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The proposed design will customize both the articulating surface and the bone-implant interface to address the most common problems found with conventional knee-implant components.
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Confocal Raman analyses confirmed that the phase fractions in both products rapidly change along the subsurface depths within the first 35 μm from the articulating surface, but subsequently show the nearly constant and homogeneous trends.
a STIR sequence illustrating cystic lesion at the articulating surface of L4 spinous process (white arrow).
Microscopic evaluation indicated trabecular bone interfacing with hyaline cartilage on the articulating surface.
Control implants (ceramic only) had fibrous tissue on the articulating surface after implantation for 3 4 months.
It is hypothesized that increased polyethylene wear occurs in glenospheres with holes in the articulating surface.
This was due to the formation of CaP tribofilm on the articulating surface.
Then, osteotomy of the ulna was performed and the articulating surface of the ulna redirected towards the radial notch.
The assembly was aligned with the articulating surface of the device and connected using numerous posts (Fig. 3c & d).
The defect size should not exceed 15 to 20%% of the articulating surface or 50 60 % of the condylar width.
Edge loading caused elevated contact pressure at the articulating surface and substantially increased equivalent plastic strain of the polyethylene liner.
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