Abstract
The clinical and histological data on the bone cement—bone interface can be investigated by animal experiments, in vitro models or studies of retrieved postmortem specimens of replaced joints (Draenert 1981). The in vitro model has shown that there is no gap between the metal rod and the bone cement, but there is one between bone cement and the bone. Animal experiments have shown that this gap was filled initially by a haematoma. Later, regenerating vessels appeared, followed by new bone formation. Four weeks after the implantation, the gap was bridged by newly formed bone. The first framework was of concentrically reinforced woven bone which was converted to compact bone by mature lamellae. This adaptation and the remodelling was completed in 2 years (Draenert 1981).
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References and Further Reading
Draenert K (1981) Histomorphology of the bone-to-cement interface: remodelling of the cortex and revascularisation of the medullary canal in animal experiments. In: Salvati EA (ed) The hip proceedings of the ninth open scientific meeting of the Hip Society. The John Charnley award paper. CV Mosby, Saint Louis, Missouri, pp 77–110
Draenert K (1986) Histomorphologische Befunde zur gedaempften und ungedaempften Krafteinleitung in das knocherne Lager. Vereinigung Nordwestdeutscher Orthopaeden. 36. Jahrestagung 15–18 Juni, Hannover
Draenert K (1988) Forschung und Fortbildung in der Chirurgie des Bewegungs-apparates. Zur Praxis der Zementverankerung. Art and Science, Munich
Haddad RJ (1986) Histological observations of tissue ingrowth in retrieved human joint compartments. In: Draenert K (ed) Die Implantatverankerung Symposium in Orthopaedie und Chirurgie des Bewegungsapparates. Art and Science, Munich, p 30
Ryd L (1986) Micromotion in knee arthroplasty. A roentgen stereophotogrammetric analysis of tibial component fixation. Acta Orthop Scan (Suppl) 220:1–80
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© 1990 Springer-Verlag London Limited
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Draenert, K. (1990). New Observations on the Bone Cement—Bone Interface. In: Older, J. (eds) Implant Bone Interface. Springer, London. https://doi.org/10.1007/978-1-4471-1811-4_4
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DOI: https://doi.org/10.1007/978-1-4471-1811-4_4
Publisher Name: Springer, London
Print ISBN: 978-1-4471-1813-8
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