[The importance of wear couples for younger endoprosthesis patients].
The success and long-term survival rates of modern joint arthroplasty leads to a high patient satisfaction and, together with its technical improvements, has broadened the indications to an increasingly younger population. Limitations to the established systems are the long-term survival rates, which are mainly influenced by wear of the articulating parts and the resulting problems. Beside "classic" long-stemmed cemented shafts articulating with metal against polyethylene, short-stemmed or cup designs with a hard-hard self pairing are increasingly used in total hip arthroplasty. This paper reflects the current state of the art in joint arthroplasty for younger patients with the focus on wear couples and discusses future perspectives. Special interest is focused on the advantages and disadvantages of ceramic bearings, problems with allergies to implant components and the design of endoprostheses with regard to avoidance of impingement.
Kircher
J
J
Orthopädische Klinik und Poliklinik, Universität Rostock, Doberaner Strasse 142, 18057 Rostock, Deutschland. joern.kircher@med.uni-rostock.de
Bergschmidt
P
P
Bader
R
R
Kluess
D
D
Besser-Mahuzir
E
E
Leder
A
A
Mittelmeier
W
W
D000328:Adult; D000367:Age Factors; D001696:Biomechanical Phenomena; D019544:Equipment Failure Analysis; D020342:Finite Element Analysis; D006622:Hip Prosthesis; D006801:Humans; D007223:Infant; D007592:Joint Diseases / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D007720:Knee Prosthesis; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000000981:diagnostic imaging / Q000601:surgery; D020370:Osteoarthritis, Knee / Q000000981:diagnostic imaging / Q000601:surgery; D011474:Prosthesis Design; D011859:Radiography; D012307:Risk Factors; D013499:Surface Properties