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
Hauptverfasser: Fernández-Valencia, Jenaro Ángel, Gallart, Xavier, Bori, Guillem, Rodríguez-Roiz, Juan Miguel, Combalia, Andreu
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container_issue 8
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container_title European journal of orthopaedic surgery & traumatology
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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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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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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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