Improving Initial Acetabular Component Stability in Revision Total Hip Arthroplasty

Autor: John D. McCamley, Andrew M. Jaczynski, David J. Jacofsky, Marc C. Jacofsky, M. Wade Shrader
Rok vydání: 2012
Předmět:
Zdroj: The Journal of Arthroplasty. 27:305-309
ISSN: 0883-5403
DOI: 10.1016/j.arth.2011.05.009
Popis: A reproducible retroacetabular defect was created bilaterally in 9 cadaver pelves. The defects were filled with either an injectable, bioresorbable, calcium phosphate cement, or reverse-reamed cancellous allograft. An uncemented acetabular shell was impacted, followed by the placement of an appropriate liner. The pelves were then sectioned, and each half was loaded in a material testing machine to simulate walking on the construct over a several week period. The cement-filled defects lasted a greater number of cycles before failure and had greater cup stability and stiffness. The use of resorbable bone void filler for retroacetabular defects shows promise in this biomechanical analysis. Long-term clinical follow-up is warranted to track osseointegration of the implant and restoration of bone stock between this and other clinically accepted surgical techniques.
Databáze: OpenAIRE