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Einfluss der femoralen Zementiertechnik auf das Zementierergebnis

Vergleich von retrograder Technik und Vakuumapplikation

Effect of femoral cementing technique on results

Comparison between retrograde technique and vacuum application

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Zusammenfassung

Methode

Zur Beurteilung des Eindringens von Knochenzement in das trabekuläre Knochenlager wurden die Femora von 14 Schafen bilateral simultan zementiert. Nach Schenkelhalsosteotomie, Markraumeröffnung sowie seitengleicher Markraumspülung wurden simultan die Zementapplikation nach herkömmlicher Technik und kontralateral in Vakuumtechnik vorgenommen. Nach Explantation wurden alle Femurpräparate geröntgt, standardisiert in horizontal stereometrisch identische Schnitte zersägt, mikroradiographiert und mittels Bildanalyse hinsichtlich der Zementpenetration morphometrisch ausgewertet.

Ergebnisse

Die Vakuumzementierung am Schaffemur zeigte weder eine signifikant bessere Zementpenetrationstiefe noch ein besseres Verhältnis zwischen zementverstärktem und nicht verstärktem spongiösem Knochen im Vergleich zur konventionellen retrograden Zementiertechnik.

Schlussfolgerungen

Aus zementiertechnischer Sicht bietet die deutlich aufwändigere und anspruchsvollere Technik der Zementapplikation unter Vakuum keinen Vorteil gegenüber der einfacheren konventionellen retrograden Technik.

Abstract

Methods

To evaluate the penetration depth of cement into trabecular femoral bone, femora of 14 sheep were subjected to simultaneous bilateral cementing. After femoral neck osteotomy, preparation of the bone cavities and jet lavage, cement was applied simultaneously using the conventional retrograde method for one side and vacuum application for the contralateral limb. Bilateral simultaneous pressurisation was then applied. All femoral specimens were X-rayed, sawed into standardised, horizontal, stereometric, identical slices and microradigraphed. Cement penetration was assessed using a morphometric software system.

Results

No significant differences in depth of cement penetration between sheep femora cemented with the vacuum application method and the standard retrograde method could be found or between the ratio of cement-consolidated and non-cement-consolidated cancellous bone.

Conclusion

The more complicated and technically challenging method of cement application under vacuum had no advantage in terms of cement interdigitation over the standard retrograde method.

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Authors and Affiliations

  1. Stiftung Orthopädische Universitätsklinik, Heidelberg

    S. Ungethuem,  B. Lehner, T. Reitzel & H. Mau

  2. School of Mechanical and Manufacturing Engineering, The Queens University of Belfast

    P. J. Buckley

  3. Department of Orthopedics, University of Edinburgh

    S. J. Breusch

  4. Stiftung Orthopädische Universitätsklinik Heidelberg, Schlierbacher Landstraße 200a, 69118 , Heidelberg

    B. Lehner

Authors
  1. S. Ungethuem
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  2. B. Lehner
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  3. T. Reitzel
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  4. P. J. Buckley
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  5. H. Mau
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  6. S. J. Breusch
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Correspondence to B. Lehner.

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Ungethuem, S., Lehner, B., Reitzel, T. et al. Einfluss der femoralen Zementiertechnik auf das Zementierergebnis. Orthopäde 34, 690–697 (2005). https://doi.org/10.1007/s00132-005-0770-4

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