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Metal Bearing Surfaces in Total Joint Arthroplasty: Do different joints display similar damage modes?

机译:全关节置换术中的金属轴承表面:不同的关节是否显示出相似的损伤模式?

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Although these bearings from different joints showed some feature similarities, differences in the damage modes within the MoP, and between MoP and MoM bearings were observed. The different modes are consistent with the different materials, lubrication regimes and loaded motion patterns that exist in the MoM THR compared to the MoP TSR, TKR, and THR. Illustrated descriptions of damage modes enabled uniform assessments among the three laboratories. Damage assessment tools originally developed for polyethylene analysis might be applicable to metal bearings at revision; however, distinctions in the conditions leading to damage will be the key in translating such methods for clinical use. Orthopaedic surgeons should anticipate seeing some differences in damage mode appearance during routine inspection of metal bearing surfaces at revision surgery.
机译:尽管这些来自不同关节的轴承表现出一些相似性,但观察到MoP内部以及MoP和MoM轴承在损伤模式上的差异。与MoP TSR,TKR和THR相比,MoM THR中存在的不同模式与MoM THR中存在的不同材料,润滑方式和加载运动模式相一致。对损坏模式的图示说明可以在三个实验室之间进行统一评估。最初为聚乙烯分析而开发的损伤评估工具可能适用于修订后的金属轴承。但是,导致损害的条件之间的区别将是将此类方法用于临床的关键。整形外科医师应预期在翻修手术中对金属轴承表面进行例行检查时,损伤模式的外观会有所不同。

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