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Overview
The musculo-skeletal system undergoes constant micromovement in response to mechanical influences, which in turn effect the healing of fractures, the development of arthritis and osteoporosis, and the body's response to prosthetic implants. At one magnitude, micromovement promotes the healing of fractures, but at a higher magnitude, it inhibits healing. Micromovement of a total joint replacement can lead to bone resorption and subsequent loosening of the prosthesis. To what extent do theory, laboratory measurements of micromovement, and early in vivo measurements relate to each other and to final clinical outcome? What is the role played by physiological feedback in the control of load during the healing of the musculo-skeletal system? Clinicians and engineers together explored the medical implications of micromovement and evaluated methods for its measurement at a meeting held by the Oxford Orthopedic Engineering Centre in April 1992. This book is based on a selection of contributions and the lively debate that followed.
This book contains predominantly color illustrations, with some black-and-white illustrations.
Editorials
From The Critics
Reviewer: Jeremy L. Gilbert, PhD(Syracuse University)Description: The book presents the proceedings of a conference on micromovement in orthopedics and its effects on fracture healing, bone remodeling, and prosthetic implant success.
Purpose: The goal is to present the current thinking from a variety of researchers on the effects of micromovement and its effects on total joint replacements and wound repair mechanisms. Two major points emerged from the conference: (1) There is a need to correlate theory and experiments with the observed clinical outcome, and (2) micromovement effects are to be found in the physiological feedback mechanisms operating when bones are loaded mechanically during healing.
Audience: The audience is those scientists, engineers, and surgeons who are interested in the study of loads and motion on the behavior of long bones both during healing processes as well as in the presence of artificial prostheses.
Features: This book has mostly black-and-white figures of good quality and quantity. It contains many good and recent references to ongoing work in the field. The author has succeeded in bringing together several leaders in the field of micromovement research. This is an excellent synopsis of current research on micromovement effects from cellular effects to testing methods for measurement of movement to the long-term effects of micromovement on total joint success.
Assessment: These proceedings cover a wide range of topics that fall under the scope of micromovement in orthopedics. The text is broken into five major sections: fracture healing, prosthetic joints, measurement techniques, material properties, and cellular remodeling. These effects are significant and important to understand for anyone researching the biomechanics of bones. I would recommend this book to universities with medical schools and biomedical engineering departments as well as to researchers interested in t he current state of the art in micromovement research.
Jeremy L. Gilbert
The book presents the proceedings of a conference on micromovement in orthopedics and its effects on fracture healing, bone remodeling, and prosthetic implant success. "The goal is to present the current thinking from a variety of researchers on the effects of micromovement and its effects on total joint replacements and wound repair mechanisms. Two major points emerged from the conference: (1) There is a need to correlate theory and experiments with the observed clinical outcome, and (2) micromovement effects are to be found in the physiological feedback mechanisms operating when bones are loaded mechanically during healing. "The audience is those scientists, engineers, and surgeons who are interested in the study of loads and motion on the behavior of long bones both during healing processes as well as in the presence of artificial prostheses. "This book has mostly black-and-white figures of good quality and quantity. It contains many good and recent references to ongoing work in the field. The author has succeeded in bringing together several leaders in the field of micromovement research. This is an excellent synopsis of current research on micromovement effects from cellular effects to testing methods for measurement of movement to the long-term effects of micromovement on total joint success. "These proceedings cover a wide range of topics that fall under the scope of micromovement in orthopedics. The text is broken into five major sections: fracture healing, prosthetic joints, measurement techniques, material properties, and cellular remodeling. These effects are significant and important to understand for anyone researching the biomechanics of bones. I would recommend this bookto universities with medical schools and biomedical engineering departments as well as to researchers interested in t he current state of the art in micromovement research.3 Stars from Doody