Removal of a well fixed cemented acetabular component using biomechanical principles
| Autor: | A. Gordon Burgess, Colin R. Howie |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
musculoskeletal diseases
Hip surgery 030222 orthopedics medicine.medical_specialty business.industry technology industry and agriculture Dentistry Case Report equipment and supplies Bone cement Acetabulum Surgery 03 medical and health sciences surgical procedures operative 0302 clinical medicine Acetabular component 030220 oncology & carcinogenesis Orthopedic surgery medicine Orthopedics and Sports Medicine business Revision hip arthroplasty |
| Zdroj: | Journal of Orthopaedics. 14:302-307 |
| ISSN: | 0972-978X |
| DOI: | 10.1016/j.jor.2017.03.005 |
| Popis: | Background Removal of well fixed components can be a complex problem facing an orthopaedic surgeon during revision hip arthroplasty. As the burden of revision hip surgery increases, techniques have been described to enable safe and reliable removal of well fixed components. Removal of well fixed cemented components requires different considerations to the removal of cemented components. Polymethylmethacrylate bone cement and polyethylene have unique biomechanical properties. Method We present a step-by-step technique to reliably and safely remove a well fixed cemented acetabular component and underlying cement during revision hip arthroplasty. Results This reproducible technique is presented with intra-operative photography and a detailed description of the necessary steps to remove a well fixed cemented acetabular component. Conclusion Consideration of important underlying biomechanical principles of polymethylmethacrylate bone cement and polyethylene can aid the safe removal of a well fixed cemented acetabular component in revision hip surgery, reducing risk to underlying bone. |
| Databáze: | OpenAIRE |
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