The Journal of Arthroplasty
Volume 22, Issue 1 , Pages 109-116 , January 2007

The Role of Cement Viscosity on Cement-Bone Apposition and Strength: An In Vitro Model with Medullary Bleeding

  • Mark A Miller, MS

      Affiliations

    • Department of Orthopaedic Surgery, Upstate Medical University, Syracuse, New York
    • ,
  • Amos Race, PhD

      Affiliations

    • Department of Orthopaedic Surgery, Upstate Medical University, Syracuse, New York
    • ,
  • Sameer Gupta, BS

      Affiliations

    • Department of Orthopaedic Surgery, Upstate Medical University, Syracuse, New York
    • ,
  • Paul Higham, PhD

      Affiliations

    • Advanced Technologies, Stryker Orthopaedics, Mahwah, New Jersey
    • ,
  • Michael T. Clarke, MD

      Affiliations

    • Department of Orthopaedic Surgery, Upstate Medical University, Syracuse, New York
    • ,
  • Kenneth A. Mann, PhD

      Affiliations

    • Department of Orthopaedic Surgery, Upstate Medical University, Syracuse, New York
    • Corresponding Author InformationReprint requests: Kenneth A. Mann, PhD, Department of Orthopaedic Surgery, Musculoskeletal Sciences Research Center, 3216 IHP, 750 East Adams Street, Syracuse, NY 13210.

Received 18 October 2004 ,Accepted 2 February 2006.

References 

  1. Reading A, McCaskie A, Barnes M, et al. A comparison of 2 modern femoral cementing techniques: analysis by cement-bone interface pressure measurements, computerized image analysis, and static mechanical testing. J Arthroplasty. 2000;15:479
  2. Stone JJ, Rand JA, Chiu EK, et al. Cement viscosity affects the bone-cement interface in total hip arthroplasty. J Orthop Res. 1996;14:834
  3. Rey R, Paiement G, McGann W, et al. A study of intrusion characteristics of low viscosity cement Simplex-P and Palacos cements in a bovine cancellous bone model. Clin Orthop Relat Res. 1987;215:272
  4. Espehaug B, Furnes O, Havelin L, et al. The type of cement and failure of total hip replacements. J Bone Joint Surg Br. 2002;84:832
  5. Granhed H, Malchau H, Herberts P, et al. A 7-9-year follow-up of THR operated on with low viscosity cement. Acta Orthop Scand. 1991;62:2
  6. Hierton C, Blomgren G, Lindgren U. Factors associated with early loosening of cemented total hip prostheses. Acta Orthop Scand. 1983;54:168
  7. Herberts P, Malchau H. Long-term registration has improved the quality of hip replacement: a review of the Swedish THR Register comparing 160,000 cases. Acta Orthop Scand. 2000;71:111
  8. Watkins N. The type of cement and failure of total hip replacements. [comment] J Bone Joint Surg. 2003;85B:775
  9. Race A, Miller M, Clarke M, et al. Cement/implant interface gaps explain the poor results of CMW3 for femoral stem fixation: a cadaver study of migration, fatigue and mantle morphology. Acta Orthop Scand. 2005;76:679
  10. Breusch S, Heisel C, Müller J, et al. Influence of cement viscosity on cement interdigitation and venous fat content under in vivo conditions. Acta Orthop Scand. 2002;73:409
  11. Benjamin JB, Gie GA, Lee AJC, et al. Cementing technique and the effects of bleeding. J Bone Joint Surg Br. 1987;69:620
  12. Juliusson R, Flivik J, Nilsson J, et al. Circulating blood diminishes cement penetration into cancellous bone. Acta Orthop Scand. 1995;66:234
  13. Majkowski RS, Bannister GC, Miles AW. The effect of bleeding on the cement-bone interface. Clin Orthop Relat Res. 1994;299:293
  14. Miller J, Burke D, Stachiewicz J, et al. Pathophysiology of loosening of femoral components in total hip arthroplasty. In: Proceedings of the Sixth Open Scientific Meeting of the Hip Society, St Louis. 1978;
  15. Zapanta CM, Liszka JEG, Lamson TC, et al. A method for real-time in vitro observation of cavitation on prosthetic heart valves. J Biomech Eng. 1994;116:460
  16. Gustafson MB, Martin RB, Gibson V, et al. Calcium buffering is required to maintain bone stiffness in saline solution. J Biomech. 1996;29:1191
  17. Shaffer JP. Multiple hypothesis testing. Annu Rev Psychol. 1995;46:561
  18. Mann KA, Ayers DC, Werner FW, et al. Tensile strength of the cement-bone interface depends on the amount of bone interdigitated with PMMA cement. J Biomech. 1997;30:339
  19. Gilbert JL, Hasenwinkel JM, Wixson RL, et al. A theoretical and experimental analysis of polymerization shrinkage of bone cement: a potential major source of porosity. J Biomed Mater Res. 2000;52:210
  20. Bean DJ, Convery FR, Woo SL-Y, et al. Regional variations in shear strength of the bone-polymethylmethacrylate interface. J Arthroplasty. 1987;2:293
  21. Bugbee WD, Barrera DL, Lee AJC, et al. Variations in shear strength of the bone-cement interface in the proximal femur. Trans Orthop Res Soc. 1992;17:22
  22. MacDonald W, Swarts E, Beaver R. Penetration and shear strength of cement-bone interfaces in-vivo. Clin Orthop Relat Res. 1993;286:283

 Benefits or funds were received in partial or total support of the research material described in this article. These benefits and/or support were received from Stryker-Orthopedics, Mahwah, NJ.

PII: S0883-5403(06)00069-6

doi: 10.1016/j.arth.2006.02.076

The Journal of Arthroplasty
Volume 22, Issue 1 , Pages 109-116 , January 2007

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