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At least 127 records · Page 7Linked to original sources
PubMed1991

[Strut fracture of a convex-concave 60 degree Björk-Shiley mitral valve prosthesis 5 years after implantation--metallurgic analysis of the prosthesis strut].

Acute mechanical failure of prosthetic heart valves is rare, but associated with high mortality when occurring. For convexo-concave Björk-Shiley prostheses only fractures of the outlet strut are reported. We present a case of lethal mechanical complication 5 years after implantation. By additional metallurgic analysis we were able to identify a sequential course of the outlet strut fracture. This could lead to new approaches for early detection of this complication.

Adult↗
PubMed1994

[Prosthesis replacement in the hip joint in prosthesis fracture. Clinical and radiological results after 5 years].

The results of 45 revisions performed for fracture of the femoral stem in patients with total hip replacements were reviewed after an average follow-up time of 5 (3-7) years. We were able to examine 38 of the patients. Surgery was performed in a standardized way through a posterior approach and with a dorsal proximal window in the femur. In 7 cases the femoral stem only was changed, while in 31 both components had to be replaced. The femoral components implanted were of the revision type, and were cemented and individually selected in each case. To stabilize large acetabular defects a combination of an acetabular support ring and a homologous bone graft was used in 21 cases; bank bone was used in a total of 28 hips. During surgery 1 fracture and 4 defects of the femur occurred. Good intraoperative stability of the femoral component was attained in every case, allowing full weight-bearing during mobilization unless acetabular instability was present. There were no deep infections. One dislocation had to be treated by closed reduction. Clinical evaluation was performed according to Merle d'Aubigné. Radiological loosening was classified according to Gruen, DeLee and Charnley. Clinical results were good in 33 (87%) and were rated as poor in 5. In the latter group a good correlation between subjective and objective parameters was noted in 4 of the 5 patients. Two acetabular and two femoral components in 3 patients were classified as radiologically loose; in 1 of these the cup was not changed at revision.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗
PubMed1982

The direct fixation system of total hip prosthesis. Research of the possibilities of fixing total hip prosthesis directly to bone.

There are two methods for the fixation of prostheses to bone; one is a method using bone cement and another is the direct fixation of the prostheses to bone. Four types of animal experiments were performed to compare the two methods of fixation. A small pyramid shaped test piece was used to compare the fixation capacity of the socket spike. Also, a special test piece was used to study the time of bone formation, to check the fixation capacity of bone bar formation occurring in the hole in the based part of the prosthetic component. furthermore, models of prosthetic stem and socket were made and attached to the femur and ilium of dog to perform fixation tests and fatigue tests. As a result, any of the tests proved that the direct fixation method without the usage of bone cement was superior to the fixation method using bone cement.

Acetabulum↗
PubMed2001

Use of a cross-mounting buccal index to help transfer the spatial relationships of an interim prosthesis to the definitive implant-supported prosthesis.

This article describes a new method for the fabrication of an index for definitive implant abutment selection, framework design, and fabrication. After the interim removable restoration is esthetically and functionally accepted by the patient and dentist, it can be used as a surgical guide during implant placement as well as a guide for abutment selection, framework design, and fabrication. The concepts used in the fabrication of the cross-mounting buccal index include having a reference point, maintaining the vertical dimension of occlusion, and supplying the ability for cross mounting. This procedure allows the clinician to use a duplicate of the interim restoration to select the abutments and fabricate the framework without a new denture setup. It also accelerates both patient chairtime and laboratory time, and it enhances the prosthodontic outcome.

Dental Prosthesis Design↗
PubMed1999

[Comparative study of Toronto SPV prosthesis and bileaflet mechanical aortic prosthesis with 2D-Doppler echocardiography].

AIM: The aim of this study was to make a noninvasive comparison, by means of Doppler echocardiography, of the hemodynamic performance of biological stentless xenografts and mechanical bileaflet (MB) prostheses (P) in aortic position. METHODS: We studied 20 patients (pts) with normofunctional (nf) aortic Toronto (T) Stentless Porcine valves (SPV)--Group I--8 males, aged 69 +/- 12 years, 32 +/- 9 months after surgery, and 30 pts with nf MB aortic P (Carbomedics or St. Jude Medical)--Group II--17 males (p = NS vs G I), aged 61 +/- 12 years (p < 0.01 vs G I), 30 +/- 12 months after implantation (p = NS vs G I). Both groups were comparable with regard to body surface area and surgical indication. P diameters ranged from 21 to 25 mm (G I: 22.9 +/- 1.7; G II: 22.8 +/- 1.7 - p = NS), the number of pts with the same P diameter in each group being similar. We analysed, at rest: aortic orifice diameter (AoOd - cm), maximal (GMax) and mean (GMean) transprosthesic pressure gradients, P functional area (PFA) and P resistance (PRes). Gradients (mm Hg) were calculated by means of the Bernoulli equation, PFA (cm2) by means of the continuity equation and PRes (dynes.s.cm-5) as 1333 x Gmean x SEP/SV (SEP = systolic ejection period; SV = stroke volume). RESULTS: AoOd (G I vs G II): P 21--1.78 +/- 0.04 vs 2.00 +/- 0.10 (p < 0.001); P 23--1.91 +/- 0.10 vs 2.19 +/- 0.10 (p = 0.01); P 25--2.22 +/- 0.24 vs 2.29 +/- 0.19 (NS). Doppler parameters: [table: see text] CONCLUSIONS: P T SPV show better hemodynamic performance when compared to P MB with the same diameter, in aortic position. In addition, our results suggest that P T SPV allow the use of larger valve sizes for the same aortic orifice diameter.

Aged↗