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Biomechanical comparison of three cemented stem removal techniques in revision hip surgery.
Tóth, Kálmán; Sisák, Krisztián; Wellinger, Károly; Manó, Sándor; Horváth, Gyöngyi; Szendroi, Miklós; Csernátony, Zoltán.
Afiliación
  • Tóth K; Department of Orthopaedics, Faculty of Medicine, University of Szeged, Szeged, Hungary. tothk@orto.szote.u-szeged.hu
Arch Orthop Trauma Surg ; 131(7): 1007-12, 2011 Jul.
Article en En | MEDLINE | ID: mdl-21193916
BACKGROUND: There are various techniques available to remove a cemented femoral component and distal cement in the case of septic or aseptic loosening, periprosthetic or component fracture. The present study describes the mechanical effects of three techniques: the transfemoral approach (TFA), the distal fenestration technique (DF) and the retrograde stem removal technique (RSR). An experiment on cadaveric femora was performed to establish if there are any differences in the resistance to fracture in and between the various groups. METHODS: Twenty-two paired femora were recovered from human cadavers and were frozen. These were later subdivided into three groups to provide similar specimens in each group (TFA, DF, RSR). The femora were tested using an Instron 8874 biaxial testing system. The torque required to fracture was measured. Intra- and intergroup statistical analysis was performed. RESULTS: In the TFA group, the force required till fracture was significantly less than in controls. (p = 0.018). Similar results were found in the DF group (p = 0.048). There was no difference in the RSR group (p = 1). Intergroup analysis showed the following: Femora in the TFA group required significantly less force to fracture than specimens in the DF group (p = 0.018) or the RSR group (p = 0.0055). Femora in the DF group required significantly less force to fracture than specimens in the RSR (p = 0.037). CONCLUSIONS: The TFA technique decreases the mechanical resistance of human cadaveric femora very significantly against rotational forces. The DF technique in the same setup also significantly decreases the resistance of bone, whilst no significant change is seen with the RSR technique.
Asunto(s)

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Cementación / Remoción de Dispositivos / Articulación de la Cadera / Prótesis de Cadera Tipo de estudio: Diagnostic_studies Límite: Aged / Aged80 / Humans / Middle aged Idioma: En Revista: Arch Orthop Trauma Surg Año: 2011 Tipo del documento: Article País de afiliación: Hungria

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Cementación / Remoción de Dispositivos / Articulación de la Cadera / Prótesis de Cadera Tipo de estudio: Diagnostic_studies Límite: Aged / Aged80 / Humans / Middle aged Idioma: En Revista: Arch Orthop Trauma Surg Año: 2011 Tipo del documento: Article País de afiliación: Hungria