Cementing techniques for hip resurfacing arthroplasty

• Verfasst von: Bitsch, Rudi G. [VerfasserIn]
• Verfasst von: Loidolt, Travis [VerfasserIn]
• Verfasst von: Heisel, Jens Christian [VerfasserIn]
• Verfasst von: Schmalzried, Thomas P. [VerfasserIn]
• Titel: Cementing techniques for hip resurfacing arthroplasty
• Titelzusatz: in vitro study of pressure and temperature
• Verf.angabe: Rudi G. Bitsch, MD, Travis Loidolt, BA, Christian Heisel, MD, and Thomas P. Schmalzried, MD
• Jahr: 2011
• Umfang: 8 S.
• Fussnoten: Gesehen am 30.03.2022 ; First published online: 22 January 2010
• Titel Quelle: Enthalten in: The journal of arthroplasty
• Ort Quelle: Orlando, Fla. : Churchill Livingstone, 1986
• Jahr Quelle: 2011
• Band/Heft Quelle: 26(2011), 1 vom: Jan., Seite 144-151
• ISSN Quelle: 1532-8406
• DOI: doi:10.1016/j.arth.2009.10.011
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: cement defect
• Sach-SW: cementing technique
• Sach-SW: hip resurfacing arthroplasty
• Sach-SW: hip surface arthroplasty
• Sach-SW: pressure
• Sach-SW: temperature
• K10plus-PPN: 1796987697

Abstract

Cementing irregularities have been associated with femoral failures of resurfacing arthroplasties in retrieval studies. We used an in vitro model to measure pressure, temperatures, and cement penetration as a function of 6 different cementing techniques. Filling the component with cement can lead to overpenetration or increase the resistance to component seating with resultant polar cement mass. Both conditions result in high and long-lasting cement pressures, cement defects, as well as peak temperatures higher than 50°C. Manual application of cement provides complete penetration of the available fixation area with the lowest cement pressures, the smallest total cement mass, and a peak temperature of 36.0°C ± 4.1°C. Application of the principles elucidated by this study may reduce the risk of cement overpenetration and incomplete seating.