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2008 Otto Aufranc Award: Component Design and Technique Affect Cement Penetration in Hip Resurfacing

  • Symposium: Papers Presented at the Hip Society Meetings 2008
  • Published:
Clinical Orthopaedics and Related Research

Abstract

Either excessive or insufficient cement penetration within the femoral head after hip resurfacing influences the risk of femoral failures. However, the factors controlling cement penetration are not yet fully understood. We determined the effect of femoral component design and cementation technique on cement penetration. Six retrieved femoral heads were resurfaced for each implant (BHR®, ASR®, Conserve Plus®, DuROM®, ReCAP®) using the manufacturers’ recommendations for implantation. In addition, the BHR was implanted using the Conserve Plus® high-viscosity cementation technique, “BHR/hvt,” and vice versa for the Conserve, “Conserve/lvt.” The average cement penetration was highest with BHR (65.62% ± 15.16%) compared with ASR® (12.25% ± 5.12%), Conserve Plus® (19.43% ± 5.28%), DuROM® (17.73% ± 3.96%), and ReCAP® (26.09% ± 5.20%). Cement penetration in BHR/hvt remained higher than all other implants equaling 36.7% ± 6.6%. Greater femoral component design clearance correlated with cement mantle thickness. Femoral component design in hip resurfacing plays a major role in cement penetration.

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Acknowledgments

We thank Patricia Campbell, PhD, and Christina Esposito from Los Angeles Orthopaedic Hospital for their assistance in cutting the DuROM® resurfaced femoral heads; Diane Robertson for her assistance in collecting the femoral heads; Philippe St-Laurent for his assistance with the DEXA scans; Maryam Shahrokni for her assistance in cutting the femoral heads; and Steve Doucette, PhD, for statistical support. Finally, this study would not have been possible without the manufacturers of implants and bone cement providing the materials free of charge.

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Authors and Affiliations

  1. Division of Orthopedic Surgery, Head Adult Reconstruction Service, University of Ottawa, The Ottawa Hospital, 501 Smyth Road, CCW 1646, Ottawa, ON, Canada, K1H 8L6

    Paul E. Beaulé MD, FRCSC

  2. Division of Orthopedic Surgery, University of Ottawa, The Ottawa Hospital, 501 Smyth Road, CCW 1646, Ottawa, ON, Canada, K1H 8L6

    Wadih Y. Matar MSc, MD & Kevin Smit BSc

  3. Orthopedic Biomechanics Laboratory, Division of Orthopedic Surgery, University of Ottawa, The Ottawa Hospital, 501 Smyth Road, CCW 1646, Ottawa, ON, Canada, K1H 8L6

    Philippe Poitras BASc

  4. Université de Lille 2, Lille, Nord, France

    Olivier May MSc, MD

Authors
  1. Paul E. Beaulé MD, FRCSC
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  2. Wadih Y. Matar MSc, MD
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  3. Philippe Poitras BASc
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Corresponding author

Correspondence to Paul E. Beaulé MD, FRCSC.

Additional information

One or more of the authors (PEB) have received funding from Wright Medical Technologies.

Each author certifies that his or her institution has approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.

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Beaulé, P.E., Matar, W.Y., Poitras, P. et al. 2008 Otto Aufranc Award: Component Design and Technique Affect Cement Penetration in Hip Resurfacing. Clin Orthop Relat Res 467, 84–93 (2009). https://doi.org/10.1007/s11999-008-0541-8

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  • DOI: https://doi.org/10.1007/s11999-008-0541-8

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