BACKGROUND The major cause of cemented Total Knee Arthroplasty (TKA) failure is aseptic loosening of the tibial component necessitating revision surgery. Recently, multiple techniques have been described to maximize cement penetration depth and density in the proximal tibia during TKA to potentially avoid early loosening. While cement polymerisation is an exothermic reaction, minimal investigat...

BACKGROUND AND PURPOSE Our aim was to assess in an animal model whether the use of HA paste at the cement-bone interface in the acetabulum improves fixation. We examined, in sheep, the effect of interposing a layer of hydroxyapatite cement around the periphery of a polyethylene socket prior to fixing it using polymethylmethacrylate (PMMA). METHODS We performed a randomized study involving 22 ...

The excellent long-term results for the first-generation Charnley stem may not apply to later versions with flanges. It seems possible that the early design functioned as a taper-slip system, as accepted in the Exeter prosthesis. Comparison with the requirements for the alternative composite-beam system for the femoral component shows considerable differences that have important implications. T...

Mosaics are images obtained by cementing together small colored fragments and are an ancient example of discrete primitive-based images. Artificial mosaics are illustrations composed by a set of small images called “tiles” that tessellate a source image aiming to reproduce the original visual information in a mosaic-like style. In this paper, we propose a mosaic generation technique based on gr...

Concerns have been reported to the United Kingdom National Patient Safety Agency, warning that cementing the femoral component during hip replacement surgery for fracture of the proximal femur may increase peri-operative mortality. The National Hip Fracture Database collects demographic and outcome data about patients with a fracture of the proximal femur from over 100 participating hospitals i...

Outcrops of the Lower Triassic (Spathian) Virgin Limestone Member (Moenkopi Formation) in the southwestern United States contain the oldest known metazoan bioherms formed in the aftermath of the endPermian mass extinction. These small buildups, up to 1.0 m in diameter and 0.2 m high, were constructed by cementing bivalves. The bivalve bioherms accreted in a shallow, subtidal environment above s...

We conducted a longitudinal study including patients with the same type of primary hybrid total hip replacement and evaluated patient activity and femoral osteolysis at either five or ten years post-operatively. Activity was measured using the University of California, Los Angeles scale. The primary outcome was the radiological assessment of femoral osteolysis. Secondary outcomes were revision ...