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-out strength by 100% to 200%, particularly in the setting of bone loss or osteoporosis. 68 - 70 In addition, it has numerous advantages over polymethylmethacrylate bone cement when employed in this role. CS-CP cements harden by an isothermic reaction, with
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Bone cements may be used to augment fixation in severely osteoporotic bone. Polymethylmethacrylate (PMMA) cement is biomechanically stable and has been widely used to enhance pull-out strength with screw fixation. Screws are inserted into the cement
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filling can be achieved with bone grafting or bone cement. Filling with polymethyl methacrylate (PMMA) has the advantage of high primary stability, increase in local control due to thermal effects along the margins during exothermic polymerization and
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of providing pain relief. The first-generation prostheses were non-modular and made up of all-polyethylene tibial components with a metallic Talar component fixed with bone cement. The newer generation prostheses are cementless, metallic and coated
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, and those with syndesmotic instability. It employs a ‘tibia pro fibula’ technique, which utilises the tibia for increased fibular fixation stabilisation ( 38 ). Fixation can be augmented by bone cements such as polymethylmethacrylate or calcium
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delivery systems have been reported for the management of DFU osteomyelitis by local elution of antibiotics (mostly gentamicin, tobramycin and vancomycin). 71 These include polymethylmethacrylate (PMMA) antibiotic-loaded bone cement in beads or spacers