Clinical Performance of Skeletal Prostheses

  • Editors
  • Larry L. Hench
  • June Wilson

Table of contents

  1. Front Matter
    Pages i-viii
  2. Larry L. Hench, June Wilson
    Pages 1-10
  3. Jason A. Griggs, Thomas J. Hill, Shawn H. Gallagher, Teresa Schimmel
    Pages 11-32
  4. Julie A. Miller, James D. Talton, Sameer Bhatia
    Pages 41-55
  5. Laura Elsberg, Mark Moore
    Pages 57-70
  6. Penelope Kao, Shannon Eggers, Neil Graf, Bernd Liesenfeld
    Pages 71-96
  7. Greg Snyder
    Pages 97-124
  8. John Delvaux
    Pages 125-136
  9. John Delvaux
    Pages 137-140
  10. Daniel F. Justin
    Pages 141-173
  11. Rodrigo Lambert Orefice, Keith Lobel
    Pages 199-213
  12. Keith D. Lobel
    Pages 215-235
  13. Charles F. De Freest, Daniel A. Savett
    Pages 237-254
  14. H. R. Stanley, A. E. Clark, L. L. Hench
    Pages 255-269
  15. Larry L. Hench, June Wilson
    Pages 271-276
  16. Back Matter
    Pages 277-280

About this book


Larry L. Hench June Wilson OBJECTIVE Millions of people presently enjoy an improved quality of life due to prostheses which repair, augment or replace parts of their skeletal system: bones, joints, teeth, etc. However, all replacement parts have a finite probability of survival. The goal of this book is to compare the survivability data for various skeletal prosthesis systems. All data derive from previously published clinical studies. Where possible statistical comparisons are made and the reasons for failure are discussed. THE NEED FOR SKELETAL PROSTHESES We are an aging population with more than 100 million people in the U. S. and Europe over the age of 50 years. An unfortunate consequence of aging is a progressive deterioration of the quality of skeletal tissues. From the age of 30 years there is a decrease in bone mass for both men and women (Fig. 1. 1). However, for women it is much greater and between 40 and 60 years of age the rate of deterioration of long bones and vertebrae of women is especially severe due to hormonal changes. By the age of 70 most women will have lost from 35 to 60% of their bone mass. The loss of volume of cancellous or trabecular bone leads to a large decrease in mechanical compressive strength (Fig. 1. 2). The clinical consequence is an increasing incidence of vertebral collapse. Cortical bone decreases in tensile strength with age (Fig. 1.


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