This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Clark, C. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Clark, C. R.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
The Journal of Bone and Joint Surgery 82:455 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

Editorial

Editorial. A Potential Concern in Total Joint Arthroplasty: Systemic Dissemination of Wear Debris

Charles R. Clark, M.D., Deputy Editor for Adult Reconstruction

This issue of The Journal contains an important article by Urban et al., which discusses the dissemination of wear particles to the liver, spleen, and abdominal lymph nodes of patients who have had a total hip or knee replacement and focuses on the systemic effects rather than the local effects of a total joint arthroplasty12.

In a 1993 issue of The Journal, an editorial that I coauthored proclaimed that the problem in total joint arthroplasty was aseptic loosening5. Indeed, osteolysis and aseptic loosening are the most frequently recognized complications of total joint arthroplasty13. Much is known about the mechanical production of wear debris stimulating a biological response leading to osteolysis and, in many cases, to loosening of the implant.

In situ degradation of implants commonly occurs. The most prevalent form of such degradation is wear, but there also can be corrosion of the metallic components of the . . . [Full Text of this Article]


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 JBJSHome page
P. Campbell, R. M. Urban, I. Catelas, A. K. Skipor, and T. P. Schmalzried
Autopsy Analysis Thirty Years After Metal-on-Metal Total Hip Replacement. A Case Report
J. Bone Joint Surg. Am., November 1, 2003; 85(11): 2218 - 2222.
[Full Text] [PDF]

Home page
 JBJSHome page
C. Heisel, M. Silva, and T. P. Schmalzried
Bearing Surface Options for Total Hip Replacement in Young Patients
J. Bone Joint Surg. Am., July 3, 2003; 85(7): 1366 - 1379.
[Full Text] [PDF]