Skip to main content
SpringerLink
Log in

Histological Analysis of the Interface

  • Chapter
Interfaces in Total Hip Arthroplasty

Abstract

Surgical implantation of endoprostheses provokes tissue reactions similar to those encountered at fracture healing. The bone which supports the implant is completely remodelled during and after this healing process. Thus the bone which receives the implant and which is responsible for primary stability is not the same bone which provides long-term support to the implant and which is responsible for secondary stability.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Willert HG, Puls P. Die Reaktion des Knochens auf Knochenzement bei der Alloarthroplastik der Hüfte. Arch Orthop Unfall-Chir 1972;72:33–71.

    Article  CAS  Google Scholar 

  2. Willert HG, Ludwig J, Semlitsch M. Reaction of bone to methacrylate after hip arthroplasty. A long-term gross, light microscopic, and scanning electron microscope study. J Bone Joint Surg 1974;56A:1368–1382.

    Google Scholar 

  3. Willert HG (1993) Endoprothesenverankerung mit oder ohne Zement? Z Orthop 113: 601–609.

    Article  Google Scholar 

  4. Vernon-Roberts B, Freeman MAR. Morphological and analytical studies of the tissues adjacent to joint prostheses: Investigations into the uses of loosening of prostheses. In: Schaldach M, Hohmann, Thull R, Hein F (eds) Advances in artificial hip and knee joint technology. Springer Verlag, Belin-Heidelberg: New York, 1976; 148–186

    Google Scholar 

  5. Willert HG, Buchhorn GH, Zichner L, Müller K, Semlitsch M. Oberflächenstrukturen von Knochenzement. Z Orthop 1979;117:674–683.

    PubMed  CAS  Google Scholar 

  6. Willert HG, Müller K, Semlitsch M. The morphology of poly-methylmethacrylate (PMMA) bone cement surface structures and causes of their origin. Arch Orthop Traum Surg 1979;94:265–292.

    Article  CAS  Google Scholar 

  7. Willert HG, Frech HA, Bechtel A. Measurements of the quantity of monomer leaching out of acrylic bone cement into the surrounding tissue during the process of polymerization. In: Gregor HP (ed) Biomédical applications of polyers. New York: Plenum Publishing Corp., 1974; 121–133.

    Google Scholar 

  8. Hulliger L. Untersuchungen ueber die Wirkung von Kunstharzen (Palacos und Ostamer) in Gewebekulturen. Arch Orthop Traum Surg 1962;54:581–588.

    CAS  Google Scholar 

  9. Willert HG. Tissue reactions around joint implants and bone cement. In: Chapchal G (ed) Arthroplasty of the hip. Stuttgart: Georg Thieme Verlag, 1973; 11–21.

    Google Scholar 

  10. Charnley J. Low Friction Arthroplasty. Heidelberg, NewYork: Springer, 1979.

    Book  Google Scholar 

  11. Malcolm AJ. Cemented and hydroxyapatite-coated hip implants — an autopsy retrieval study. In: Morrey BF (ed) Biological, material, and mechanical considerations of the joint replacement. New York: Raven Press, 1993; 39–50.

    Google Scholar 

  12. Hahn M, Vogel M, Langendorff HU, Delling G. Mikro-kallusformationen x2014; Chronische Traumata des Skelettsystems als Stimulus des physiologischen Knochenumbaus. Hefte Unfallheilkunde 1991;220:523–524.

    Google Scholar 

  13. Delling G, Hahn M. Quantitative and qualitative analysis of the bone/cement-interface in relation to the structure of bone. Symposium Biomaterial “The implant / bone interface” 06-08.03.92, Göttingen, Germany, 1992.

    Google Scholar 

  14. Delling G, Kofeldt C, Engelbrecht E. Knochen-und Grenzschichtveränderungen nach Anwendung von Knochenzement — Langzeitbeobachtungen an humanem Biopsie-, Operations-und Atopsiematerial. In: Willert HG, Buchhorn GH (eds) Knochenzement. Bern: Huber Publishers, 1987; 163–171.

    Google Scholar 

  15. Schmalzried TP, Kwong LM, Jasty M et al. The mechanism of loosening of cemented acetabular components in total hip arthroplasty. Clin Orthop 1992;274:60–78.

    PubMed  Google Scholar 

  16. Bos I, Lindner B, Seydel U et al. Untersuchungen ueber die Lockerungsursache bei zementierten Hueftgelenkendo-prothesen Z Orthop 1990;128:73–82.

    Article  PubMed  CAS  Google Scholar 

  17. Wolff J. Das Gesetz der Transformation der Knochen. Berlin: Verlag Hirschwald, 1892.

    Google Scholar 

  18. Willert HG, Buchhorn GH. Osseointegration of cemented and noncemented implants in artificial hip replacement — Longterm findings in man. J Long-term Effects Med Impl 1998;9:113–130.

    Google Scholar 

  19. Willert HG, Lintner F. Morphologie des Implantatlagers bei zementierten und nichtzementierten Gelenkimplantaten. Langenbecks Arch Chir 1987;372:447–455.

    Article  PubMed  CAS  Google Scholar 

  20. Schenk RK, Wehrli U. Zur Reaktion des Knochens auf eine zementfreie SL-Femur-Revisionsprothese — Histologische: Befunde an einem fuenfeinhalb Monate post operationem gewonnenen Autopsiepraeparat. Orthopaede 1989;18:454–462.

    CAS  Google Scholar 

  21. Lintner F, Boehm G, Huber M. Zementfreie Schraubpfannen — Morphologische-mikroradiogaphische und morphome-trische Untersuchungen zum Einbauverhalten. Med Orth Tech 1994;144:233–237.

    Google Scholar 

  22. Boyan BD, Schwartz Z, Sela J et al. Biological implications — keynote address. In: Morrey BF (ed) Biological, material, and mechanical considerations of the joint replacement. New York: Raven Press, 1993; 27–34.

    Google Scholar 

  23. Charnley J. The reaction of bone to self-curing acrylic cement — a long-term histological study in man. J Bone Joint Surg 1970;52B:340–353.

    Google Scholar 

  24. Lintner F. Die Ossifikationsstörung an der Knochenzement — Knochengrenze. Acta Chir Austr Suppl 1983;48:3–17.

    Google Scholar 

  25. Charnley J. A biomechanical analysis of the use of cement to anchor the femoral head prosthesis. J Bone Joint Surg 1965;47B:354–363.

    Google Scholar 

  26. Scales JF. Acrylic bone cement: bond or plug. J Bone Joint Surg 1968;50B:689.

    Google Scholar 

  27. Perren SM, Huggler A, Russenberger M et al. Acta Orthop Scand Suppl 1969;125:19–28.

    PubMed  CAS  Google Scholar 

  28. Goldring SR, Schiller AL, Roelke M, Rourke CM, O’Neill DA, Harris WH. The synovial-like membrane of the bone-cement interface in bone lysis. J Bone Joint Surg 1983;65-A:575–584.

    CAS  Google Scholar 

  29. Kwong LM, Jasty M, Mulroy RD, Maloney WJ, Bragdon C, Harris WH. The histology of the radioluent line. J Bone Joint Surg 1992;74B:67–73.

    Google Scholar 

  30. Maloney WJ, Schmalzried TP, Jasty M, Kwong LM, Harris WH. The cement interface: retrieval studies. In: Morrey BF (ed.) Biological, material, and mechanical considerations of the joint replacement. New York,: Raven Press, 1993; 51–70.

    Google Scholar 

  31. Kusy RP, Turner DT. Fractorgaphy of poly(methyl methacrylates). J Biomed Mater Res Symp 1975;6:89–98.

    Article  Google Scholar 

  32. Lewis JL. The mechanical state of the bone-implant interface. In: Fitzgerald Jr R (ed) Non-cemented total hip arthro-plasty. New York: Raven Press, 1988; 23–30.

    Google Scholar 

  33. Willert HG, Bertram H, Buchhorn G. Osteolysis in allo-arthroplasty of the hip — the role of bone cement fragmentation. Clin Orthop Rel Res 1990;258:108–121.

    Google Scholar 

  34. Willert HG, Semlitsch M. Reactions of the articular capsule to wear products of artificial joint prostheses. J Biomed Mat Res 1977;11:157–164.

    Article  CAS  Google Scholar 

  35. Willert HG, Buchhorn G, Buchhorn U, Semlitsch M. Tissue response to wear debris in artificial joints. In: Weinstein A, Gibbons D, Brown St, Ruff W (eds) Implant retrieval: material and biological analysis. US Department of Commerce, National Bureau of Standards, NBS SP 601, 1981; 239-267.

    Google Scholar 

  36. Anthony PP, Gie GA, Howie CR, Ling RSM. Localised endosteal bone lysis in relation to the femoral components of cemented total hip arthroplasties. J Bone Joint Surg 1990;72B: 971–979.

    Google Scholar 

  37. Schmalzried TP, Jasty M, Harris WH. Periprosthetic bone loss in total hip replacement: the role of polyethylene wear debris and the concept of the effective joint space. J Bone Joint Surg 1992;74A:849–863.

    Google Scholar 

  38. Willert HG, Buchhorn GH, Göbel D et al. Wear behaviour and histopathology of classic cemented metal on metal hip endoprostheses. Clin Orthop 1996;329S:160–186.

    Google Scholar 

  39. Willert HG, Brobäck LG, Buchhorn GH et al. Crevice corrosion of cemented titanium-alloy stems in total hip replacements. Clin Orthop 1996;333:51–75.

    PubMed  Google Scholar 

  40. Böhm G, Lintner F, Brand G, Obenaus C, Klimann S. Morphometrische Befunde an einzelnen Titaniumschäften. In: Zweymueller K (ed) 10 Jahre Zweymueller — Hüftendoprothese. Bern: Verlag Hans Huber, 1990; 61–65.

    Google Scholar 

Download references

Authors
  1. H. G. Willert
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. G. H. Buchhorn
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, University of Bristol, UK

    Ian D. Learmonth MB, ChB, FRCS, FRCS Ed, FCS (SA) Orth (Professor and Head, Honorary Consultant) (Professor and Head, Honorary Consultant)

  2. Bristol Royal Infirmary and Southmead Hospital, UK

    Ian D. Learmonth MB, ChB, FRCS, FRCS Ed, FCS (SA) Orth (Professor and Head, Honorary Consultant) (Professor and Head, Honorary Consultant)

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer-Verlag London

About this chapter

Cite this chapter

Willert, H.G., Buchhorn, G.H. (2000). Histological Analysis of the Interface. In: Learmonth, I.D. (eds) Interfaces in Total Hip Arthroplasty. Springer, London. https://doi.org/10.1007/978-1-4471-0477-3_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-0477-3_4

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1150-4

  • Online ISBN: 978-1-4471-0477-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation