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Clinical Orthopaedics and Related Research®

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01-01-2009 | Symposium: Papers Presented at the Hip Society Meetings 2008

2008 Otto Aufranc Award: Component Design and Technique Affect Cement Penetration in Hip Resurfacing

Authors: Paul E. Beaulé, MD, FRCSC, Wadih Y. Matar, MSc, MD, Philippe Poitras, BASc, Kevin Smit, BSc, Olivier May, MSc, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 1/2009

Abstract

Either excessive or insufficient cement penetration within the femoral head after hip resurfacing influences the risk of femoral failures. However, the factors controlling cement penetration are not yet fully understood. We determined the effect of femoral component design and cementation technique on cement penetration. Six retrieved femoral heads were resurfaced for each implant (BHR®, ASR®, Conserve Plus®, DuROM®, ReCAP®) using the manufacturers’ recommendations for implantation. In addition, the BHR was implanted using the Conserve Plus® high-viscosity cementation technique, “BHR/hvt,” and vice versa for the Conserve, “Conserve/lvt.” The average cement penetration was highest with BHR (65.62% ± 15.16%) compared with ASR® (12.25% ± 5.12%), Conserve Plus® (19.43% ± 5.28%), DuROM® (17.73% ± 3.96%), and ReCAP® (26.09% ± 5.20%). Cement penetration in BHR/hvt remained higher than all other implants equaling 36.7% ± 6.6%. Greater femoral component design clearance correlated with cement mantle thickness. Femoral component design in hip resurfacing plays a major role in cement penetration.

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Title: 2008 Otto Aufranc Award: Component Design and Technique Affect Cement Penetration in Hip Resurfacing
Authors: Paul E. Beaulé, MD, FRCSC
Wadih Y. Matar, MSc, MD
Philippe Poitras, BASc
Kevin Smit, BSc
Olivier May, MSc, MD
Publication date: 01-01-2009
Publisher: Springer-Verlag
Published in: Clinical Orthopaedics and Related Research® / Issue 1/2009
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-008-0541-8

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2008 Otto Aufranc Award: Component Design and Technique Affect Cement Penetration in Hip Resurfacing

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