Failures in hip implants

Bone fracture, undoubtedly, is one of the main problems associated with the increase in the population's life expectancy. Mainly, femoral fractures, which require surgical treatment in order to reduce the fracture by osteosynthesis. In case of severe impairment on the proximal epiphysis femoral...

ver descrição completa

Detalhes bibliográficos
Autores: Dias, Debora Francielle, Gonçalves, Sebastião Jorge da Cunha
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Brasil
Recursos:Universidade Federal de Itajubá (UNIFEI)
Repositorio:Research, Society and Development
Idioma:portugués
OAI Identifier:oai:ojs.pkp.sfu.ca:article/19668
Acesso em linha:https://rsdjournal.org/index.php/rsd/article/view/19668
Access Level:acceso abierto
Palavra-chave:Osteosynthesis
Hip arthroplasty
Surgeries
Femoral fractures
Hip.
Osteosíntesis
Artroplastia de cadera
Cirugías
Fracturas femorales
Cadera.
Osteossíntese
Artroplastia de quadril
Cirurgias
Fraturas femorais
Quadril.
Descrição
Resumo:Bone fracture, undoubtedly, is one of the main problems associated with the increase in the population's life expectancy. Mainly, femoral fractures, which require surgical treatment in order to reduce the fracture by osteosynthesis. In case of severe impairment on the proximal epiphysis femoral, complete joint replacement by a total hip implant is recommended. Hip arthroplasty is a procedure widely applied in medicine; however, several implant failures have been reported. This study aimed to present, through a literature review, the main causes that lead total hip implants to failure in use and to elucidate corrective measures to avoid such failures. The leading causes of implant failures identified were: fatigue, loosening, metallosis, in addition to disability and disease related to the patient's profile. In conclusion, a multidisciplinary team shall design osteosynthesis devices. This team needs knowledge and expertise in medical science, engineering design, and material selection. The main purpose is to achieve optimized design parameters to reduce the risk of failure and prevent accidents, therefore avoiding resubmitting the individual to a new surgical correction procedure.