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[种植体支抗:体内和体外分析:种植体支抗与安全性的聚类分析]

[Implant anchorage: In vivo and in vitro analyses : Clusters for implant anchorage and safety].

作者信息

Kistler Manuel, Schonhoff Mareike, Reulbach Magnus, Schleifenbaum Stefan, Hölscher-Doht Stefanie, Hurschler Christof, Jahnke Alexander

机构信息

Klinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Universitätszentrum München (MUM), Klinikum der Universität München, LMU München, München, Deutschland.

Sektion für Biomechanik und Implantatforschung, Orthopädische Universitätsklinik Heidelberg, Heidelberg, Deutschland.

出版信息

Orthopadie (Heidelb). 2024 Jul;53(7):519-526. doi: 10.1007/s00132-024-04519-1. Epub 2024 Jun 3.

Abstract

Aseptic implant loosening is the primary cause of revisions in arthroplasty. Various in vitro and in vivo methods are available for assessing implant fixation and stability. The aim of the Musculoskeletal Biomechanics Research Network (MSB-NET) is to continuously improve or develop these methods. In vitro analyses are often conducted using static and dynamic ISO and ASTM standards, while RSA, DXA, and EBRA analyses are established in vivo methods for evaluating implant fixation. Primary stability analyses, as well as acoustical methods, provide additional opportunities to detect loosening early and precisely evaluate implant stability. The cluster serves as a link between basic research, clinical practice, and end users to promote in vitro and in vivo methods to improve implant safety.

摘要

无菌性植入物松动是关节置换术翻修的主要原因。有多种体外和体内方法可用于评估植入物的固定和稳定性。肌肉骨骼生物力学研究网络(MSB-NET)的目标是持续改进或开发这些方法。体外分析通常采用静态和动态的ISO和ASTM标准,而RSA、DXA和EBRA分析是用于评估植入物固定的体内方法。初始稳定性分析以及声学方法为早期检测松动和精确评估植入物稳定性提供了更多机会。该集群作为基础研究、临床实践和最终用户之间的纽带,以推广体外和体内方法来提高植入物安全性。

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