The Influence of a Suction Device on Fixation of a Cemented Cup using RSA

Timperley, A. John, Whitehouse, Sarah L., & Hourigan, Patrick G. (2009) The Influence of a Suction Device on Fixation of a Cemented Cup using RSA. Clinical Orthopaedics and Related Research, 467(3), pp. 792-798.

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The quality of technique used at the time of socket cementation is crucial in ensuring a durable long-term result of the implant. We asked whether a new instrument, an aspirator retractor introduced into the wing of the ilium before socket preparation and cementation, would enhance cement fixation as defined by RSA and radiographic examination. We randomized 38 patients into two groups. The surgical technique was identical between the groups with the exception of the use of the aspirator retractor. Patients were followed clinically and with radiostereometry at a minimum of 2 years. We compared gross radiographic appearances, including the depth of penetration of cement and the incidence of postoperative and 2-year radiolucent lines. There was no difference in proximal migration between the two groups. No improvement of fixation was proven from the measured translations and rotations of the socket in the suction group. We found no difference in the number or extent of radiolucent lines or the depth of cement penetration when the iliac suction device was used in conjunction with contemporary cementing techniques. Although the data suggest no short-term advantage in this small study, we will continue to follow these patients presuming there will be improved outcomes in the longer term and since the device provides an easier method of obtaining adequate fixation, especially if technical difficulties are encountered during the pressurization procedure.

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ID Code: 15007
Item Type: Journal Article
Refereed: Yes
Keywords: Iliac sucker, total hip replacement, cemented socket
DOI: 10.1007/s11999-008-0574-z
ISSN: 1528-1132
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Orthopaedics (110314)
Divisions: Past > QUT Faculties & Divisions > Faculty of Built Environment and Engineering
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2009 Springer
Copyright Statement: The original publication is available at SpringerLink
Deposited On: 03 Oct 2008 00:00
Last Modified: 29 Feb 2012 13:51

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