[Anatomical and functional factors in the retention of complete prosthesis].
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Implant-retained articular prostheses have commonly had clips or magnets in conjunction with a rigid bar splint. New-generation magnets and associated abutment magnetic caps now provide for free standing magnetic retention that is secure and provides improved abutment access for the patient because the bar is absent.
Precision attachments are commonly used in prosthetic dentistry but are still questioned in maxillofacial prosthetics. The aesthetic enhancement and functional rigidity provided by attachments are favourable features to many challenging clinical situations such as class-III defect (Aramany's maxillectomy classification). Surgical reconstruction is the standard treatment for this type of defect repair. However, owing to the need for dental rehabilitation and patient reserve, prosthetic rehabilitation was the modality chosen in this clinical case. The use of bar attachments is described in this paper as providing increased stability and retention of the prosthesis, and improved obturator water and airtightness.
Follow-ups of 722 removable partial dentures that have been used for an average 5.2 years reveal that the way they were used and the type of balancing as well as the construction of the denture have an influence on the inflammation of the denture-bearing area and the loosening of the abutment teeth. In this investigation it was not possible to demonstrate the influence of daily personal oral hygience.
We compared patient outcome after total knee arthroplasties with two types of low-contact-stress (LCS) cementless implants: a meniscal-bearing implant that retained the posterior cruciate ligament (n = 147), and a rotating-platform implant requiring sacrifice of this ligament (n = 44). The minimum follow-up was 5 years (mean, 68.5 months). Pain was occasional or nonexistent at follow-up in 94.6% of patients with meniscal-bearing implants and 93.2% of patients with rotating-platform implants. The mean total range of motion was 120 degrees for patients with meniscal-bearing implants and 108 degrees for those with rotating-platform implants (P < 0.001). Mean total scores on the New Jersey Orthopaedic Hospital Knee Scale were 93.2 for meniscal bearings and 87.6 for rotating platforms (P < .001). Patellar complications, including two fractures, were seen in 1.0% of cases. Five meniscal-bearing and no rotating-platform implants have been revised. The 7-year overall survival rate was 97.5% for meniscal bearings and 100% for rotating platforms.
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A 75 years old woman suffered from Salmonella enteritidis infected prosthetic knee joint septic arthritis. Maintenance of the prosthesis was achieved by surgical drainage and debridement of the joint followed by 3 weeks of intravenous ceftriaxone and 3 months of oral ciprofloxacin therapy.