The cement mantle in the exeter impaction allografting technique

Masterson, Eric; Masri, Bassam A.; Duncan, Clivе P.

doi:10.1016/s0883-5403(97)90005-x

Cited by 94 publications

(61 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Most of the reports on this technique that include a section on complications have been highlighted; the prevalence has ranged from 5 to 24% [4,9,11,15,16,20,24]. In our study, intraoperative proximal fractures occurred in two hips during the removal of cement prior to impaction bone grafting, while intraoperative proximal fracture happened in three hips during impaction.…”

Section: Discussionmentioning

confidence: 60%

“…Most of the subsided stems had been inserted during the first 2 years and subsided below 2 mm. Accordingly, the massive subsidence (>10 mm) found in 9 of the 79 cases reported by Eldrige et al [3] and 7 of the 35 cases by Masterson et al [15] seem to have been caused by the surgical technique, the nature of the graft and the geometry of the stem. However, we have considered that massive subsidence may be related to splitting of the cement mantle and some movement between the cement and graft and that early massive subsidence may result from a failure to obtain initial stability.…”

Section: Discussionmentioning

confidence: 88%

“…This leads to a self-tightening that allows restabilisation within the cement [4,9] and provides a beneficial compressive load to the allograft [19]. However, other authors question whether subsidence of a polished stem can be beneficial or if relatively high subsidence of a stem can lead to clinical failures [3,15,16]. In this study, subsidence of the cement-graft interface (<1 mm) occurred in three hips (5%, 3/56), subsidence of the stem-cement interface (<1 mm) in 12 hips (21%, 21/56) Large CDH (37.5 mm)…”

Section: Discussionmentioning

confidence: 99%

“…It subsequently allows the incorporation and remodelling of living bone stock in the host skeleton. Based on the original reports [9], a number of authors have published favourable results [7,13,18,24,25], though others have reported serious problems [3,15,16,20]. Furthermore, the technique used with the Exeter stem has evolved since it was first reported in the original series [9,21].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Impaction allograft with cement for the revision of the femoral component. A minimum 39-month follow-up study with the use of the Exeter stem in Asian hips

Yim

Kim

Suh

2006

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

We report the results of impaction bone grafting of the femoral side in revision total hip arthroplasty in Asian hips (South Korean patients) in which the surgery was performed with the Exeter stem. The minimum follow-up was 39 months (mean, 48.4; range, 39-66). There was subsidence of the cement-graft interface (<1 mm) in three hips (5%), of the stem-cement interface (<1 mm) in 12 hips (21%) and of the stem-cement interface (1-2 mm) in 14 hips (25%). Five hips (9%) developed intraoperative femoral fracture and two hips (4%) femoral perforation in revision. The complications of femoral fracture and subsidence did not have an adverse effect on the final clinical outcomes. The impaction of fresh-frozen allograft and use of a cemented, polished, tapered stem (Exeter stem) were also successful with good clinical and radiographic outcomes in our study of Asian hips (South Korean patients). However, we used smaller stems than the usual ones used for Western patients because of the smaller femur sizes.Résumé Nous reportons les résultats de la technique d'Exeter avec greffons impactés dans les reprises totales de hanche, étude réalisée sur des hanches asiatiques et sur des patients sud coréens, avec utilisation de la tige d'Exeter.Le suivi minimum a été de 39 mois (48.4 à 39.66). La migration à l'interface ciment greffe a été inférieure à 1 mm dans 3 cas, 5%. A l'interface tige ciment, (<1 mm) dans 12 hanches (21% des cas) et enfin à l'interface tige ciment, cette migration est comprise entre 1 et 2 mm dans 14 hanches (25% des cas). 5 hanches (11%) ont présenté durant l'intervention des complications avec une fracture fémorale dans 5 cas (9%) et une perforation fémorale dans 2 cas (4%). Ces complications ainsi que la migration de la tige n'ont pas entraîné de problèmes cliniques. La technique utilisant des allogreffes compactées cryoconservées et l'utilisation d'une tige cimentée et polie de type Exeter ont donné, dans cette étude, de bons résultats, tant sur le plan clinique que sur le plan radiographique. Cependant, nous avons dû utiliser des tiges beaucoup plus petites qu'habituellement en Europe compte tenu de la petite taille des fémurs asiatiques sud coréens.

show abstract

Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Impaction allograft with cement for the revision of the femoral component. A minimum 39-month follow-up study with the use of the Exeter stem in Asian hips

Yim

Kim

Suh

2006

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…The clinical results, however, with followups now of up to 15 years, show no evidence of this (Schreurs et al 1998). In some series, a large subsidence is seen (Eldridge et al 1997, Masterson et al 1997, indicating the sensitivity of the method to technical differences in the operative procedure. On the other hand, other series using radiostereometry show a migration magnitude (Nivbrant and Kärrholm 1997) and a migration pattern comparable to a primary hip arthroplasty, with a migration stop after 1-1.5 years (Kärrholm et al 1999, Ornstein et al 1999, 2000.…”

Section: Discussionmentioning

confidence: 96%