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Research ArticleFull Length Article
Open Access

Biomechanical Behavior of a New Nucleus Prosthesis Made of Knitted Titanium Filaments

Annette Kettler, Hans-Peter Kaps, Bodo Haegele and Hans-Joachim Wilke
International Journal of Spine Surgery January 2007, 1 (4) 125-130; DOI: https://doi.org/10.1016/SASJ-2007-0106-RR
Annette Kettler
1The Institute for Orthopaedic Research and Biomechanics, University of Ulm, Germany
MD
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Hans-Peter Kaps
2The Department of Orthopaedics, BG Trauma-Centre, Tuebingen, Germany
PhD
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Bodo Haegele
1The Institute for Orthopaedic Research and Biomechanics, University of Ulm, Germany
MD
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Hans-Joachim Wilke
1The Institute for Orthopaedic Research and Biomechanics, University of Ulm, Germany
PhD
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Article Figures & Data

Figures

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  • Figure 1
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    Figure 1

    New nucleus prosthesis made of knitted titanium filaments.

  • Figure 2
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    Figure 2

    (a) The new nucleus prosthesis was implanted after anterior fenestration of the annulus fibrosus. (b) Two lateral annulus flaps were created and sutured after implantation.

  • Figure 3
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    Figure 3

    Range of motion in flexion and extension in the intact condition, after implantation, and during and after cyclic loading. The border between the light and dark parts of each bar represents the median lordotic tilt caused by implantation and cyclic loading. Median with range is shown.

    * P < 0.05 compared to the intact condition.

  • Figure 4
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    Figure 4

    Range of motion in flexion and extension in the intact condition, after implantation, and during and after cyclic loading. The border between the light and dark parts of each bar represents the median lordotic tilt caused by implantation and cyclic loading. Median with range is shown.

    * P < 0.05 compared to the intact condition.

  • Figure 5
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    Figure 5

    Range of motion in axial rotation in axial rotation in the intact condition, after implantation, and during and after cyclic loading. Median with range is shown.

    * P < 0.05 compared to the intact condition.

  • Figure 6
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    Figure 6

    (a)Lateral radiograph of one of the six specimens directly after implantation. (b)After complex cyclic loading the position of the prosthesis is almost the same as before, yet a slight migration in anterior direction is observable.

Tables

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    Table 1

    Axial Deformation Under an Axial Load Increasing From 100 to 1000 N

    Axial deformation, mmMedianMinimumMaximum
    Intact-0.4-0.5-0.2
    After implantation-0.4-0.4-0.3
    After 20,000 cycles-0.3-0.4-0.3
    After 40,000 cycles-0.3-0.4-0.3
    After 60,000 cycles-0.3-0.4-0.3
    After 100,000 cycles-0.3-0.4-0.3
    • View popup
    Table 2

    Height Change of the Specimens Due to Implantation and Cyclic Loading

    Height change, mmMedianMinimumMaximum
    Intact000
    After implantation01.2-0.3
    After 20,000 cycles-0.51.3-1.3
    After 40,000 cycles-0.61-1.4
    After 60,000 cycles-0.61.1-1.4
    After 100,000 cycles-0.70.9-1.5
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International Journal of Spine Surgery
Vol. 1, Issue 4
1 Jan 2007
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Biomechanical Behavior of a New Nucleus Prosthesis Made of Knitted Titanium Filaments
Annette Kettler, Hans-Peter Kaps, Bodo Haegele, Hans-Joachim Wilke
International Journal of Spine Surgery Jan 2007, 1 (4) 125-130; DOI: 10.1016/SASJ-2007-0106-RR

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Biomechanical Behavior of a New Nucleus Prosthesis Made of Knitted Titanium Filaments
Annette Kettler, Hans-Peter Kaps, Bodo Haegele, Hans-Joachim Wilke
International Journal of Spine Surgery Jan 2007, 1 (4) 125-130; DOI: 10.1016/SASJ-2007-0106-RR
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Keywords

  • lumbar spine
  • Intervertebral disc
  • nucleus prosthesis
  • titanium
  • Biomechanics

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