Fixation Strength at the Interface between Kerboull-Type Plate and Bone Cement

Purpose. To evaluate the fixation strength at the interface between the Kerboull-type plate and bone cement in 6 experimental conditions. Methods. Experimental materials comprised a simulated acetabular block, a simulated Kerboull-type plate, a pressuriser cover, a pressuriser arm, and bone cement....

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Main Authors: Nobuhiro Kaku, Katsutoshi Hara, Tomonori Tabata, Hiroshi Tsumura
Format: Article
Language:English
Published: SAGE Publishing 2014-12-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/230949901402200316
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author Nobuhiro Kaku
Katsutoshi Hara
Tomonori Tabata
Hiroshi Tsumura
author_facet Nobuhiro Kaku
Katsutoshi Hara
Tomonori Tabata
Hiroshi Tsumura
author_sort Nobuhiro Kaku
collection DOAJ
description Purpose. To evaluate the fixation strength at the interface between the Kerboull-type plate and bone cement in 6 experimental conditions. Methods. Experimental materials comprised a simulated acetabular block, a simulated Kerboull-type plate, a pressuriser cover, a pressuriser arm, and bone cement. The simulated Kerboull-type plate was placed on the simulated acetabular block, with the pressuriser cover. Bone cement was added and the pressuriser arm was inserted. After 6 days of curing, pulling tests were performed to measure the fixation strength at the interface between the plate and the bone cement. Six experimental conditions were evaluated. In condition 1, a 1-mm plate was used with no gap between the plate and the acetabular block. In condition 2, a 2.5-mm plate was used with no gap. In condition 3, a 2.5-mm plate was used with a 2-mm gap. In condition 4, the plate was not used. In condition 5, condition 2 was tested with the model rotated 45°. In condition 6, condition 3 was tested with the model rotated 45°. Results. The maximum fixation strengths in conditions 1, 2, 3, 5, and 6 were 44.4 N, 59.1 N, 122.5 N, 86.9 N, and 185.2 N, respectively. The most important factor affecting the maximum fixation strength was bone cement at the interface between the plate and the acetabular block, followed by 45° rotation during testing, and then thickness of the plate. Conclusion. To enhance fixation of the Kerboull-type plate with cemented acetabular cup, penetration of cement into the outer side of the Kerboull-type plate should be minimised.
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spelling doaj.art-c761d8cdc543468a8cf919dec51f598d2022-12-21T23:09:18ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902014-12-012210.1177/230949901402200316Fixation Strength at the Interface between Kerboull-Type Plate and Bone CementNobuhiro KakuKatsutoshi HaraTomonori TabataHiroshi TsumuraPurpose. To evaluate the fixation strength at the interface between the Kerboull-type plate and bone cement in 6 experimental conditions. Methods. Experimental materials comprised a simulated acetabular block, a simulated Kerboull-type plate, a pressuriser cover, a pressuriser arm, and bone cement. The simulated Kerboull-type plate was placed on the simulated acetabular block, with the pressuriser cover. Bone cement was added and the pressuriser arm was inserted. After 6 days of curing, pulling tests were performed to measure the fixation strength at the interface between the plate and the bone cement. Six experimental conditions were evaluated. In condition 1, a 1-mm plate was used with no gap between the plate and the acetabular block. In condition 2, a 2.5-mm plate was used with no gap. In condition 3, a 2.5-mm plate was used with a 2-mm gap. In condition 4, the plate was not used. In condition 5, condition 2 was tested with the model rotated 45°. In condition 6, condition 3 was tested with the model rotated 45°. Results. The maximum fixation strengths in conditions 1, 2, 3, 5, and 6 were 44.4 N, 59.1 N, 122.5 N, 86.9 N, and 185.2 N, respectively. The most important factor affecting the maximum fixation strength was bone cement at the interface between the plate and the acetabular block, followed by 45° rotation during testing, and then thickness of the plate. Conclusion. To enhance fixation of the Kerboull-type plate with cemented acetabular cup, penetration of cement into the outer side of the Kerboull-type plate should be minimised.https://doi.org/10.1177/230949901402200316
spellingShingle Nobuhiro Kaku
Katsutoshi Hara
Tomonori Tabata
Hiroshi Tsumura
Fixation Strength at the Interface between Kerboull-Type Plate and Bone Cement
Journal of Orthopaedic Surgery
title Fixation Strength at the Interface between Kerboull-Type Plate and Bone Cement
title_full Fixation Strength at the Interface between Kerboull-Type Plate and Bone Cement
title_fullStr Fixation Strength at the Interface between Kerboull-Type Plate and Bone Cement
title_full_unstemmed Fixation Strength at the Interface between Kerboull-Type Plate and Bone Cement
title_short Fixation Strength at the Interface between Kerboull-Type Plate and Bone Cement
title_sort fixation strength at the interface between kerboull type plate and bone cement
url https://doi.org/10.1177/230949901402200316
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AT hiroshitsumura fixationstrengthattheinterfacebetweenkerboulltypeplateandbonecement