@article{oai:niigata-u.repo.nii.ac.jp:00023342, author = {村澤, 章}, issue = {9}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Sep}, note = {The purpose of this paper is to assess the results of total replacement of 28 rheumatoid elbows, 13 ankles and 62 knees with ceramic cementless prostheses, with particular reference to the adhesiveness of ceramic components to the bone. Follow up period ranged from 2 years two months to six years four months, four years one month as average. Clinical score as to pain, ADL and ROM markably improved postoperatively. Clear zone in X-ray between the ceramic component and bone appeared about two to three months after the operation and reduced its width within six to 12 months. The designs of components, especially with embracing contact and block contact types and malaligned setting were regarded as important factors to cause loosening, probably as the result of micromovement of components. Based on these observations, it was concluded that various types of ceramic total joints could be used in RA joints and that firm initial fixation of ceramic component to bone is essential for prevention of loosening.}, pages = {559--585}, title = {慢性関節リウマチに対するセラミック・セメントレス人工関節の臨床成績とコンポーネントの固着性についての検討}, volume = {102}, year = {1988} }