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Removal of the Cement

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Abstract

There are a number of different instruments required for the removal of cement. These include a variety of chisels and long drills. The cement can be softened by ultrasound and then scraped off. Long cement plugs that are firmly attached distally often require extended techniques. In this case, we prefer the transfemoral approach to a window because the former technique can be used to remove the cement directly in a straight direction under visual control and leave the muscles on the bony flap for vascularization. The different techniques are described in detail in this chapter.

Keywords

  • Femoral revision
  • Cement
  • Removal
  • Extended trochanteric osteotomy
  • Window

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References

  1. Mumme T, Müller-Rath R, Andereya S, Wirtz DC. Uncemented femoral revision arthroplasty using the modular revision prosthesis MRP-Titan revision stem. Oper Orthop Traumatol. 2007;19:56–77.

    CrossRef  Google Scholar 

  2. Lombardi AV Jr. Cement removal in revision total hip arthroplasty. Semin Arthroplasty. 1992;3:264–72.

    PubMed  Google Scholar 

  3. Moreland JR, Marder R, Anspach WE Jr. The window technique for the removal of broken femoral stems in total hip replacement. Clin Orthop Relat Res. 1986;(212):245–249.

    Google Scholar 

  4. Sydney SV, Mallory TH. Controlled perforation—a safe technique of cement removal from the femoral shaft. Surg Round Orthop. 1988;17:21–8.

    Google Scholar 

  5. Mallory TH. Surgical exposure and cement removal in revision total hip arthroplasty. Semin Arthroplasty. 1992;3:257–63.

    CAS  PubMed  Google Scholar 

  6. Sydney SV, Mallory TH. Controlled perforation. A safe method of cement removal from the femoral canal. Clin Orthop Relat Res. 1990;(253):168–171.

    Google Scholar 

  7. Lerch M, van Lewinski G, Windhagen H, Thorey F. Revision of total hip arthroplasty: clinical outcome of extended trochanteric osteotomy and intraoperative femoral fracture. Technol Health Care. 2008;16:293–300.

    CrossRef  Google Scholar 

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Correspondence to Bernd Fink .

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Fink, B. (2022). Removal of the Cement. In: Femoral Revision Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-84821-7_14

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  • DOI: https://doi.org/10.1007/978-3-030-84821-7_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-84820-0

  • Online ISBN: 978-3-030-84821-7

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