Gro�er Kopf ? Kleine Pfanne: Das Schicksal des Rotationsh�ftkopfes nach fehlerhafter Implantation

Hessert, G. R.; Schildhauer, M.; Störzinger, Th.

doi:10.1007/bf00416254

Arch orthop Unfall-Chir

1973

DOI: 10.1007/bf00416254

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Gro�er Kopf ? Kleine Pfanne: Das Schicksal des Rotationsh�ftkopfes nach fehlerhafter Implantation

G. R. Hessert

M. Schildhauer

Th. Störzinger

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Cited by 4 publications

References 9 publications

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The release of Gentamycin into the wound secretions from polymethylmethacrylate beads

Härle¹,

Ritzerfeld²

1979

Arch. Orthop. Traumat. Surg.

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Following implantation of Gentamycin PMMA beads, the concentration of antibiotics in the wound secretion was investigated in an animal experiment which corresponded to the clinically applied procedure. The measured concentrations of active substance over a period of 6 days were on an average 8 times higher than the maximum serum titers obtainable with systemic application of antibiotics, and consequently they exceeded by several dilution stages the minimum bactericidal concentrations of most of those bacteria which are responsible for infections of wounds and bones. The kinetics of release of Gentamycin out of the PMMA beads are presented, and compared with that of bone cement which contains antibiotics and which is used in endoprostheses. From the results, conclusions about the intraoperative techniques which should be realised have been drawn, conditions which are of decisive importance for the success of this new treatment for infections of the bone and soft tissue.

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The release of Gentamycin into the wound secretions from polymethylmethacrylate beads

Härle¹,

Ritzerfeld²

1979

Arch. Orthop. Traumat. Surg.

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Untersuchungen an Oberfl�chen und Neogelenkkapseln getragener McKee-Farrar-Endoprothesen

Täger¹

1976

Arch orthop Unfall-Chir

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These studies are intended as a critical contribution to the question, wether the McKee-Farrar (MF) prosthesis, on account of its stronger friction and the consequences of this, as compared to other models, still has its justification or wether these "secundary" manifestations indicate that this prosthesis should be abandoned. Studies on primary and secundary alteration of the surface were carried out on exchanged MF prosthesis with the aid of the grid electron microscope. The signs of wear are clearly visible and can be differenciated from production artefacts. The movement and deposit of abraded particles into the new joint capsule was studied qualitatively and quantitatively with the aid of radioisotopes. All samples showed an increased accumulation of chrome in the tissues as compared to cobalt. There is no indication of significant damage. On the basis of the results of these studies and on account of the favourable personal experience from a surgical and clinical point of view -- particulary with reference to minimal preparation of the acetabulum and ready replacement, the MF prosthesis will continue to hold its place as the standard model for total prosthetic hip joint replacement.

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Ergebnisse der totalen H�ftendoprothese

Hessert

Jäger

Krippendorf

1972

Arch orthop Unfall-Chir

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Gro�er Kopf ? Kleine Pfanne: Das Schicksal des Rotationsh�ftkopfes nach fehlerhafter Implantation

Cited by 4 publications

References 9 publications

The release of Gentamycin into the wound secretions from polymethylmethacrylate beads

The release of Gentamycin into the wound secretions from polymethylmethacrylate beads

Untersuchungen an Oberfl�chen und Neogelenkkapseln getragener McKee-Farrar-Endoprothesen

Ergebnisse der totalen H�ftendoprothese

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