CEMENT PRESSURISATION DURING HIP REPLACEMENT

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Cement pressurisation during hip replacement.

The newer techniques of cementing aim to improve interlock between cement and bone around a femoral stem by combining high pressure and reduced viscosity. This may produce increased embolisation of fat and marrow leading to hypotension, impaired pulmonary gas exchange and death. For this reason the use of high pressures has been questioned. We compared finger-packing with the use of a cement gu...

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Comparison of cement pressurisation in flanged and unflanged acetabular cups

BACKGROUND This biomechanical study examined difference in cement pressures generated by flanged and unflanged acetabular cups in hip arthroplasty. METHOD Using a model acetabulum, cement was inserted and pressurised followed by cup insertion and pressurisation. Pressures were recorded using transducers in the acetabulum. We compared Charnley Ogee (flanged), Exeter contemporary (flanged) and ...

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Efficacy of antibiotic-impregnated cement in total hip replacement.

BACKGROUND AND PURPOSE Antibiotic-impregnated cement is used as a spacer or during re-implantation surgery for the treatment of infected total hip arthroplasties. The routine use of antibiotic-impregnated cement during primary or uninfected revision total hip arthroplasty remains controversial. With this meta-analysis of the published literature, we intended to assess efficacy and safety in the...

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Drill and Jig Design to Improve Cement Fixation of the Acetabular Cup During Total Hip Replacement

Successful replacement of hips is the only solution for severe degenerative diseases such as osteoarthritis (Bird, 1995). During cemented fixation of the acetabular cup, anchorage holes are drilled in the acetabulum, then cement is introduced and pressurised to create cement pegs within the anchorage holes. During physiological activities, the bone cement interface of the acetabulum experiences...

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Modified femoral pressuriser generates a longer lasting high pressure during cement pressurisation

BACKGROUND The strength of the cement-bone interface in hip arthroplasty is strongly related to cement penetration into the bone. A modified femoral pressuriser has been investigated, designed for closer fitting into the femoral opening to generate higher and more constant cement pressure compared to a commercial (conventional) design. METHODS Femoral cementation was performed in 10 Sawbones®...

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ژورنال

عنوان ژورنال: The Journal of Bone and Joint Surgery. British volume

سال: 1997

ISSN: 0301-620X,2044-5377

DOI: 10.1302/0301-620x.79b3.0790379