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Archives of Orthopaedic and Trauma Surgery

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01-04-2011 | Orthopaedic Surgery

Effects of impaction on cement mantle and trabecular bone in hip resurfacing

Authors: Ulf J. Schlegel, Jutta Knifka, Marc Röllinghoff, Jürgen Koebke, Peer Eysel, Michael M. Morlock

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 4/2011

Abstract

Introduction

Failures involving the femoral part in hip resurfacing remain problematic in terms of overall implant survival. In this context, effects of impaction strength on cement mantle morphology and trabecular bone damage have not been studied to date.

Materials and methods

Sixteen paired cadaveric femora that had undergone hard and gently impacted hip resurfacing using a manual packing cementing technique in a previous study, were evaluated morphologically. The earlier study had revealed lower failure loads for hard impacted heads. A central slice of each femoral head underwent microradiography.

Results

Overall cement mantle thickness averaged 2.0 mm (range 0–5 mm) in the hard and in the low impact group with no significant difference between groups (p = 0.299). No signs of damage in the bone remnants inside the prosthesis of the fractured proximal femurs were detected in the microradiographic analysis.

Conclusion

Cement mantle thickness was not influenced by impaction strength when using a manual packing cementing technique. No trabecular damage underneath the implant was detected despite lower failure loads, confirming the difficulty to identify small trabecular damage in an in vitro study.

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Title: Effects of impaction on cement mantle and trabecular bone in hip resurfacing
Authors: Ulf J. Schlegel
Jutta Knifka
Marc Röllinghoff
Jürgen Koebke
Peer Eysel
Michael M. Morlock
Publication date: 01-04-2011
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 4/2011
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-010-1147-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Effects of impaction on cement mantle and trabecular bone in hip resurfacing

Abstract

Introduction

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

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