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PubMed1994

Charnley low-friction arthroplasty of the hip. Twenty-year results with cement.

The first 333 Charnley (Thackray, United Kingdom) total hip arthroplasties performed at the Mayo Clinic between 1969 and 1970 have been followed since that time. One hundred twelve patients (112 hips) remain alive at 20 years. Clinical results remain excellent. The Mayo clinical and roentgenographic hip scoring system rates the results as good to excellent in 39 of 69 hips (with all necessary data to calculate the entire score), fair in 13 hips, and poor in 17 hips. The clinical score alone showed satisfactory results in 77 of 112 hips. Some clinical deterioration was attributed to the advancing age of the patients (mean age at final follow-up evaluation, 84 years). Probable roentgenographic loosening (component migration, complete bone-cement interface, radiolucent line greater than 1 mm, cement fracture) was noted in 12 of 69 acetabular components (17%) and 28 of 69 femoral components (36%). Two patients had required revision since the last report at 15 years for a total of 38 patients (32 revised, 4 Girdlestone arthroplasties, 2 stem fractures not yet revised). The probability of surviving 20 years without revision of the components was 84% (83% for men, 85% for women). The rates of loosening, revision, and failure (revision, Girdlestone, or symptomatic loosening) remain linear over 20 years of follow-up evaluation. If the probability of revision is based on patient age at the time of the initial total hip arthroplasty, there is a significantly increased probability of revision in those patients less than 59 years of age (27%) compared to those 59-65 years of age (13%), 65-70 years (7.5%), and over 70 years (12%).

Aged↗
PubMed1967

On the relative contribution of viscous flow vs. diffusional (frictional) flow to the stationary state flow of water through a "tight" membrane.

The practice of calculating the diffusion contribution to the total pressure-driven flow of water through a tight membrane by using the self-diffusion coefficient for tritiated water is examined by a theoretical analysis. Equations of motion for water and membrane in pressure-driven water flow and water, membrane, and tritiated water in self-diffusion of tritiated water are adapted from Bearman and Kirkwood (1958). These equations of motion are used to develop an equation for the pressure-driven flow of water. Because of the lack of specific information about the detailed structure of most membranes, as well as considerations of the need to eliminate some of the mathematical difficulties, an "equivalent capillary" model is used to find a solution to the equation of motion. The use of the equivalent capillary model and possible ambiguities in distinctions between diffusion and hydrodynamic flow are discussed

Mathematics↗