The use of a “rim cutter” device and a flanged cup for improving the mantle of the acetabular component of a cemented Exeter total hip arthroplasty
A retrospective study was performed to evaluate the cement mantle in two groups of patients treated with the acetabular components of cemented Exeter total hip arthroplasties (THAs). Two groups of 20 patients were compared: Group 1 received non-flanged acetabular cemented cups (Contemporary, Stryker...
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Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2016-12, Vol.26 (8), p.891-894 |
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creator | Fernández-Valencia, Jenaro Ángel Gallart, Xavier Bori, Guillem Rodríguez-Roiz, Juan Miguel Combalia, Andreu |
description | A retrospective study was performed to evaluate the cement mantle in two groups of patients treated with the acetabular components of cemented Exeter total hip arthroplasties (THAs). Two groups of 20 patients were compared: Group 1 received non-flanged acetabular cemented cups (Contemporary, Stryker) and Group 2 received flanged acetabular cemented cups (X3 Rim Fit, Stryker). Cups in Group 2 were implanted after using a rim cutter device. Group 2 showed better penetration of cement in zone 1 (10.76 mm compared with 2.93 mm;
p
= 0.008) and a thicker cement mantle in zone 1 (3.57 mm compared with 2.89 mm;
p
= 0.04). More cups in Group 2 had a cement mantle thickness less than 3 mm (30 % in Group 1 compared with 70 % in Group 2;
p
= 0.0039). No other radiological differences were observed. These results favor the use of a rim cutter device and flanged cup to improve the cement mantle for the acetabular components of cemented Exeter THAs. However, the improvements were less than expected. In view of the results of previous studies, further research is therefore needed to assess the value of this approach in improving the acetabular cement mantle. |
doi_str_mv | 10.1007/s00590-016-1838-z |
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p
= 0.008) and a thicker cement mantle in zone 1 (3.57 mm compared with 2.89 mm;
p
= 0.04). More cups in Group 2 had a cement mantle thickness less than 3 mm (30 % in Group 1 compared with 70 % in Group 2;
p
= 0.0039). No other radiological differences were observed. These results favor the use of a rim cutter device and flanged cup to improve the cement mantle for the acetabular components of cemented Exeter THAs. However, the improvements were less than expected. In view of the results of previous studies, further research is therefore needed to assess the value of this approach in improving the acetabular cement mantle.</description><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-016-1838-z</identifier><identifier>PMID: 27549660</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Acetabulum - diagnostic imaging ; Acetabulum - surgery ; Aged ; Arthroplasty, Replacement, Hip - adverse effects ; Arthroplasty, Replacement, Hip - instrumentation ; Arthroplasty, Replacement, Hip - methods ; Bone Cements - therapeutic use ; Cement ; Cementation - adverse effects ; Cementation - methods ; Female ; Hip Prosthesis ; Humans ; Male ; Medicine ; Medicine & Public Health ; Original Article • HIP - ARTHROPLASTY ; Outcome and Process Assessment (Health Care) ; Postoperative Complications - diagnosis ; Postoperative Complications - etiology ; Prosthesis Design ; Radiography - methods ; Retrospective Studies ; Spain ; Surgical Orthopedics ; Traumatic Surgery</subject><ispartof>European journal of orthopaedic surgery & traumatology, 2016-12, Vol.26 (8), p.891-894</ispartof><rights>Springer-Verlag France 2016</rights><rights>Springer-Verlag France 2016.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c287z-90900548f153ef0e8bd483f1af7dd855457b02aa7b8d3f2772cb4e11449cd27e3</citedby><cites>FETCH-LOGICAL-c287z-90900548f153ef0e8bd483f1af7dd855457b02aa7b8d3f2772cb4e11449cd27e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00590-016-1838-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00590-016-1838-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27549660$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fernández-Valencia, Jenaro Ángel</creatorcontrib><creatorcontrib>Gallart, Xavier</creatorcontrib><creatorcontrib>Bori, Guillem</creatorcontrib><creatorcontrib>Rodríguez-Roiz, Juan Miguel</creatorcontrib><creatorcontrib>Combalia, Andreu</creatorcontrib><title>The use of a “rim cutter” device and a flanged cup for improving the mantle of the acetabular component of a cemented Exeter total hip arthroplasty</title><title>European journal of orthopaedic surgery & traumatology</title><addtitle>Eur J Orthop Surg Traumatol</addtitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><description>A retrospective study was performed to evaluate the cement mantle in two groups of patients treated with the acetabular components of cemented Exeter total hip arthroplasties (THAs). Two groups of 20 patients were compared: Group 1 received non-flanged acetabular cemented cups (Contemporary, Stryker) and Group 2 received flanged acetabular cemented cups (X3 Rim Fit, Stryker). Cups in Group 2 were implanted after using a rim cutter device. Group 2 showed better penetration of cement in zone 1 (10.76 mm compared with 2.93 mm;
p
= 0.008) and a thicker cement mantle in zone 1 (3.57 mm compared with 2.89 mm;
p
= 0.04). More cups in Group 2 had a cement mantle thickness less than 3 mm (30 % in Group 1 compared with 70 % in Group 2;
p
= 0.0039). No other radiological differences were observed. These results favor the use of a rim cutter device and flanged cup to improve the cement mantle for the acetabular components of cemented Exeter THAs. However, the improvements were less than expected. In view of the results of previous studies, further research is therefore needed to assess the value of this approach in improving the acetabular cement mantle.</description><subject>Acetabulum - diagnostic imaging</subject><subject>Acetabulum - surgery</subject><subject>Aged</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Arthroplasty, Replacement, Hip - instrumentation</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Bone Cements - therapeutic use</subject><subject>Cement</subject><subject>Cementation - adverse effects</subject><subject>Cementation - methods</subject><subject>Female</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article • HIP - ARTHROPLASTY</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - etiology</subject><subject>Prosthesis Design</subject><subject>Radiography - methods</subject><subject>Retrospective Studies</subject><subject>Spain</subject><subject>Surgical Orthopedics</subject><subject>Traumatic Surgery</subject><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1Uctu1TAQtRCIlsIHsEGW2LAJ-JXYWaKqPKRKbMo6cuxxb6okDrZT0bvqX7CBn-uXMJcUkJBYeaxz5pyZOYQ85-w1Z0y_yYzVLasYbypupKn2D8gxV1JUnDXmIdaNlJVhTX1EnuR8xRivW14_JkdC16ptGnZMvl3sgK4ZaAzU0rvb72mYqFtLgXR3-4N6uB4cUDt7RMNo50vwCC80xESHaUnxepgvaUGRyc5l_KVz-FkHxfbraBN1cVriDHPZPBxMWKPM2VdAF1pisSPdDQu1qexSXEaby81T8ijYMcOz-_eEfH53dnH6oTr_9P7j6dvzygmj91XLWryBMoHXEgID03tlZOA2aO9NXata90xYq3vjZRBaC9cr4Fyp1nmhQZ6QV5survJlhVy6acgORlwV4po7vGurFbpopL78h3oV1zTjdJ0wUguBoyhk8Y3lUsw5QegWPKlNNx1n3SG1bkutw9QO6qbbY8-Le-W1n8D_6fgdExLERsgIYQbpr_X_VX8C6IOltA</recordid><startdate>20161201</startdate><enddate>20161201</enddate><creator>Fernández-Valencia, Jenaro Ángel</creator><creator>Gallart, Xavier</creator><creator>Bori, Guillem</creator><creator>Rodríguez-Roiz, Juan Miguel</creator><creator>Combalia, Andreu</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20161201</creationdate><title>The use of a “rim cutter” device and a flanged cup for improving the mantle of the acetabular component of a cemented Exeter total hip arthroplasty</title><author>Fernández-Valencia, Jenaro Ángel ; Gallart, Xavier ; Bori, Guillem ; Rodríguez-Roiz, Juan Miguel ; Combalia, Andreu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c287z-90900548f153ef0e8bd483f1af7dd855457b02aa7b8d3f2772cb4e11449cd27e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Acetabulum - diagnostic imaging</topic><topic>Acetabulum - surgery</topic><topic>Aged</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Arthroplasty, Replacement, Hip - instrumentation</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Bone Cements - therapeutic use</topic><topic>Cement</topic><topic>Cementation - adverse effects</topic><topic>Cementation - methods</topic><topic>Female</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article • HIP - ARTHROPLASTY</topic><topic>Outcome and Process Assessment (Health Care)</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - etiology</topic><topic>Prosthesis Design</topic><topic>Radiography - methods</topic><topic>Retrospective Studies</topic><topic>Spain</topic><topic>Surgical Orthopedics</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fernández-Valencia, Jenaro Ángel</creatorcontrib><creatorcontrib>Gallart, Xavier</creatorcontrib><creatorcontrib>Bori, Guillem</creatorcontrib><creatorcontrib>Rodríguez-Roiz, Juan Miguel</creatorcontrib><creatorcontrib>Combalia, Andreu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fernández-Valencia, Jenaro Ángel</au><au>Gallart, Xavier</au><au>Bori, Guillem</au><au>Rodríguez-Roiz, Juan Miguel</au><au>Combalia, Andreu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The use of a “rim cutter” device and a flanged cup for improving the mantle of the acetabular component of a cemented Exeter total hip arthroplasty</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><date>2016-12-01</date><risdate>2016</risdate><volume>26</volume><issue>8</issue><spage>891</spage><epage>894</epage><pages>891-894</pages><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>A retrospective study was performed to evaluate the cement mantle in two groups of patients treated with the acetabular components of cemented Exeter total hip arthroplasties (THAs). Two groups of 20 patients were compared: Group 1 received non-flanged acetabular cemented cups (Contemporary, Stryker) and Group 2 received flanged acetabular cemented cups (X3 Rim Fit, Stryker). Cups in Group 2 were implanted after using a rim cutter device. Group 2 showed better penetration of cement in zone 1 (10.76 mm compared with 2.93 mm;
p
= 0.008) and a thicker cement mantle in zone 1 (3.57 mm compared with 2.89 mm;
p
= 0.04). More cups in Group 2 had a cement mantle thickness less than 3 mm (30 % in Group 1 compared with 70 % in Group 2;
p
= 0.0039). No other radiological differences were observed. These results favor the use of a rim cutter device and flanged cup to improve the cement mantle for the acetabular components of cemented Exeter THAs. However, the improvements were less than expected. In view of the results of previous studies, further research is therefore needed to assess the value of this approach in improving the acetabular cement mantle.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>27549660</pmid><doi>10.1007/s00590-016-1838-z</doi><tpages>4</tpages></addata></record> |
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source | MEDLINE; SpringerLink Journals - AutoHoldings |
subjects | Acetabulum - diagnostic imaging Acetabulum - surgery Aged Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - instrumentation Arthroplasty, Replacement, Hip - methods Bone Cements - therapeutic use Cement Cementation - adverse effects Cementation - methods Female Hip Prosthesis Humans Male Medicine Medicine & Public Health Original Article • HIP - ARTHROPLASTY Outcome and Process Assessment (Health Care) Postoperative Complications - diagnosis Postoperative Complications - etiology Prosthesis Design Radiography - methods Retrospective Studies Spain Surgical Orthopedics Traumatic Surgery |
title | The use of a “rim cutter” device and a flanged cup for improving the mantle of the acetabular component of a cemented Exeter total hip arthroplasty |
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