Thermal effects of cement mantle thickness for hip resurfacing.

Hybrid hip resurfacing arthroplasty with uncemented acetabular and cemented femoral fixation is increasingly becoming popular as an alternative to total hip arthroplasty. There is concern about femoral neck fractures, and long-term survival has not yet been demonstrated. Thermal necrosis may be an i...

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Main Authors: Little, J, Gray, H, Murray, D, Beard, D, Gill, H
Format: Journal article
Language:English
Published: 2008
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author Little, J
Gray, H
Murray, D
Beard, D
Gill, H
author_facet Little, J
Gray, H
Murray, D
Beard, D
Gill, H
author_sort Little, J
collection OXFORD
description Hybrid hip resurfacing arthroplasty with uncemented acetabular and cemented femoral fixation is increasingly becoming popular as an alternative to total hip arthroplasty. There is concern about femoral neck fractures, and long-term survival has not yet been demonstrated. Thermal necrosis may be an important factor for neck fracture and will affect the viability of the femoral bone. This cadaveric study investigated the thermal effect of thick (1.5 mm, n = 3) and thin (0.5 mm, n = 3) cement mantles; 5 thermocouples were used to record temperature at the femoral bone/cement interface during hip resurfacing arthroplasty. The highest recorded temperatures were significantly higher when a thick cement mantle is used (45.4 degrees C), compared to a thin cement mantle (32.7 degrees C). To reduce the potential for thermal necrosis, the thin cement mantle technique is recommended.
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spelling oxford-uuid:2e74684c-cb71-4f1d-86bb-3741ec257a252022-03-26T12:49:04ZThermal effects of cement mantle thickness for hip resurfacing.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:2e74684c-cb71-4f1d-86bb-3741ec257a25EnglishSymplectic Elements at Oxford2008Little, JGray, HMurray, DBeard, DGill, HHybrid hip resurfacing arthroplasty with uncemented acetabular and cemented femoral fixation is increasingly becoming popular as an alternative to total hip arthroplasty. There is concern about femoral neck fractures, and long-term survival has not yet been demonstrated. Thermal necrosis may be an important factor for neck fracture and will affect the viability of the femoral bone. This cadaveric study investigated the thermal effect of thick (1.5 mm, n = 3) and thin (0.5 mm, n = 3) cement mantles; 5 thermocouples were used to record temperature at the femoral bone/cement interface during hip resurfacing arthroplasty. The highest recorded temperatures were significantly higher when a thick cement mantle is used (45.4 degrees C), compared to a thin cement mantle (32.7 degrees C). To reduce the potential for thermal necrosis, the thin cement mantle technique is recommended.
spellingShingle Little, J
Gray, H
Murray, D
Beard, D
Gill, H
Thermal effects of cement mantle thickness for hip resurfacing.
title Thermal effects of cement mantle thickness for hip resurfacing.
title_full Thermal effects of cement mantle thickness for hip resurfacing.
title_fullStr Thermal effects of cement mantle thickness for hip resurfacing.
title_full_unstemmed Thermal effects of cement mantle thickness for hip resurfacing.
title_short Thermal effects of cement mantle thickness for hip resurfacing.
title_sort thermal effects of cement mantle thickness for hip resurfacing
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