Bone Cement in Total Hip and Knee Arthroplasty

Monzon, Rene A.; Coury, John G.; Disse, Gregory D.; Lum, Zachary C.

doi:10.2106/jbjs.rvw.19.00031

Cited by 20 publications

(14 citation statements)

References 60 publications

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“…Some biomaterials used to aid patients are bone cements. Their basic applications involve the mounting of hip and knee joint prostheses [ 5 ] and, in the area of spine surgeries, for vertebroplasty and kyphoplasty procedures [ 6 , 7 , 8 , 9 ]. The gold standard for today’s implant mounting procedures is the use of PMMA (poly methyl methacrylate) cements.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Contaminating Poly (Methyl Methacrylate) (PMMA) Bone Cements on Their Compressive Strength

et al. 2021

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This study presents an analysis of the impact of doping bone cement with saline. The two-ingredient cement, made right before the surgery, is subject to various kinds of organic contaminants and liquids used in the operating area, such as saline used to cleanse or cool it, during the process of mounting the prosthesis or bone-filling procedures. The processes of experimental destructive testing and statistical analysis have shown that, depending on the degree of saline doping, the static compressive strength parameters may greatly improve (with a low degree of contamination) or significantly worsen (when the contamination degree is higher). The limit value of the degree of salt admixture was estimated (2%), with which no statistically significant differences were observed in the cement strength in relation to the strength of non-contaminated cement.

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Section: Introductionmentioning

confidence: 99%

The Impact of Contaminating Poly (Methyl Methacrylate) (PMMA) Bone Cements on Their Compressive Strength

et al. 2021

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“…In vitro studies have demonstrated temperatures of 70° to 120°C, and in vivo studies have demonstrated temperatures of 40° to 50°C, with some reported data suggesting that in vivo temperatures can reach ≤70°C. 11 , 12 Although few studies have investigated the effect of thermal injury to vessel walls, Vo et al 13 described the dermal vascular changes that occur after thermal trauma. Such changes include thrombosis, vascular occlusion, necrosis, and rupture of blood vessels when exposed to temperatures of 50°C.…”

Section: Discussionmentioning

confidence: 99%

A novel case of a pseudoaneurysm due to thermal injury from a cement hip spacer

Boer

Shiraev

Dubenec

2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…The manufacturer of Simplex P (Simplex brocher) Speedset cement recommends using 22.8 degree Celsius water bath for temperature equilibrium with powder, cement bowl, and mixing instruments right before mixing. The mixing [20] is performed for 1 min and the setting time is reproducible at 10 min. Other than using manufacturer's recommendation, one can devise their own standardized environment involving mixing instruments, cement bowl, the liquid and powder of bone cement, room temperature, humidity, etc.…”

Section: Discussionmentioning

confidence: 99%

Dangers with cementation under low-viscosity state: Cement arterio-venogram and bone cement implantation syndrome

Wan

Liu

et al. 2021

Trauma Case Reports

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Cement arterio-venogram is a rare event with cement extrusion into femoral nutrient vessels. In literature it is known to be benign with no significant clinical sequelae. It is postulated that it is due to high cement implantation pressure, that results in optimal cement filling quality. All previously reported cases were female patients, and it is thought to be a female only phenomenon due to the relatively narrow femoral canal leading to higher pressures during cementation. In this case series we report 3 cases different to existing literature. All 3 patients showed a cement arterio-venogram together with bone cement implantation syndrome and hypotension intraoperatively. It was also observed that during implantation the cement was of low viscosity. We postulate low cement viscosity during implantation with pressurization is also a contributing factor to these phenomena. This case series also demonstrates the first 2 male cases, showing this the even can occur in males too. The cement arteriovenogram is located at 41%–42% femur length which is within the ‘third sixth’ of the length of the femur. Good cementation techniques and prevention is also highlighted in this report.

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Bone Cement in Total Hip and Knee Arthroplasty

Cited by 20 publications

References 60 publications

The Impact of Contaminating Poly (Methyl Methacrylate) (PMMA) Bone Cements on Their Compressive Strength

The Impact of Contaminating Poly (Methyl Methacrylate) (PMMA) Bone Cements on Their Compressive Strength

A novel case of a pseudoaneurysm due to thermal injury from a cement hip spacer

Dangers with cementation under low-viscosity state: Cement arterio-venogram and bone cement implantation syndrome

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