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This extensive and well-prepared manual is the work product of
Klaus and Yvette Draenert, who are deeply interested in cemented
total hip arthroplasty and in partic- ular, intensely involved in
related research for the past 25 years. Their damage analysis is
aimed at cement fixation with the purpose to rule out any risk for
the patient. They introduce the theme with a wide review of the
literature on the successes and failures of the various types of
total hip components. Because of the lack of standardization of the
various parameters used in these studies, they do not recommend
anyone spe- cial type, and on the basis of this literature study
they wonder why there is such a se- arch for new types and
(fixation) methods of total hip arthroplasties. Instead of these
long-term follow-up studies, the authors plead to carry out syste-
matic histological research on retrieved human material as was
firstly started and re- T. /. /. H. Slooff commended by the late
Sir John Charnley. Their investigations demonstrate that po-
lymethylmethacrylate behaves biologically as an inert material that
can be integrated into the bone, without a fibrous membrane
interface. This could also be assessed in their animal experiments
when the appropriate biomechanical conditions are pro- vided. To
achieve a connective tissue free bone-cement junction it is
important to pre- vent deformation in the bone structures and
micromotion between the bone-cement interface.
Composed at the end of the editorial process, this provides a general overview of and introduction to the thirty eight volumes of the Discoveries in the Judaean Desert series and includes several indexes to the whole series.
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