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10/10/13
1
Implants and prosthesis
Example of man-‐made biomaterials: • UHMWPE = Ultra-‐High-‐Molecular-‐Weight polyethylene • Metals: e.g. stainless steel and <tanium • PMMA = polyethylene methacrylate (bone cement)
• Polydimethylene silixane = silicon rubber • Dacron (blood vessels) • Polytetrafluoreten = Teflon or Gor-‐Tex (heart valves, ligaments, ossicles
for the ear) • Ceramics and glasses
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Problems to overcome:
• Anatomic compa<bility • Corrosion • Toxity and infec<on • Strength • Fixa<on • Long-‐term physiological compa<bility
Cemented hip prosthesis
!
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Un-‐cemented hip prosthesis
!
Beware of wear!!
!
Polyethylene cup
!
Metal cup
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No wear: Ceramics!
!
Knee prosthesis
!
(Uni-‐knee – one condyle) note! Meniscus
!
Total knee
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Shoulder prosthesis
!
with stem
!
without stem
Total Hip Replacement
• hAp://www.youtube.com/watch?v=WJ1E12xcaTs
Abductor mechanism
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Total Hip Replacement
Stress shielding
Results from finite element simulaMons, change in energy density (σ�ε)
Note: Biomechanics of Arthroplasty, chapter 16 in the book!
• Table 16.1-‐16.2 Hip and knee forces, measured and esMmated
Varus deformity
Normal alignment
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Note: Biomechanics of Fracture fixaMon, chapter 15 in the book!
Sa]y factor for a hip prosthesis