• Objectives To examine mortality and revision rates among patients with osteoarthritis undergoing hip arthroplasty and to compare these rates between patients undergoing cemented or uncemented procedures and to compare outcomes between men undergoing stemmed total hip replacements and Birmingham hip resurfacing. (bmj.com)
  • Hip resurfacing is an alternative form of hip arthroplasty that conserves proximal femoral bone. (medscape.com)
  • Bone cement is a type of biomaterial that is used within human bodies to repair fractures, support joint arthroplasty, and fill in gaps between implant prosthesis and the bone. (expertmarketresearch.com)
  • Our eMail-newsletter "Heraeus Medical Update" alerts you to product launches and newest information, webinars, tutorials, and focus topics related to cemented arthroplasty, infection management, interviews with experts from science and practice and more. (heraeus-medical.com)
  • Computer-assisted navigation in orthopedic procedures describes the use of computer-enabled tracking systems to facilitate alignment in a variety of surgical procedures, including fixation of fractures, ligament reconstruction, osteotomy, tumor resection, preparation of the bone for joint arthroplasty, and verification of the intended implant placement. (arkansasbluecross.com)
  • 5] It was Dr. Charles Neer, however, who is credited with pioneering modern shoulder arthroplasty. (medscape.com)
  • Patients with adequate glenoid bone stock and an intact rotator cuff usually benefit from total shoulder arthroplasty when compared to hemiarthroplasty. (medscape.com)
  • The set time can be tailored to help the physician safely apply the bone cement into the bone bed to either anchor metal or plastic prosthetic device to bone or used alone in the spine to treat osteoporotic compression fractures. (wikipedia.org)
  • The Asia Pacific bone cement market growth is being propelled by the increasing prevalence of injuries, fractures, and dislocations, caused by the physically demanding jobs and hectic lifestyles led by the working population. (expertmarketresearch.com)
  • Polymethyl methacrylate bone cement plays a major role in providing relief to the patients suffering from trauma and orthopaedic fractures. (expertmarketresearch.com)
  • Meanwhile, the increasing prevalence of compression fractures in the region is expected to bolster the application of bone cement in vertebroplasty in the coming years. (expertmarketresearch.com)
  • The medical cement reinforces the vertebrae and helps to prevent further vertebral fractures. (roadlesstraveledstore.com)
  • The WHiTE5 trial, a multicenter, randomized, controlled trial, has provided valuable insights into the use of bone cement in hip fractures treated with hemiarthroplasty. (visualmed.org)
  • The trial aimed to compare the health-related quality of life and outcomes of patients undergoing cemented versus uncemented hemiarthroplasty for intracapsular hip fractures in individuals aged 60 years or older. (visualmed.org)
  • The incidence of periprosthetic fractures was 0.5% in the cemented group and 2.1% in the uncemented group, with an odds ratio of 4.37 (95% CI, 1.19 to 24.00), indicating a significantly lower risk of periprosthetic fractures in the cemented group. (visualmed.org)
  • In conclusion, the WHiTE5 trial has provided important evidence regarding the use of bone cement in hemiarthroplasty for intracapsular hip fractures. (visualmed.org)
  • Additionally, the use of cemented hemiarthroplasty was associated with a lower risk of periprosthetic fractures. (visualmed.org)
  • Azegami S, Gurusamy KS, Parker MJ (2011) Cemented versus uncemented hemiarthroplasty for hip fractures: a systematic review of randomised controlled trials. (springer.com)
  • Secondary fractures at the site of the implant were more common in the uncemented than cemented group. (nihr.ac.uk)
  • However, traction was the standard method of treating thigh bone fractures until the late 1970s when the Harborview Medical Center in Seattle group popularized intramedullary fixation without opening up the fracture. (certification-reviewer.com)
  • OBJECTIVE: Percutaneous sacroplasty is a minimally invasive procedure which utilises injection of bone cement into the sacrum for stabilisation of osteoporotic sacral insufficiency fractures (SIF) and neoplastic lesions to relieve pain and improve function. (bvsalud.org)
  • Conventional hip replacement has the potential risks of postoperative dislocation, bone loss extending to the metaphyseal and diaphyseal femur, and gross migration of the femoral component. (medscape.com)
  • Kaplan-Meier survival analysis predicted 100 % survival at 5 years when a radiolucent line at the bone-cement interface of the femur was used as the endpoint, 98.8 % when re-operation was required for any reason. (researchgate.net)
  • Matched comparison of 200 Triathlon Tritanium Baseplates with PS PA beaded femur vs. 200 Triathlon PS cemented TKAs showed similar functional and survivorship outcomes between two cohorts with 99.95% aseptic survivorship for Triathlon Tritanium baseplate at mean 2.4 year follow-up. (stryker.com)
  • The knee features a complex synovial joint (the term "synovial" refers to the membrane and synovial fluid that coat and lubricate movable joints, enabling smooth and frictionless movement) among three main bones: the femur, tibia, and patella. (vannistrigelli.com)
  • Modern implants for proximal femur fracture treatment have clearly improved clinical results. (openorthopaedicsjournal.com)
  • Essentially the operation involves shaving off the ends of the bones: the femur (thigh bone), the tibia (shin bone) and the patella (knee cap). (nras.org.uk)
  • The different systems, however, are simply categorised by their mode of fixation as cemented or uncemented implants. (bmj.com)
  • The short-term failure of hip resurfacing from the 1960s through the 1980s was due to aseptic loosening, which was caused by poor internal fixation, generation of large volumes of biologically active particulate debris (leading to bone loss), technical errors in device implantation, and problems with design and manufacturing. (medscape.com)
  • 3-5 When biologic fixation is achieved, cementless TKA has the potential for a more durable bone-implant interface that can better withstand the added mechanical stress in obese patients. (stryker.com)
  • The newer uncemented implants have been designed to provide better integration with the bone and are claimed to provide reliable fixation and an early return to normal activities, without the risks of bone cement. (nihr.ac.uk)
  • The implants are usually anchored to the bone by acrylic cement, although some surgeons favour other methods of fixation, such as screws. (nras.org.uk)
  • The most significant advances have been related to our improved understanding of bearing materials, bone fixation, joint stability and implant design. (orthopediccenter.net)
  • In the 1970's the introduction of cementless hip implants led the second wave of meaningful innovation by allowing the biologic fixation of hip implants to bone. (orthopediccenter.net)
  • Nagel K, Bishop NE, Schlegel UJ, Püschel K, Morlock MM. The Influence of Cement Morphology Parameters on the Strength of the Cement-Bone Interface in Tibial Tray Fixation. (haw-hamburg.de)
  • Traditionally, the use of bone cement in hemiarthroplasty has been a topic of debate, with limited data available on the long-term quality of life outcomes. (visualmed.org)
  • In this study, 610 patients were assigned to undergo cemented hemiarthroplasty, while 615 patients were assigned to undergo modern uncemented hemiarthroplasty. (visualmed.org)
  • This indicates that patients undergoing cemented hemiarthroplasty had a modestly better quality of life compared to those undergoing uncemented hemiarthroplasty. (visualmed.org)
  • Among patients aged 60 years or older, cemented hemiarthroplasty was associated with a modest but significant improvement in health-related quality of life compared to uncemented hemiarthroplasty. (visualmed.org)
  • The White 5 trial, a randomised controlled trial across multiple hospitals in the UK, recruited people over the age of 60 with a hip fracture requiring hemiarthroplasty: 610 patients were recruited to receive the cemented treatment, and 615 to the modern uncemented treatment. (nihr.ac.uk)
  • Overall, we would recommend clinicians use cemented implants for patients having a hemiarthroplasty for their hip fracture. (nihr.ac.uk)
  • Shoulder hemiarthroplasty is a shoulder replacement in which the broken humeral head is replaced with an artificial joint and the fractured bone is reconstructed around the artificial joint. (medscape.com)
  • Hip and knee registers for artificial joint replacements such as those in Sweden and Norway clearly demonstrate the advantages of cemented-in anchorage. (wikipedia.org)
  • Both uncemented total hip replacements and Birmingham hip resurfacings had a higher revision rate than cemented total hip replacements. (bmj.com)
  • Compared with uncemented and cemented total hip replacements, Birmingham hip resurfacing has a significantly lower risk of death in men of all ages. (bmj.com)
  • Our investigations additionally consider mortality rates and suggest a potentially higher mortality rate with cemented total hip replacements, which merits further investigation. (bmj.com)
  • Multiple different materials throughout history have been tested as replacements for bone. (medscape.com)
  • He also undertakes routine primary hip replacements using traditional and modern implants and bearing surfaces. (bupa.co.uk)
  • A study by Oxford orthopaedic researchers has found that hip replacements using cement improved the quality of life of patients, compared to uncemented implants. (nihr.ac.uk)
  • The modern designs are really resurfacing replacements, in which relatively small quantities of bone are removed which lead to less in the way of problems if the operation fails. (nras.org.uk)
  • He has also published extensively in Orthopedics and related fields and serves as a reviewer of manuscripts for many journals including Clinical Orthopaedics and Related Research and the Journal of Bone and Joint Surgery. (uth.edu)
  • Journal of Bone and Joint Surgery. (zimmerbiomet.com)
  • Dr. Noble's diverse research interests include the biomechanics of human and artificial joints, the morphometry of human bones, computer-assisted orthopedics and robotic surgery, orthopedic biomaterials, and the quantitative assessment of clinical outcomes. (uth.edu)
  • Heraeus Medical is a leader in the field of bone cements and biomaterials for surgical orthopaedics and trauma surgery. (heraeus-medical.com)
  • 1. INTRODUCTION Ceramic biomaterials are very interesting materials used for bone substitutes in many fields like orthopaedic, dental and plastic surgeries mainly due to their biocompatibility. (sagepub.com)
  • Unfortunately, weak mechanical properties and the lack of resorbability in case of HAp limit their use in modern medicine as individual biomaterials [2,3,6,11,12]. (sagepub.com)
  • The increasing prevalence of orthopaedic conditions, induced by the growing geriatric population, is further boosting the demand for bone cement. (expertmarketresearch.com)
  • First described by sir Astley cooper in the year 1818, giant cell tumour of bone or osteoclastoma is the commonest benign bone tumour encountered by an orthopaedic surgeon. (jocr.co.in)
  • The bone cement fills the free space between the prosthesis and the bone and plays the important role of an elastic zone. (wikipedia.org)
  • This low polymerization temperature is determined by the relatively thin cement coating, which should not exceed 5 mm, and the temperature dissipation via the large prosthesis surface and the flow of blood. (wikipedia.org)
  • Options offered by modern humeral prosthesis include varying sizes of head length and diameter to match patient anatomy and facilitate soft tissue balancing, varying stem lengths, smooth or coated stems, and cemented or cementless humeral component stems. (medscape.com)
  • 6 In a retrospective study with 193 patients with a minimum of five-year follow-up, morbidly obese (BMI ≥40) patients receiving cementless primary Triathlon TKA with a PS design demonstrated improved survivorship compared to those who received a cemented Triathlon TKA. (stryker.com)
  • Cementless TKA allows the potential to reduce operating room time 8,9 and save expenses without the use of bone cement and cement accessories. (stryker.com)
  • 10 A healthcare economic study in the U.S. concluded that the actual overall cost of cementless TKA could be offset by shortened operating room time and the lack of need for cement and cementing accessories. (stryker.com)
  • 7 The 2019 National Joint Registry Report in the U.K. supports the long-term outcome of cementless femoral components, 11 and the AAOS evidence-based clinical practice guideline found strong evidence suggesting similar functional outcomes between cemented and cementless tibial baseplates. (stryker.com)
  • 12 Triathlon Tritanium cementless TKA demonstrated excellent clinical outcomes in multiple studies with five-year follow-up 12,14 and achieved similar functional outcomes as well as pain reduction compared to cemented Triathlon TKA in multiple short- to midterm studies. (stryker.com)
  • Increased Survivorship of Cementless versus Cemented TKA in the Morbidly Obese. (stryker.com)
  • This study aims to compare the incidence and patterns of the cement leakages following sacroplasty for SIF versus neoplasia and discuss the various patterns of cement leakage and their implications. (bvsalud.org)
  • Artificial joints (referred to as prostheses) are anchored with bone cement. (wikipedia.org)
  • The excellent tissue compatibility of PMMA allowed bone cements to be used for anchorage of head prostheses in the 1950s. (wikipedia.org)
  • Bone cement is considered a reliable anchorage material with its ease of use in clinical practice and particularly because of its proven long survival rate with cemented-in prostheses. (wikipedia.org)
  • Also, initially, the prostheses were relatively large, and a significant amount of bone had to be removed for their insertion. (nras.org.uk)
  • New implants have been designed without cement, so we set up the White 5 trial to compare any difference between the treatments and the effect on patient outcomes. (nihr.ac.uk)
  • Challenges are osteoporotic bone, bone vascularity, muscle-attachments, maintaining fracture reduction and slow fracture healing in the often-elderly population and, although reduced in recent years, still 5-20 % of patients need a reoperation, mainly depending on fracture type and choice of surgery. (springer.com)
  • In multivariable analyses restricted to men, there was a higher mortality rate in the cemented group and the uncemented group compared with the Birmingham hip resurfacing group. (bmj.com)
  • Additionally, the trial evaluated mortality rates at 12 months, which were 23.9% in the cemented group and 27.8% in the uncemented group. (visualmed.org)
  • The odds ratio for death was 0.80 (95% CI, 0.62 to 1.05), indicating a slightly lower mortality risk in the cemented group, although the difference was not statistically significant. (visualmed.org)
  • During the procedure, the specialist attaches the prosthetic components to the knee bones, using a combination of surgical cement or bone anchors. (vannistrigelli.com)
  • It is characterised radiographically as a lytic lesion occurring in the ends of bones and has well known propensity for local recurrence after surgical management. (jocr.co.in)
  • Therefore, treatment consists of surgical removal and use of a bone graft (transplantation of bone tissue from one bone to another) to fill in the defect. (msdmanuals.com)
  • The study found that patients having the cemented treatment showed a statistically significant improvement in quality of life at one month and four months after the procedure, although there was less difference after 12 months. (nihr.ac.uk)
  • LASSO regression analysis indicated that cement leakage, poor cement diffusion, and endplate fracture were independent predictors of NVCF. (bvsalud.org)
  • No cement leakage into the joint occurred in any of the cases. (openorthopaedicsjournal.com)
  • While effective, cement leakage is an important complication associated with the procedure. (bvsalud.org)
  • Pre- and post-procedural CT fluoroscopy was used to assess for cement leakage. (bvsalud.org)
  • The incidence and patterns of cement leakage were both compared among the two groups. (bvsalud.org)
  • RESULTS: Eleven (19%) patients had cement leakage on post-procedural imaging. (bvsalud.org)
  • The most common sites of cement leakage were into the presacral region (6), followed by sacroiliac joints (4), sacral foramina (3) and posterior sacral (1). (bvsalud.org)
  • Bone cements have been used very successfully to anchor artificial joints (hip joints, knee joints, shoulder and elbow joints) for more than half a century. (wikipedia.org)
  • Articular cartilage, present on the surface of knee bones, provides a smooth and cushioning interface that reduces friction during movement. (vannistrigelli.com)
  • Avascular necrosis, a condition where a portion of the knee bone loses its blood supply and deteriorates. (vannistrigelli.com)
  • However, the majority of severe knee deformities can be corrected successfully using modern techniques and implants. (nras.org.uk)
  • When cutting the ends of the bone, it is likely that any deformity will be corrected to ensure satisfactory alignment of the knee joint. (nras.org.uk)
  • Bone cements consist of a powder (i.e., pre-polymerized PMMA and or PMMA or MMA co-polymer beads and or amorphous powder, radio-opacifier, initiator) and a liquid (MMA monomer, stabilizer, inhibitor). (wikipedia.org)
  • Note 1: In situ self-curing can be the source of released reagents that can cause local and/or systemic toxicity as in the case of the monomer released from methacrylics-based bone cement used in orthopedic surgery. (wikipedia.org)
  • A novel biodegradable, non-exothermic, self-setting orthopedic cement composition based on amorphous magnesium phosphate (AMP) was developed. (wikipedia.org)
  • The Division of Orthopedic Oncology at Mayo Clinic offers highly specialized care for people of all ages (infants to adults) with benign (noncancerous) and malignant (cancerous) bone and soft tissue tumors at Mayo Clinic. (mayoclinic.org)
  • Modern orthopedic surgery and musculoskeletal research has sought to make surgery less invasive and to make implanted components better and more durable. (certification-reviewer.com)
  • What is referred to as bone cement implantation syndrome (BCIS) is described in the literature. (wikipedia.org)
  • Influence of trabecular bone quality and implantation direction on press-fit mechanics. (haw-hamburg.de)
  • Computer-assisted navigation systems direct the positioning of the cutting blocks and placement of the prosthetic implants based on the digitized surface points and model of the bones in space. (arkansasbluecross.com)
  • For a long time it was believed that the incompletely converted monomer released from bone cement was the cause of circulation reactions and embolism. (wikipedia.org)
  • Results As there were large baseline differences in the characteristics of patients receiving cemented, uncemented, or resurfacing procedures, unadjusted comparisons are inappropriate. (bmj.com)
  • Suitable candidates for resurfacing are patients younger than 60 years with good bone stock and a diagnosis of OA. (medscape.com)
  • This study revealed that excellent short-term results were achieved by fixing the Exeter stem with modern cementing techniques for primary THA in Japanese patients. (researchgate.net)
  • Consistent innovations and developments for bone cement with greater durability and strength are expected to bolster the comfort of patients leading to a higher demand for the product. (expertmarketresearch.com)
  • Mayo Clinic evaluates one of the largest numbers of patients with bone and soft tissue tumors nationally or internationally, including some of the rarest tumors. (mayoclinic.org)
  • When you come to Mayo Clinic for your bone or soft tissue tumor evaluation, many other specialties collaborate as needed to assess your overall health, review imaging studies, and provide the best possible pain control and anesthesia techniques when surgery is needed. (mayoclinic.org)
  • Giant cell tumour is the commonest benign bone tumour arising at the epiphyseometaphyseal regions of long bones. (jocr.co.in)
  • Noncancerous bone tumors are benign, which means they are not cancer and in general never or rarely spread to other areas of the body. (msdmanuals.com)
  • Benign tumors may be painless, but often they cause bone pain. (msdmanuals.com)
  • Bone tumors may be cancerous (malignant) or noncancerous (benign). (msdmanuals.com)
  • Primary bone tumors may be noncancerous (benign) or cancerous (malignant). (msdmanuals.com)
  • At the top of the sequence, rising above the water level, is a layer of brown silt and clay that also contains bones that vary in their degree of mineralization. (ufl.edu)
  • At the base of the sequence is a soft, reddish orange clay that contains late Pleistocene fossils without any modern contamination. (ufl.edu)
  • Therefore, spinal surgery can involve operations on the bones, intervertebral discs, soft tissues or nerves. (roadlesstraveledstore.com)
  • Laminectomy means cutting out part of the bone in spine in order to release the spinal canal. (roadlesstraveledstore.com)
  • Heraeus Medical focuses on products for use in bone and joint surgery, spinal surgery as well as modern cementing technique. (heraeus-medical.com)
  • The most common method to fix the implant in place has been to use cement bonded to the patient's bone but this isn't without its risks during surgery. (nihr.ac.uk)
  • Adjacent teeth do not have to be ground down for a bridge that risks future decay if the cement washes out. (shpritzdental.com)
  • The objective is to improve mechanical interlock and establish durable interfaces, both between implant-cement and cement-bone. (zimmerbiomet.com)
  • The combined laundry, mudroom and boy's bath feature an extremely durable watery blue cement tile and more custom oak built-in pieces. (houzz.com)
  • They are usually located off to one side near the ends of the bones in the extremities (the limbs). (msdmanuals.com)
  • A nicely curated array of charcuterie and antipasti precedes an impressive main course lineup, which includes a succulent beef and bone marrow pie, a tomahawk pork chop dusted with fennel pollen, and the pièce de résistance: a 50-ounce, dry-aged Black Angus porterhouse that'll set you back a cool $220. (tastingtable.com)
  • These tumors develop in the central part of a bone (the marrow cavity) in long bones. (msdmanuals.com)
  • He believes the tooth was drilled and the cavity filled with a kind of dental cement that was used by Indonesian dentists in the 1930s. (scientificamerican.com)
  • More recently, a surface-matching technique can be used in which the shapes of the bone surface model generated from preoperative images are matched to surface data points collected during surgery. (arkansasbluecross.com)
  • The challenge with fixing implants to the bone is that they can loosen if not bonded securely to the patient's thighbone, causing pain and restricting day-to-day activities. (nihr.ac.uk)
  • Originally released in 2002, God Loves Ugly helped to cement Atmosphere's foothold in the independent Hip-Hop scene, placing them at the forefront of the emerging subgenre of emo-rap. (rhymesayers.com)
  • Overview of Bone Tumors Bone tumors are growths of abnormal cells in bones. (msdmanuals.com)
  • Cancerous tumors may start in the bone (primary cancer) or start in other. (msdmanuals.com)
  • Chondroblastomas are rare tumors that grow in the ends of bones. (msdmanuals.com)
  • If untreated, these tumors may continue to grow and destroy bone and the joint. (msdmanuals.com)
  • Chondrosarcomas Tumors that originally start in the bone are called primary bone tumors. (msdmanuals.com)
  • Modern Cementing Technique (MCT) for long term implant survival. (zimmerbiomet.com)
  • This is necessary because the human hip is acted on by approximately 10-12 times the body weight and therefore the bone cement must absorb the forces acting on the hips to ensure that the artificial implant remains in place over the long term. (wikipedia.org)
  • Bone cement can also provide additional strength to artificial implants. (expertmarketresearch.com)
  • Fossil bones from these two layers are much lighter in color than those typically found in the Ichetucknee River. (ufl.edu)
  • Note 2: In dentistry, polymer-based cements are also used as fillers of cavities. (wikipedia.org)
  • That means that with today's technologies and materials available a dental implant is often the best option that modern dentistry has to offer. (shpritzdental.com)
  • In 2012, the Bone Creek Museum of Art organized a traveling retrospective exhibition, Dale Nichols: Transcending Regionalism. (shannons.com)
  • A prospective, randomized controlled study of 76 Triathlon Tritanium Baseplates with CR PA beaded femurs vs. 65 Triathlon CR cemented TKAs demonstrated excellent clinical results with no aseptic loosening in either cohort at two-year follow-up. (stryker.com)
  • Professor Costa (pictured left) said: "Cemented implants provide modest but important improvements in quality of life compared with uncemented implants. (nihr.ac.uk)
  • Giant cell tumour of long bones are common but those involving the distal fibula are exceedingly rare. (jocr.co.in)
  • It typically involves the epiphyseometaphyseal region of long bones. (jocr.co.in)
  • However, they can cause problems because they may weaken bones, interfere with joint movement, or destroy nearby healthy tissue. (msdmanuals.com)
  • Graft material can be bone removed from the person's own pelvis (autograft), processed bone tissue from another person (allograft), or a synthetic bone substitute. (msdmanuals.com)
  • Femoral bone stock was well preserved in first-generation hip resurfacing implants, but significant acetabular bone was removed to accommodate the acetabular component and the cement mantle. (medscape.com)
  • A potential solution is the augmentation of implants, for example, of the femoral neck blade using bone cement. (openorthopaedicsjournal.com)
  • Giant Cell Tumour of Distal Fibula Managed by En Block Resection and Reconstruction with Ipsilateral Proximal Fibula. (jocr.co.in)
  • Radiographs were suggestive of a giant cell tumour, computerised tomography revealed cortical break, en block resection was done with ipsilateral proximal fibula used in reconstruction of ankle mortise. (jocr.co.in)
  • The management of such tumours with high recurrence rates can be easily accomplished by en block resection and reconstruction of the ankle mortise with proximal fibula ensuring good range of motion of the joint post operatively. (jocr.co.in)
  • Comprehensive clinical tests of the compatibility of bone cements with the body were conducted before their use in surgery. (wikipedia.org)
  • For example, compared with the uncemented group, at eight years after surgery the predicted probability of death in the cemented group was 0.013 higher (0.007 to 0.019) and the predicted probability of revision was 0.015 lower (0.012 to 0.017). (bmj.com)
  • During a surgery doctor inputs bone cement into the damaged vertebrae. (roadlesstraveledstore.com)
  • Tracking refers to the sensors and measurement devices that can provide feedback during surgery regarding the orientation and relative position of tools to bone anatomy. (arkansasbluecross.com)
  • It is unusual to need a blood transfusion after surgery in the modern era. (nras.org.uk)
  • Above this is a freshwater marl primarily consisting of cemented shells of the snail Pleurocera . (ufl.edu)
  • According to Barrack's classification, the postoperative cementing grade was judged as A for 735 hips, B for 246 hips, and C for 4 hips. (researchgate.net)
  • Chronic joint inflammation can damage cartilage, bones, and surrounding tissues. (vannistrigelli.com)
  • With arthritis, the cartilage layer in the joint wears down causing bone to rub against bone. (orthopediccenter.net)