The availability of inert materials like dense, pure Al-2O3-ceramic or titanium allows the study of purely biomechanical influences of surface modulations or lacune on the osseo-integration of implants at different locations of the skeleton. The discovery of the «load-line-shadow» phenomenon in lacune of dental implants and the observation of the same effect in the grooves of hip sockets (Lindenhof type) indicate the general validity of the rules controlling the remodelling ability of bony tissue. Their application to the problems concerned with load transmission via surfaces which are mainly loaded by shear can contribute to achieve a well defined anchorage of implants.
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GrissP., KrempienB., Andrian-WerburgH.v., HeimkeG., FleinerR., and DiehmTh.: Experimental analysis of ceramic tissue interactions: a morphologic, fluorescense-optic, and radiographic study on dense alumina oxide ceramic in various animals.J. Biomed. Mater., Res. Symposium, 5, 39–48, 1974.
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GrissP., SilberR., MerkleB., and HaehnerK.: Biomechanically induced tissue reactions after AI2O3-ceramic hip joint replacement: experimental and early clinical results.J. Biomed. Mater. Res. Symposium, 7, 519–528, 1976.
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GrissP., HeimkeG., Andrian-WerburgH.v., KrempienB., ReipaS., LauterbachH.J., and HartungH.J.: Morphological and bio mechanical aspects of AI2O3 ceramic joint replacement: experimental results and design considerations for human endoprostheses.J. Biomed. Mater. Res. Symposium, 6, 177–188, 1975.
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GrissP., and HeimkeG.: Five Years Experience with Ceramic-Metal-Composite Hip Endoprostheses — I.Clinical Evaluation. Archiv. Orthop. Traumat. Surg.98, 157–164, 1981.
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StockD., DiezemannE.D., and GottsteinJ.: Results of Endoprosthetic Hip Joint Replacement with the Aluminum Ceramic-Metal Composite Prosthesis -Lindenhof-.Arch. Orthop. Traumat. Surg.97, 7–12, 1980.
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JentschuraG.: 4jährige klinische Erfahrung mit teilweise zementfrei implantierten Keramik-Endoprothesen.Z. Orthop.117, 482–484, 1979.
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HulbertS.F., MorrisonS.J., and KlawitterJ.J.: Tissue reaction to three ceramics of porous and nonporous structures.J. Biomed. Mater. Res.6, 347–374, 1972.
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SauerB.W., LadeR.B., and MercerH.A.: Fixation of canine femoral head prostheses using porous high density polyethylene coatings, 1st World Biomaterials Congress, Baden, Austria, Paper 4.9.5 (1970) (to be publisher 1982).
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DucheyneP., De MeesterP., and AernoudtE.: Isostatically compacted metal fibre coatings for bone ingrowth.Powder Metal, International, 11, 115–119, 1979.
22.
BüsingC.M., SchulteW., d'HoedtB., and HeimkeG.: Histological Results with Biomechanically Shaped Implants with Al2O3-Ceramic. in HeimkeG. (Ed.) Dental Implants21–26, 1980.
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BüsingC.M., HeimkeG., SchulteW., and LinnW.: Gibt es ein Lastlinienschatten-Phänomen? Biomechanische Aspekte bei Zahnimplantaten aus AI2O3-Keramik.Pathologe1, 61, 1979.
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SchulteW., BüsingC.M., d'HoedtB., and HeimkeG.: Enosseous Implants of Aluminum Oxide Ceramics —A 5-years’ Study in Humans —.Proceedings of International Congress of Implantology and Biomaterials in Stomatology, Kyoto, 157–167, 1980.
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CharnleyJ.: A biomechanical analysis of the use of cement to anchor the femoral head prosthesis.J. Bone and Joint Surg.47, 354–363, 1965.
26.
HeimkeG., GrissP., and JentschuraG.: Verbesserter Gelenkersatz mit Aluminiumoxid-Keramik, Ber.Dt. Keram. Ges.53, 10, 1976.
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HeimkeG., GrissP., JentschuraG., and WernerE.: Die Aussagefähigkeit histologischer Befunde zur Beurteilung von Knochenersatzwerkstoffen.Arch. Orthop Traumat. Surg.91, 267–276, 1978.
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GrissP., HeimkeG., and SawaiK.: Morphologische Antwort auf mechanische Reize an den Grenzflächen von Prothesen (Beobachtungen im Tierexperiment. In JägerM., HackenbrochM.H., RefiorH.J.Grenzschichtprobleme der Verankerung von Implantaten unter besonderer Berücksichtigung von Endoprothesen.Georg Thieme Verlag Stuttgart.New York, 43–47, 1980.
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HeimkeG., and StockD.: Rules Controlling the Reactions of Bony Tissue along Inert Implants, Paper presented at the 2nd European Biomaterials Meeting Göteborg, 27–29 Aug. 1981, to be published in «Advances in Biomaterials» Vol. 4, 1982.
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