Bone cement penetration pattern and primary stability testing in keeled and pegged glenoid components

2011 ◽  
Vol 20 (5) ◽  
pp. 723-731 ◽  
Author(s):  
Patric Raiss ◽  
Guido Pape ◽  
Kerstin Kleinschmidt ◽  
Sebastian Jäger ◽  
Boris Sowa ◽  
...  
Keyword(s):  
Bone Cement ◽  
Primary Stability ◽  
Stability Testing ◽  
Cement Penetration ◽  
Bone Cement Penetration

Bone cement penetration of the acetabulum in total hip replacement

1996 ◽  
Vol 20 (5) ◽  
pp. 315-320 ◽  
Author(s):  
K.-D. Heller ◽  
A. Prescher ◽  
M. Holbeck ◽  
R. Forst
Keyword(s):  
Bone Cement ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
Cement Penetration ◽  
Bone Cement Penetration

scholarly journals The impact of tourniquet on tibial bone cement penetration in different zones in primary total knee arthroplasty: a meta-analysis

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Changjiao Sun ◽  
Xin Yang ◽  
Xiaofei Zhang ◽  
Qi Ma ◽  
Peng Yu ◽  
...  
Keyword(s):  
Bone Cement ◽  
Meta Analysis ◽  
Primary Total Knee Arthroplasty ◽  
Cement Mantle ◽  
Lateral View ◽  
Vein Thrombosis ◽  
Tibial Bone ◽  
Cement Penetration ◽  
Bone Cement Penetration ◽  
The Impact

Abstract Background Cement mantle penetration and the cement–bone interface strength were critical to a successful primary total knee arthroplasty (TKA). It remained unclear whether decreased blood and fat in the cancellous bone achieved with the use of a tourniquet increases tibial cement mantle penetration in different zones on AP and lateral view in TKA according to criteria defined by the Knee Society Scoring System (KSS). The purpose of this study was to determine whether tourniquet use influences tibial cement mantle penetration in different zones on AP and lateral view in TKA according to KSS. Methods We conducted a meta-analysis to identify studies involving the impact of tourniquet use and no tourniquet use on tibial bone cement penetration in primary TKA in electronic databases, including Web of Science, Embase, PubMed, Cochrane Controlled Trials Register, Cochrane Library, Highwire, CBM, VIP, Wanfang database, up to January 2021. Finally, we identified 1231 patients (1231 knees) assessed in twelve studies. Results Tourniquet use increases the cumulative cement mantle penetration (P < 0.00001), mean cement mantle penetration (P = 0.004), and cement mantle in zone 3(P < 0.0001) on AP view. However, there were no significant differences in cement mantle in zone 1(P = 0.5), zone 2(P =0 .54), zone 4(P = 0.07) on AP view, and zone 1(P = 0.32), zone 2(P = 0.38) on lateral view between two groups. There were also no significant differences in length of surgery(P = 0.7), change in hemoglobin(P = 0.4), transfusion rates(P = 0.47), and complications such as muscular calf vein thrombosis(P = 0.21), superficial infection (P = 0.72), and deep vein thrombosis (P = 0.66) between two groups. Conclusion The application of a tourniquet increases the thickness of the tibial bone cement penetration—the increase in the thickness of bone cement penetration mainly located in zone 3 on the anteroposterior (AP) view.

scholarly journals Bone cement grafting increases implant primary stability in circumferential cortical bone defects

2015 ◽  
Vol 45 (1) ◽  
pp. 30 ◽  
Author(s):  
Seung-Yun Shin ◽  
Seung-Il Shin ◽  
Seung-Beom Kye ◽  
Seok-Woo Chang ◽  
Jongrak Hong ◽  
...  
Keyword(s):  
Bone Cement ◽  
Cortical Bone ◽  
Primary Stability ◽  
Bone Defects

scholarly journals The Primary Stability of a Bioabsorbable Poly-L-Lactic Acid Suture Anchor for Rotator Cuff Repair Is Not Improved with Polymethylmethacrylate or Bioabsorbable Bone Cement Augmentation

2017 ◽  
Vol 14 (1) ◽  
pp. 15-22
Author(s):  
Mehmet F. Güleçyüz ◽  
Michael Kraus-Petersen ◽  
Christian Schröder ◽  
Andreas Ficklscherer ◽  
Markus U. Wagenhäuser ◽  
...  
Keyword(s):  
Lactic Acid ◽  
Rotator Cuff ◽  
Bone Cement ◽  
Rotator Cuff Repair ◽  
Suture Anchor ◽  
Primary Stability ◽  
Cement Augmentation ◽  
Cuff Repair

Effect of lavage and brush preparation on cement penetration and primary stability in tibial unicompartmental total knee arthroplasty: An experimental cadaver study

The Knee ◽  
2017 ◽  
Vol 24 (2) ◽  
pp. 402-408 ◽  
Author(s):  
Christian Scheele ◽  
Matthias F. Pietschmann ◽  
Christian Schröder ◽  
Thomas Grupp ◽  
Melanie Holderied ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Primary Stability ◽  
Cadaver Study ◽  
Cement Penetration ◽  
Total Knee

scholarly journals Damage of the Bone-Cement Interface in Finite Element Analyses of Cemented Orthopaedic Implants

2018 ◽  
Author(s):  
Toufik Bousnane ◽  
Smail Benbarek ◽  
Abderahmen Sahli ◽  
Boualem Serier ◽  
Bel Abbes Bachir Bouiadjra
Keyword(s):  
Bone Cement ◽  
Load Transfer ◽  
Cement Mantle ◽  
Damage Scenario ◽  
Cement Interface ◽  
Total Hip ◽  
Long Term Stability ◽  
Prosthetic Implants ◽  
Cement Penetration

In orthopedic surgery and particularly in total hip arthroplasty, fixation of femoral implant is generally made by the surgical cement. Bone–cement interface has long been implicated in failure of cemented total hip replacement (THA), it is actually a critical site that affect the long-term stability and survival of prosthetic implants after implantation. The main purpose of this study is to investigate the effect of cement penetration into the bone on damage scenario at the interface. Previously most researchers have been performed to study damage accumulation in the cement mantle for different amount of cement penetration. In this work, bone–cement interface integrity has been studied for different mechanical properties. Cohesive traction separation law is used to detect contact damage between cement and bone. Results showed that a larger debonded area was predicted proximally and distally. Adhesion between bone and cement is affected mainly by cement penetration into the bone. Higher cement penetration into the bone leads to a good load transfer. A lower strength of the bone–cement interface due to a lower mechanical property results in faster interface damage. So we advise surgeons to well perpetrate the bone for long-term durability of cemented THA.

Cement penetration and primary stability of the femoral component after impaction allografting

2007 ◽  
Vol 89-B (7) ◽  
pp. 962-970 ◽  
Author(s):  
C. Albert ◽  
S. Patil ◽  
H. Frei ◽  
B. Masri ◽  
C. Duncan ◽  
...  
Keyword(s):  
Femoral Component ◽  
Primary Stability ◽  
Cement Penetration ◽  
Impaction Allografting

scholarly journals The porosity of the bone cement interface of 96 human femoral heads prepared for hip resurfacing

2019 ◽  
pp. 112070001989541
Author(s):  
Richard P Baker ◽  
Rouin Amirfeyz ◽  
Michael R Whitehouse ◽  
Gordon C Bannister
Keyword(s):  
Femoral Head ◽  
Bone Cement ◽  
Hip Resurfacing ◽  
Cementing Technique ◽  
Future Studies ◽  
Cement Interface ◽  
Black And White ◽  
Cement Penetration ◽  
Femoral Heads ◽  
The Mean

Purpose: The porosity of the femoral head prepared for hip resurfacing has not been previously described. This is important as greater pore size increases the penetration of bone cement and excessive cement penetration can cause osteonecrosis. Methods: 96 osteoarthritic femoral heads were harvested at total hip arthroplasty and prepared for hip resurfacing. The porosity of the bone cement interface in hip resurfacing was calculated from digitised black and white photographs using MatLab software. Results: The mean porosity was 0.63. Increased porosity was associated with larger femoral heads in both the coronal and sagittal dimensions and cysts in the femoral head. It was not associated with gender, age, body mass index (BMI), smoking, alcohol or corticosteroid consumption. Conclusion: The porosity of the femoral head has been shown to be 0.63. Future studies of cementing techniques in hip resurfacing should include this porosity in their designs. The surgeon prior to hip resurfacing should consider altering his cementing technique when cysts are present on the preoperative radiographs.

scholarly journals Does Additive Pressurized Carbon Dioxide Lavage Improve Cement Penetration and Bond Strength in Cemented Arthroplasty?

2021 ◽  
Vol 10 (22) ◽  
pp. 5361
Author(s):  
Kevin Knappe ◽  
Christian Stadler ◽  
Moritz M. Innmann ◽  
Mareike Schonhoff ◽  
Tobias Gotterbarm ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
High Pressure ◽  
Bone Cement ◽  
Cancellous Bone ◽  
Failure Load ◽  
Testing Machine ◽  
Safe Procedure ◽  
Cement Interface ◽  
Cement Penetration ◽  
Cemented Arthroplasty

The modern cementing technique in cemented arthroplasty is a highly standardized and, therefore, safe procedure. Nevertheless, aseptic loosening is still the main reason for revision after cemented total knee or cemented total hip arthroplasty. To investigate whether an additional carbon dioxide lavage after a high-pressure pulsatile saline lavage has a positive effect on the bone–cement interface or cement penetration, we set up a standardized laboratory experiment with 28 human femoral heads. After a standardized cleaning procedure, the test implants were cemented onto the cancellous bone. Subsequently, the maximum failure load of the bone–cement interface was determined using a material testing machine to pull off the implant, and the cement penetration was determined using computed tomography. Neither the maximum failure load nor cement penetration into the cancellous bone revealed significant differences between the groups. In conclusion, according to our experiments, the additive use of the carbon dioxide lavage after the high-pressure pulsatile lavage has no additional benefit for the cleaning of the cancellous bone and, therefore, cannot be recommended without restrictions.

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