Orthopedics

Download Cyriax's Illustrated Manual of Orthopaedic Medicine by James H. Cyriax MD MRCP, P. J. Cyriax MCSP PDF

By James H. Cyriax MD MRCP, P. J. Cyriax MCSP

New in paperback structure, this version covers the process and strategies of 1 of the founding figures within the box of Orthopaedic medication. Presentation and content material were thoroughly up-to-date and revised for the trendy practitioner.

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12] developed a HA coated hip prosthesis and reported an excellent 10 year clinical result in a large number of patient (Fig. 3). At present, HA is the bioactive ceramic most widely used for clinical application as a bone void filler and a coating material for hip prostheses which are employed in cementless hip replacement. The HA coating over the prosthesis is usually performed by plasma splay coating, and thus made HA coated layer is consisted of more than 50 % of amorphous apatite. As the amorphous apatite is absorbed by osteoclasts in a few years, HA coating only cannot maintain the firm connection between the prosthesis and bone for longer than 20 years.

Recently such mechanically stronger carbons as low temperature isotropic carbon (LTI carbon) and carbon fiber reinforced carbon (CFRC) have been developed, but their clinical application has not yet been brought to realization. Bionert ceramics such as alumina ceramic (Al2O3) and zirconia ceramic (ZrO2) have a higher compressive and bending strength and better biocompatibility than stainless steel (SUS 316 L) or Co-Cr alloy. G. 1007/978-1-84882-664-9_3 21 22 particularly, therefore, had been attempted to use as osteosynthetic devices (alumina monocrystal) or to fabricate bone and joint prostheses (alumina monocrystal + polycrystal) in 1980s [2].

Yamamuro compared to those of Charnley hip prosthesis, the current alumina-on-alumina hip prosthesis is expected to bring about much better long-term results and less breakage than those used in 1970s. On the other hand, it is a well known rule for hip prosthesis that the smaller the head size the less the volumetric wear of the bearing surface. This rule has been much accounted of the PE-onceramic hip prosthesis in attempts to reduce the volumetric wear of polyethylene. The diameter of most alumina femoral head of hip prosthesis has been limited to 26–32 mm even with new alumina ceramic, because it exhibits only moderate bending strength and toughness.

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