Inferior stability of a biodegradable cement plug. 122 total hip replacements randomized to degradable or non-degradable cement restrictor

Archives of Orthopaedic and Trauma Surgery
Stefan Michael SchaussMartin Fischer

Abstract

Modern cementing technique demands high intramedullar cement pressure to create an optimum fixed cement support of the femoral stem. Pressure resistant, stable closure of the canal therefore is absolutely necessary. Biodegradable cement restrictors, if corresponding to above mentioned attributes, could be of immense advantage in case of potential revision surgery. A prospective, randomized trial was performed on a consecutive series of 130 patients who underwent primary cemented total hip arthroplasty due to hip arthrosis to compare a degradable cement restrictor and a non-degradable cement restrictor in their ability to resist distal migration during stem insertion. The median cement plug length measured 27 mm (range -12 to 126 mm, 95% confidence interval (CI) 20-33 mm) in the biodegradable restrictor group and 15 mm (range 0-61 mm, 95% CI 12-18 mm) in the non-degradable restrictor group (P=0.003). A significant effect of the relationship between the difference of restrictor size and the diameter of the femoral canal on length of cement distal of the tip of the stem in between the two groups was evident (P=0.031). The results indicate insufficient intramedullary plug fixation of the degradable restrictor probably due to the el...Continue Reading

References

May 11, 1992·The Journal of Bone and Joint Surgery. British Volume·R L BarrackW H Harris
Jul 1, 1991·The Journal of Bone and Joint Surgery. British Volume·O M Böstman
Jul 1, 1990·The Journal of Bone and Joint Surgery. British Volume·O BöstmanP Rokkanen
Nov 1, 1990·The Journal of Bone and Joint Surgery. British Volume·D W Murray, N Rushton
Jan 1, 1988·The Journal of Arthroplasty·S B GoodmanJ Kei
Feb 1, 1985·Acta Orthopaedica Scandinavica·B Kristiansen, J S Jensen
Jan 1, 1984·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·M J AskewR L Wixson
Nov 1, 1984·The Journal of Bone and Joint Surgery. British Volume·B M Wroblewski, A van der Rijt
Aug 1, 1983·Acta Orthopaedica Scandinavica·H O Lindberg, A S Carlsson
Jan 1, 1995·Journal of Applied Biomaterials : an Official Journal of the Society for Biomaterials·J A JohnsonM Gross
Nov 1, 1996·The Journal of Bone and Joint Surgery. British Volume·S K BulstraA J van der Linden
Dec 10, 1991·Clinical Materials·D F Williams
Apr 3, 1999·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·W BährE Wellens
Nov 9, 2000·Biomaterials·P U RokkanenP Törmälä
Oct 24, 2002·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·L Claes, A Ignatius
Sep 16, 2004·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·David D HileDebra J Trantolo

❮ Previous
Next ❯

Citations

Nov 30, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·N M A I HanssenA D Verburg
Oct 15, 2019·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Pranshu AgrawalTim N Board
Aug 28, 2020·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Hosam E MatarMartyn L Porter

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Zeitschrift für Orthopädie und ihre Grenzgebiete
M SchneiderS J Breusch
The Journal of Bone and Joint Surgery. American Volume
Charles M DavisWilliam S Harmsen
Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
Anuwat PongkunakornWachara Maneeratroj
© 2022 Meta ULC. All rights reserved