Die Wissenschaftlichen Grundlagen Des Gelenkersatzes
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Eine Einführung für den Chirurgen.- 1 Materialeigenschaften.- 1.1 Fundamentale Materialeigenschaften.- 1.2 Werkstoffe für den totalen Gelenkersatz.- Literatur.- 2 Elastomechanik.- 2.1 Elementare Elastizitätstheorie.- 2.2 Die experimentelle Bestimmung von Spannungen.- 2.3 Die Bestimmung von Spannungen in Gelenkprothesen.- Literatur.- 3 Reibung, Schmierung und Verschleiß.- 3.1 Theoretische Grundlagen.- 3.2 Der Verschleiß von Prothesen für den totalen Gelenkersatz.- 3.3 Die Anwendung der Verschleißtheorie bei der Konstruktion von Prothesen für den totalen Gelenkersatz.- Literatur.- 4 Die gewebliche Beschreibung gegen Totalendoprothesen.- 4.1 Einführung.- 4.2 Die Reaktion des Knochens auf ein Implantat.- 4.3 Die normale Gewebereaktion auf Abrieb-Partikel und Korrosion.- 4.4 Die Bedeutung der Gewebereaktion auf Implantate und deren Abriebproduktion als Ursache von Komplikationen beim totalen Gelenkersatz.- Literatur.- 5 Mechanische Aspekte der Prothesenverankerung.- 5.1 Einführung.- 5.2 Die Beeinflussung der Spannungen in der Grenzfläche durch die Prothesenkonstruktion.- 5.3 Die Verbindung zwischen Knochen und Prothese.- 5.4 Messungen der Verankerungsfestigkeit.- 5.5 Polymethylmethacrylat als Bindemittel.- 5.6 Andere Knochenzemente.- 5.7 Zusammenfassung.- Literatur.- 6 Herstellung von Prothesenteilen.- 6.1 Das Anliegen dieses Kapitels.- 6.2 Prothesenteile aus Metall.- 6.3 Prothesenteile aus Kunststoff.- 6.4 Prothesenteile aus keramischen Werkstoffen.- 6.5 Poröse Prothesenteile.- Literatur.- 7 Normen, Prüfungen und Zulassung.- 7.1 Vorbemerkungen.- 7.2 Fragen des Operateurs.- 7.3 Eingeführte Konstruktionen, Werkstoffe und Herstellungsmethoden.- 7.4 Neue Konstruktionen, Werkstoffe und Herstellungsmethoden.- 7.5 Organisation und Durchführung.- Literatur.
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