About: Contributions of human tissue analysis to understanding the mechanisms of loosening and osteolysis in total hip replacement     Goto   Sponge   NotDistinct   Permalink

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  • Aseptic loosening and osteolysis are the most frequent late complications of total hip arthroplasty (THA) leading to revision of the prosthesis. This review aims to demonstrate how histopathological studies contribute to our understanding of the mechanisms of aseptic loosening/osteolysis development. Only studies analysing periprosthetic tissues retrieved from failed implants in humans were included. Data from 101 studies (5532 patients with failure of THA implants) published in English or German between 1974 and 2013 were included. %22Control%22 samples were reported in 45 of the 101 studies. The most frequently examined tissues were the bone-implant interface membrane and pseudosynovial tissues. Histopathological studies contribute importantly to determination of key cell populations underlying the biological mechanisms of aseptic loosening and osteolysis. The studies demonstrated the key molecules of the host response at the protein level (chemokines, cytokines, nitric oxide metabolites, metalloproteinases). However, these studies also have important limitations. Tissues harvested at revision surgery reflect specifically end-stage failure and may not adequately reveal the evolution of pathophysiological events that lead to prosthetic loosening and osteolysis. One possible solution is to examine tissues harvested from stable total hip arthroplasties that have been revised at various time periods due to dislocation or periprosthetic fracture in multicenter studies.
  • Aseptic loosening and osteolysis are the most frequent late complications of total hip arthroplasty (THA) leading to revision of the prosthesis. This review aims to demonstrate how histopathological studies contribute to our understanding of the mechanisms of aseptic loosening/osteolysis development. Only studies analysing periprosthetic tissues retrieved from failed implants in humans were included. Data from 101 studies (5532 patients with failure of THA implants) published in English or German between 1974 and 2013 were included. %22Control%22 samples were reported in 45 of the 101 studies. The most frequently examined tissues were the bone-implant interface membrane and pseudosynovial tissues. Histopathological studies contribute importantly to determination of key cell populations underlying the biological mechanisms of aseptic loosening and osteolysis. The studies demonstrated the key molecules of the host response at the protein level (chemokines, cytokines, nitric oxide metabolites, metalloproteinases). However, these studies also have important limitations. Tissues harvested at revision surgery reflect specifically end-stage failure and may not adequately reveal the evolution of pathophysiological events that lead to prosthetic loosening and osteolysis. One possible solution is to examine tissues harvested from stable total hip arthroplasties that have been revised at various time periods due to dislocation or periprosthetic fracture in multicenter studies. (en)
Title
  • Contributions of human tissue analysis to understanding the mechanisms of loosening and osteolysis in total hip replacement
  • Contributions of human tissue analysis to understanding the mechanisms of loosening and osteolysis in total hip replacement (en)
skos:prefLabel
  • Contributions of human tissue analysis to understanding the mechanisms of loosening and osteolysis in total hip replacement
  • Contributions of human tissue analysis to understanding the mechanisms of loosening and osteolysis in total hip replacement (en)
skos:notation
  • RIV/61989592:15110/14:33152920!RIV15-MSM-15110___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
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http://linked.open...iv/cisloPeriodika
  • 6
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 8844
http://linked.open...ai/riv/idVysledku
  • RIV/61989592:15110/14:33152920
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Immunostaining; Tissue analysis; Total hip arthroplasty; Osteolysis; Aseptic loosening (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • NL - Nizozemsko
http://linked.open...ontrolniKodProRIV
  • [D07B0399A0CE]
http://linked.open...i/riv/nazevZdroje
  • Acta Biomaterialia
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 10
http://linked.open...iv/tvurceVysledku
  • Gallo, Jiří
  • Konttinen, Yrjö
  • Goodmen, Stuart
  • Thyssen, Jacob
  • Vaculova, Jana
issn
  • 1742-7061
number of pages
http://localhost/t...ganizacniJednotka
  • 15110
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