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-morbidities together with the increasing spread of resistant pathogens, prevention is gaining increasing importance. Peri-operative antibiotic prophylaxis during implant surgery is a recognized necessity. Further addition of local antibiotics eluting from bone cement
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Introduction In orthopedic oncological practice, intralesional curettage and bone cementation are performed routinely for the treatment of benign aggressive bone tumors such as giant cell tumor of bone (GCTB) ( 1 ). Bone cement (especially
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history, properties, techniques, and outcomes of bone cement utilization in THA. History of bone cement Themistocles Gluck is credited as being among the first to experiment with the use of cement for the fixation of artificial joints in the 1880s
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hyperintensity signal on T2 scans, a marker of oedema that is correlated with pain levels and to non-surgical management success ( Fig. 1 ). 8 Percutaneous treatment of these types of fractures consists of bone cement augmentation with or without the use of
Division of Orthopaedics and Trauma Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland
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Faculty of Medicine, University of Berne, Berne, Switzerland
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-and-fill; (D) conical; (E) cylindrical ( 135 ). Sir John Charnley is acknowledged as being the first one to have performed hip arthroplasty with reliability and success ( 5 , 6 , 7 ). His success started in 1959 using bone cement made of polymethyl
Department of Orthopaedic Surgery, Vejle Hospital, Vejle, Denmark
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Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Lund University, Skåne University Hospital, Department of Orthopedics, Malmö, Sweden
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Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Department of Orthopaedics and Traumatology, Turku University Hospital, Turku, Finland
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Department of Surgery, Epworth HealthCare, University of Melbourne, Melbourne, Australia
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Centre for Hip Surgery, Wrightington Hospital, Wrightington, Wigan and Leigh NHS Trust, Lancashire, United Kingdom
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Orthopaedic Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark
Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
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polyethylene liner. 25 , 26 Several bone cements were also identified as poorly performing after only three years of follow-up, especially the Boneloc cement and a low viscosity cement. 27 , 28 With a longer follow-up, three cemented implants
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Pelvic discontinuity (PD) has been a considerable challenge for the hip revision arthroplasty surgeon. However, not all PDs are the same. Some occur during primary cup insertion, resembling a fresh periprosthetic fracture that separates the superior and inferior portions of the pelvis, while others are chronic as a result of gradual acetabular bone loss due to osteolysis and/or acetabular implant loosening.
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In the past, ORIF, various types of cages, bone grafts and bone cement were utilized with little success. Today, the biomechanics and biology of PD as well as new diagnostic tools and especially a variety of new implants and techniques are available to hip revision surgeons. Ultraporous cups and augments, cup-cage constructs and custom triflange components have revolutionized the treatment of PD when used in various combinations with ORIF and bone grafts. For chronic PD the cup-cage construct is the most popular method of reconstruction with good medium-term results.
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Dislocation continues to be the leading cause of failure in all situations, followed by infection. Ultimately, surgeons today have a big enough armamentarium to select the best treatment approach. Case individualization, personal experience and improvisation are the best assets to drive treatment decisions and strategies.
Cite this article: EFORT Open Rev 2021;6:459-471. DOI: 10.1302/2058-5241.6.210022
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Department of Biomechanical Engineering, University of Twente, Enschede, The Netherlands
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Dept. of Orthopaedics, Radboud University Medical Center, Nijmegen, The Netherlands
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Dept. of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands
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components) ( Table 1 ). For bone cement, the name of bone cement, the manufacturer, type of cement, viscosity, whether the cement contains any antibiotics and use of a vacuum cement mixing system are collected ( Table 2 ). In 2014, the process described
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Department of Orthopaedic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt
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include a wide variety of internal fixation methods, hemiarthroplasty or total hip replacement. The case for arthroplasty was strengthened by the use of bone cement that allows early mobilization of the fractured, elderly and morbid patients. The aims of
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Connolly Hospital, Orthopaedic Department, Dublin, Ireland
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Introduction In the 1950s, self-curing polymethylmethacrylate (PMMA), also known as bone cement, was introduced in orthopaedics practice for femoral stem fixation by Edward Haboush (New York), Frederick Roeck Thompson (New York), Kenneth McKee
