Radiostereometric Analysis Of The Effect Of A Large Articulation On Prosthetic Wear And Migration After Hip Replacement
Funder
National Health and Medical Research Council
Funding Amount
$192,186.00
Summary
At total hip replacement, there has been a recent trend to use prostheses with a larger ball and liner in the socket. This may decrease the risk of post-operative dislocation, but may also increase the amount of wear, leading to bone loss and loosening of prostheses, which may then require replacement. This project will use a special type of x-ray to determine whether wear and movement of these new prostheses is clinically acceptable, so that they can be used with confidence in patients.
We will seek to address an important clinical problem in orthpaedics, namely the bone loss that commonly occurs around joint replacement prostheses. Termed peri-prosthetic osteolysis (PO), this bone loss can result in the loosening and ultimate failure and need for revision of the artificial joint components. PO is thought to be caused by the body's reaction to wear particles generated from the articulating surface of the prosthesis. However, it has not previously been possible to accurately exp ....We will seek to address an important clinical problem in orthpaedics, namely the bone loss that commonly occurs around joint replacement prostheses. Termed peri-prosthetic osteolysis (PO), this bone loss can result in the loosening and ultimate failure and need for revision of the artificial joint components. PO is thought to be caused by the body's reaction to wear particles generated from the articulating surface of the prosthesis. However, it has not previously been possible to accurately explore the relationship between prothesis wear and PO, or the progression of PO, because of a lack of techniques to image and measure the volume of PO around metal prosthesis components. We have developed a means to accurately and reproducibly measure the volume of bone loss, using CT, and will do so longitudinally in joint replacement patients to obtain the first information about the progression of PO. New computer based methods will be used concurrently to relate prosthesis wear and migration parameters to PO. Patients who come to surgery for replacement of failed prostheses will be investigated further by analysis of the tissues involved in the bone loss around prostheses. Basic science experiments will seek to understand the underlying causes of PO and the findings will be important in interpreting the clinical results. An animal model will be used to seek approaches to inhibiting the pathological response to wear particles. The significance of these studies is that they will lead to improved outcomes for joint replacement patients, increasing the interval to revision surgery, which is both extremely costly and brings an attendant morbidity and mortality.Read moreRead less
Tooth wear is a significant clinical problem for both older people who have kept their natural teeth and for some younger individuals. The main causes of tooth wear are attrition (resulting from tooth to tooth contact), abrasion (from dietary and environmental abrasives) and erosion (caused by acidic food and drinks or from regurgitation of acid). At present our understanding of the relative significance of these types of wear and the exact conditions under which excessive wear occurs is limited ....Tooth wear is a significant clinical problem for both older people who have kept their natural teeth and for some younger individuals. The main causes of tooth wear are attrition (resulting from tooth to tooth contact), abrasion (from dietary and environmental abrasives) and erosion (caused by acidic food and drinks or from regurgitation of acid). At present our understanding of the relative significance of these types of wear and the exact conditions under which excessive wear occurs is limited. Furthermore our understanding of the wear characteristics of many commonly used dental materials is limited. The proposed study will provide important new information about: the interaction between applied bite forces and acids in the oral environment as determinants of the rate of tooth wear; the potential for wear prevention using mouth rinses and gels; the wear characteristics of dental materials commonly used to restore teeth.Read moreRead less
Case-control Study To Promote Oral Health In Asthmatic Children:Natural Dietary Strategies To Conserve Teeth Erosion
Funder
National Health and Medical Research Council
Funding Amount
$112,500.00
Summary
Asthmatic children are at risk of dental corrosion, from medications that shut off saliva. Saliva protects teeth from acids in soft drinks and stomach-acid reflux. Dentist, William George Young and Nutritionist, Peter Davies, at the University of Queensland study children’s teeth, diet and lifestyles for the best natural methods to promote oral health. They will counsel parents and children on diets that conserve the teeth from dental erosion and decay by salivary stimulation. Patients need to s ....Asthmatic children are at risk of dental corrosion, from medications that shut off saliva. Saliva protects teeth from acids in soft drinks and stomach-acid reflux. Dentist, William George Young and Nutritionist, Peter Davies, at the University of Queensland study children’s teeth, diet and lifestyles for the best natural methods to promote oral health. They will counsel parents and children on diets that conserve the teeth from dental erosion and decay by salivary stimulation. Patients need to self-manage their asthma and diets to avoid negative outcomes and costs in acute medical and dental therapy for these two chronic conditions.Read moreRead less