In vitro and in vivo studies of pressurization of femoral cement in total hip arthroplasty

1993 ◽  
Vol 8 (6) ◽  
pp. 585-591 ◽  
Author(s):  
Jeff P. Davies ◽  
William H. Harris
RSC Advances ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. 6724-6732 ◽  
Author(s):  
Ji Li ◽  
Wei Li ◽  
Zhongli Li ◽  
Yuxing Wang ◽  
Ruiling Li ◽  
...  

The fully porous Ti6Al4V cup fabricated by the sintered technique showed high porosity, large pore size with good mechanical properties. It may be effective in achieving in vivo stability after the total hip arthroplasty.


Author(s):  
U Langlotz ◽  
P A Grützner ◽  
K Bernsmann ◽  
J H Kowal ◽  
M Tannast ◽  
...  

Computer assisted orthopaedic surgery (CAOS) technology has recently been introduced to overcome problems resulting from acetabular component malpositioning in total hip arthroplasty. Available navigation modules can conceptually be categorized as computer tomography (CT) based, fluoroscopy based, or image-free. The current study presents a comprehensive accuracy analysis on the computer assisted placement accuracy of acetabular cups. It combines analyses using mathematical approaches, in vitro testing environments, and an in vivo clinical trial. A hybrid navigation approach combining image-free with fluoroscopic technology was chosen as the best compromise to CT-based systems. It introduces pointer-based digitization for easily assessable points and bi-planar fluoroscopy for deep-seated landmarks. From the in vitro data maximum deviations were found to be 3.6° for inclination and 3.8° for anteversion relative to a pre-defined test position. The maximum difference between intraoperatively calculated cup inclination and anteversion with the postoperatively measured position was 4° and 5°, respectively. These data coincide with worst cases scenario predictions applying a statistical simulation model. The proper use of navigation technology can reduce variability of cup placement well within the surgical safe zone. Surgeons have to concentrate on a variety of error sources during the procedure, which may explain the reported strong learning curves for CAOS technologies.


Author(s):  
Tobias Renkawitz ◽  
Sabine Gneiting ◽  
Jens Schaumburger ◽  
Michael Woerner ◽  
Hans-Robert Springorum ◽  
...  

2018 ◽  
Vol 28 (4) ◽  
pp. 415-421 ◽  
Author(s):  
Willem van IJperen ◽  
Damien Van Quickenborne ◽  
Ronald Buyl ◽  
Thierry Scheerlinck

Introduction: We investigated the in vivo gentamicin elution kinetics of Hi-Fatigue Gentamicin Bone Cement (AAP Biomaterials GmbH) in serum and drain fluid after hybrid hip arthroplasty and the relationship with cement mantle thickness. Methods: We compared in a randomised, non-blinded prospective study, the local and systemic gentamicin concentrations in 2 groups. The thin cement mantle group ( n = 16) received a stem implanted line-to-line with the broach, whereas the thick group ( n = 14) had an undersized stem. Gentamicin concentrations were measured in drain fluid and serum at set intervals for 3 days postoperatively. Results: In both groups, local gentamicin concentrations were similar. After a high initial burst above the minimal inhibitory concentration (thin: 57.2 mg/L (SD 34.4), thick: 54.9 mg/L (SD 19.9), p = 0.823) local gentamicin concentrations declined rapidly. In both groups, serum concentrations never exceeded toxic levels (maximum 1.08 mg/L). Conclusion: In hybrid total hip arthroplasty, Hi-Fatigue Gentamicin Bone Cement resulted in effective and safe gentamicin concentrations. Clinical trial protocol number: PMCI 12/02.


2020 ◽  
Vol 25 (3) ◽  
pp. 452-459 ◽  
Author(s):  
Kyohei Shiomoto ◽  
Satoshi Hamai ◽  
Daisuke Hara ◽  
Hidehiko Higaki ◽  
Hirotaka Gondo ◽  
...  

Orthopedics ◽  
2017 ◽  
Vol 41 (1) ◽  
pp. e46-e51 ◽  
Author(s):  
Yong Nie ◽  
HaoYang Wang ◽  
ZeYu Huang ◽  
Bin Shen ◽  
Virginia Byers Kraus ◽  
...  

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