Femoral cement pressurization in hip arthroplasty: a comparison of 3 systems.


Munro, NA; Nicol, M; Selvaraj, S; Hussain, SM; Finlayson, DF; (2007) Femoral cement pressurization in hip arthroplasty: a comparison of 3 systems. The Journal of arthroplasty, 22 (6). pp. 893-901. ISSN 0883-5403 DOI: https://doi.org/10.1016/j.arth.2006.09.014

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Abstract

Cement pressurization is critical to achieving optimal results in cemented arthroplasty of the hip. An in vitro experiment using plastic femoral models (10 per group) was undertaken to measure the pressures developed by 3 cementing systems: the Howmedica Mark 1 (Stryker Howmedica, Limerick, Ireland) and DePuy Cemvac retrograde cementation systems (DePuy CMW, Blackpool, UK), and a novel antegrade system consisting of a 60-mL catheter-tipped syringe and a Miller proximal femoral seal (Zimmer Ltd, Swindon, UK). The mean pressure was higher for the syringe system (161.45 +/- 28.9 kPa) than the Mark 1 (103.51 +/- 22.0 kPa) or Cemvac (92.65 +/- 30.7 kPa) systems (P = .0001). In addition, fewer cement mantle defects were seen with the syringe system (1, interquartile range [IQR] 1-2) than the Mark 1 (3, IQR 2-4) or Cemvac (3, IQR 1-3) systems (P = .0256).

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
PubMed ID: 17826282
Web of Science ID: 249835900016
URI: http://researchonline.lshtm.ac.uk/id/eprint/7737

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