Cemented total hip arthroplasty in Germany - update 2010

Zeitschrift für Orthopädie und Unfallchirurgie
C A FischerM Clarius

Abstract

The results of a national survey from 1998 showed that only around 10 % of orthopaedic surgeons in Germany had strictly implemented modern third-generation cementing techniques in total hip arthroplasty (THA). A 2005 update showed an improvement up to 29.4 %. The study was repeated in 2010 in order to evaluate the current situation and to determine whether modern cementing techniques have become more popular. A detailed, slightly modified questionnaire regarding cement and bone preparation, cementing techniques on acetabulum and femur, and implant types was sent to 492 German orthopaedic and trauma hospitals, as well as to visiting surgeons with an interest in THA. The survey was conducted over 6 months. The response rate was 51.8 %, 255 questionnaires were available for evaluation and statistical analysis. Palacos R+G bone cement remained the most widely used cement (52.2 %). The mixing times given varied significantly. Vacuum mixing systems have again become more popular (85.2 %). In the femur 78.6 % of the surgeons attempted to preserve cancellous bone and 77.8 % used pulsatile (jet) lavage. Retrograde cement application via a cement gun was done in 85.8 %. Cement restrictors were used in more than 98 %. Only 72.7 % of the s...Continue Reading

Citations

Mar 13, 2014·International Orthopaedics·Ulf J SchlegelKatrin Nagel
Aug 2, 2014·International Orthopaedics·Ulf J SchlegelKatrin Nagel
May 5, 2018·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Kavin MorellatoLuca Cristofolini
Mar 10, 2020·PloS One·Gyde SteffenSandra Dudareva

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