Abstract
Primary stability and survival, i.e. long-term fixation, of a hip joint prosthesis is determined by the implant material, the bone stock serving as the implant bed, and the interaction between the implant material and the bone stock. The fate of a cementless artificial joint is decided at the interface or boundary between the bone and the implant, where living tissue meets bioinert (i.e. non-living) material. Numerous causes of loosening of aseptic implants have been identified.
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Weller, S., Braun, A., Gellrich, J.C., Gross, U. (2000). Importance of Prosthesis Design and Surface Structure for the Primary and Secondary Stability of Uncemented Hip Joint Prostheses. In: Learmonth, I.D. (eds) Interfaces in Total Hip Arthroplasty. Springer, London. https://doi.org/10.1007/978-1-4471-0477-3_8
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