[Mechanical bending strength of explanted ex vivo bone cements compared with in vitro samples].

Abstract:

INTRODUCTION:The mechanical properties of acrylic bone cements are an important factor in determining an efficient load transmission between prosthesis and bone to guarantee the long-term stability in cemented hip arthroplasty. MATERIAL AND METHODS:Palacos and Refobacin Palacos specimens from 21 aseptically loosened femoral compoments of cemented hip arthroplasties manufactured by the first to third generation cementing technique have been mechanically tested in a standardised four-point bending test (ISO 5833). In vitro manufactured Palacos and Refobacin Palacos specimens served as a control group. The fatigue fracture surfaces were morphologically analysed with light microscopy. RESULTS:Under in vitro conditions manufactured specimens had higher values of bending strength, with the exception of blood contaminated ones, compared to ex vivo specimens. Ex vivo specimens of the second and third generation cementing technique had higher values than specimens of the first generation. CONCLUSIONS:Acrylic bone cements are subjected to a multifactorial material fatigue in vivo. Here, the art and quality of cementing technique is of eminent importance in determining the long-term stability of cemented hip arthroplasty.

journal_name

Z Orthop Unfall

authors

Gravius S,Wirtz DC,Marx R,Maus U,Andereya S,Müller-Rath R,Mumme T

doi

10.1055/s-2007-989324

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

99-107

issue

1

eissn

1864-6697

issn

1864-6743

journal_volume

146

pub_type

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