The Journal of Arthroplasty
Volume 24, Issue 3 , Pages 461-467 , April 2009

The Effect of Cement Gun and Cement Syringe Use on the Tibial Cement Mantle in Total Knee Arthroplasty

  • Michael J. Lutz, MBBS

      Affiliations

    • Orthopaedic Department, Royal Brisbane Hospital, Herston, Queensland, Australia
    • Corresponding Author InformationReprint requests: Michael Lutz, MBBS, C/-Orthopaedic Department, Royal Brisbane Hospital, Herston QLD 4029, Australia
    • ,
  • Paul F. Pincus, FRACS(Orth)

      Affiliations

    • Orthopaedic Department, Royal Brisbane Hospital, Herston, Queensland, Australia
    • ,
  • Sarah L. Whitehouse, PhD

      Affiliations

    • Orthopaedic Research Unit, Queensland University of Technology, Prince Charles Hospital, Queensland, Australia
    • ,
  • Brett R. Halliday, FRACS(Orth)

      Affiliations

    • Orthopaedic Department, Royal Brisbane Hospital, Herston, Queensland, Australia

Received 10 April 2007 ,Accepted 25 October 2007.

References 

  1. Australian Orthopaedic Association . National joint replacement registry: annual report. Sydney: Australian Orthopaedic Association; 2001;
  2. Lutz MJ, Halliday BR. Survey of current cementing techniques in total knee replacement. ANZ J Surg. 2002;72:437
  3. Phillips AM, Goddard NJ, Tomlinson JE. Current techniques in total knee replacement: results of a national survey. Ann R Coll Surg Engl. 1996;78:515
  4. Crawford RW, Evans M, Ling RS, et al. Fluid flow around model femoral components of differing surface finishes: in vitro investigations. Acta Orthop Scand. 1999;70:589
  5. Ducheyne P, Kagan A, Lacey JA. Failure of total arthroplasty due to loosening and deformation of the tibial component. J Bone Joint Surg (Am). 1978;60:384
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  8. Mann KA, Ayres 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
  9. Robertsson O. The Swedish Knee Arthroplasty Register: validity and outcome. Sweden: Department of Orthopaedics, Lund University Hospital; 2000;
  10. Convery FR, Malcom LL. Prosthetic fixation with controlled pressurized polymerization of polymethylmethacrylate. In: Proceedings of the 26th Orthopaedic Research Society Meeting, Atlanta. 1980;p. 77
  11. Cooke FW, Cipolletti GB, Lunceford EM, et al. The influence of surgical technique on the strength of cement fixation. In: Proceedings of the 24th Orthopaedic Research Society Meeting, Texas. 1978;p. 89
  12. Walker PS, Soudry M, Ewald FC, et al. Control of cement penetration in total knee arthroplasty. Clin Orthop. 1984;185:155
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  15. Huiskes R, Sloof TJ. Thermal injury of cancellous bone following pressurised penetration of acrylic cement. In: Proceedings of the 27th Orthopaedic Research Society Meeting, Nevada. 1981;p. 134
  16. Smith S, Naima V, Freeman M. The natural history of tibial radiolucent lines in a proximally cemented stemmed total knee arthroplasty. J Arthroplasty. 1999;14:3
  17. Walker PS, Onchi K, Ewald FC, et al. Controlled cement penetration for total knee replacement. In: Proceedings of the 28th Orthopaedic Research Society Meeting, New Orleans. 1982;p. 468
  18. Norton MR, Eyres KS. Irrigation and suction technique to ensure reliable cement penetration for total knee arthroplasty. J Arthoplasty. 2000;15:468
  19. Ritter MA, Herbst SA, Keating M, et al. Radiolucency at the bone-cement interface in total knee replacement. The effects of bone-surface preparation and cement technique. J Bone Joint Surg (Am). 1994;76:60
  20. Benjamin JB, Gie GA, Lee AJC. Cementing technique and the effects of bleeding. J Bone Joint Surg (Br). 1987;69:620
  21. Crawford RW, Psychoyios V, Gie G, et al. Incomplete cement mantles in the sagittal femoral plane: an anatomical explanation. Acta Orthop Scand. 1999;70:596
  22. Hashemi-Nejad A, Birch NC, Goddard NJ. Current attitudes to cementing techniques in British hip surgery. Ann R Coll Surg Eng. 1994;76:396
  23. Tremblay GR, Miller JE, Burke DL, et al. Improved fixation of acrylic cement to cancellous bone by pressure injection: an in vivo experimental study. In: Proceedings of the 25th Orthopaedic Research Society Meeting, San Francisco. 1979;p. 67
  24. Ecker ML, Lotke PL, Windsor RE, et al. Long-term results after total condylar knee arthroplasty: significance of radiolucent lines. Clin Orthop. 1987;216:151
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 No benefits or funds were received in support of the study.

 Level of evidence: Therapeutic study. Level II (prospective cohort study – patients treated one way compared with a group of patients treated another way at the same institution).

PII: S0883-5403(07)00633-X

doi: 10.1016/j.arth.2007.10.028

The Journal of Arthroplasty
Volume 24, Issue 3 , Pages 461-467 , April 2009

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