001; 16: 784-789.

DOI: 10.1054/arth.2001.23724

Google Scholar

[4] Oonishi H, Kadoya Y, Iwaki H, Kin N: Hydroxyapatite granules interposed at bone-cement interface in total hip replacements: histological study of retrieved specimens. J Biomed Mater Res 2000; 53: 174-180.

DOI: 10.1002/(sici)1097-4636(2000)53:2<174::aid-jbm7>3.0.co;2-o

Google Scholar

[5] Zyman Z, Weng J, liu X, et al: Amorphous phase and morphological structure of hydroxyapatite plasma coating. Biomaterials 1993; 14: 225-228.

DOI: 10.1016/0142-9612(93)90027-y

Google Scholar

[6] Geesink RGT: Osteoconductive coating for total joint arthroplasty. Clin Orthop 2002; 395: 53-65.

Google Scholar