Introduction: In cemented total hip arthroplasty, the implant needs a mechanically stable cement-bone interface for its survival. This can be achieved by adequate cement penetration into the bone lacunar and trabecular spaces. Many studies have been conducted to investigate the strength of the cement-bone interface in relation to the amount of cement penetration, but mainly on a macro-scale [1]...

Elbow arthroplasty is performed less often than hip or knee arthroplasty. The most common reason for patients requiring elbow arthroplasty is chronic inflammatory joint disease, usually rheumatoid arthritis.1 Two main types of prostheses exist, linked and nonlinked. Prosthesis fixation in bone is achieved with bone cement in almost all linked and non-linked prostheses.2 Cement restrictors preve...

A ZnO containing nano-hydroxyapatite/chitosan (n-HA/CS) cement was developed and its bone formation ability was investigated in vitro and in vivo. The physico-chemical properties of the cement were determined in terms of pH variation during and after setting, injectability and wettability. The results indicated that, the pH varied from 7.04 to 7.12 throughout the soaking of the cement in distil...

Shiramizu K; Lovric V; Leung AMD; +Walsh WR Surgical & Orthopaedic Research Laboratories, University of New South Wales, Sydney, Australia [email protected] INTRODUCTION Deep infection after total joint replacement is a severe complication, and the use of antibiotic-loaded bone cement as a joint spacer is an established and efficient treatment method to treat infected arthroplasties. When pre...

The use of polymethylmethacrylate (PMMA) cement to reinforce fragile or broken vertebral bodies (vertebroplasty) leads to extensive bone stiffening. This might be one reason for fractures at the adjacent vertebrae following this procedure. PMMA with a reduced Young's modulus may be more suitable. The goal of this study was to produce and characterize PMMA bone cements with a reduced Young's mod...

In order to improve the mechanical and biological properties of calcium phosphate cement (CPC, nanometer-biomaterial) for bone reconstruction in the rabbit femoral defect model, fibrin glue (FG, the natural product, purified from the blood) was introduced at three different ratios. The CPC powder and the FG solution were mixed, respectively, at the powder/liquid (P/L) ratios (g/mL) of 1:1, 3:1,...

BACKGROUND Polymethylmethacrylate bone cement cannot provide an adhesive chemical bonding to form a stable cement-bone interface. Bioactive bone cements show bone bonding ability, but their clinical application is limited because bone resorption is observed after implantation. Porous polymethylmethacrylate can be achieved with the addition of carboxymethylcellulose, alginate and gelatin micropa...

Loosening of total joint replacements may be caused in part by thermal necrosis of bone in contact with the high temperature of the polymerizing PMMA acrylic cement. This study reports a method to reduce the temperature of the bone-cement interface below the temperature at which bone results in definite necrosis. By precooling the acetubular component to --84 degrees before insertion into the c...

BACKGROUND Cement spacers (Masquelet technique) have traditionally been used for the treatment of segmental bone defects. However, no reports have used cement spacers for the treatment of small/partial segmental bone defects associated with osteomyelitis and compared the outcomes with cement beads. METHODS We retrospectively analysed 40 patients with post-traumatic osteomyelitis of the tibia ...

The initial composition of acrylic bone cement along with the mixing and delivery technique used can influence its final properties and therefore its clinical success in vivo. The polymerisation of acrylic bone cement is complex with a number of processes happening simultaneously. Acrylic bone cement mixing and delivery systems have undergone several design changes in their advancement, althoug...