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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
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
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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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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
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attachment and maturation, and as such play a crucial role in PJI. 22 Biofilms are not only formed on the prosthesis but, in the context of PJI, can be found on bone cement, the bone itself, and fibrous tissue; detached clumps can be found in the
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adverse consequences include burden of systemic antibiotic therapy, change in inter-family dynamics and profound psychological impacts ( 15 ). The use of antibiotic-impregnated/antibiotic-eluting bone cement The use of antimicrobials in
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Palacos R + G bone cement: a randomized radiostereometric controlled trial of 52 patients with 2 years’ follow-up . Acta Orthop 2019 ; 90 : 237 – 242 . 20. Olerud F Olsson C Flivik G . Comparison of Refobacin bone
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searched for other relevant papers. Table 1. Search strategy used in PubMed literature search Search line Search terms 1 "BONE CEMENTS" [MeSH Terms] 2 Uncement* OR cement* 3 1 OR 2 4 Templat* 5
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bearings, though not in CoXLPE, compared with smaller ones. 93 Increased torque due to higher friction can be transmitted to the bone–implant interface and compromise implant stability. Stresses in the acetabular cortical bone/cement interface were
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acrylic bone cement compared with inert bone wax . Acta Orthopaedica Scandinavica 1990 61 143 – 147 . ( https://doi.org/10.3109/17453679009006507 ) 2360432 56. Resch H Krappinger D Moroder P Auffarth A Blauth M & Becker J . Treatment of