Bone surface preparation in cemented joint replacement

R. S. Majkowski, Anthony W. Miles, G. C. Bannister, J. Perkins, G. Taylor

Research output: Contribution to journalArticle

Abstract

We studied the effects of nine techniques of bone surface preparation on cement penetration and shear strength at the cement-bone interface in a standard model of bovine cancellous bone. In unprepared bone the mean penetration was 0.2 mm and the mean shear strength of the interface was 1.9 MPa, less than that of the underlying bone. Brushing with surface irrigation gave mean penetrations of 0.6 to 1.4 mm and mean shear strengths of 1.5 to 9.9 MPa. In 50% of specimens the interface was weaker than the underlying bone. The use of pressurised lavage resulted in mean penetrations of 4.8 to 7.9 mm and mean shear strengths of 26.5 to 36.1 MPa, which were greater than those of the cancellous bone in all specimens. Pressurised lavage was equally effective alone or in combination with brushing, and its efficacy was not altered by using pulsed or continuous jets, or by changing the temperature of the solution from 21 degrees C to 37 degrees C.
Original languageEnglish
Pages (from-to)459-463
Number of pages15
JournalJournal of Bone and Joint Surgery - British Volume
Volume75B
Issue number3
Publication statusPublished - May 1993

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Replacement Arthroplasties
Shear Strength
Bone and Bones
Therapeutic Irrigation
Bone Cements
Temperature

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Majkowski, R. S., Miles, A. W., Bannister, G. C., Perkins, J., & Taylor, G. (1993). Bone surface preparation in cemented joint replacement. Journal of Bone and Joint Surgery - British Volume, 75B(3), 459-463.

Bone surface preparation in cemented joint replacement. / Majkowski, R. S.; Miles, Anthony W.; Bannister, G. C.; Perkins, J.; Taylor, G.

In: Journal of Bone and Joint Surgery - British Volume, Vol. 75B, No. 3, 05.1993, p. 459-463.

Research output: Contribution to journalArticle

Majkowski, RS, Miles, AW, Bannister, GC, Perkins, J & Taylor, G 1993, 'Bone surface preparation in cemented joint replacement', Journal of Bone and Joint Surgery - British Volume, vol. 75B, no. 3, pp. 459-463.
Majkowski RS, Miles AW, Bannister GC, Perkins J, Taylor G. Bone surface preparation in cemented joint replacement. Journal of Bone and Joint Surgery - British Volume. 1993 May;75B(3):459-463.
Majkowski, R. S. ; Miles, Anthony W. ; Bannister, G. C. ; Perkins, J. ; Taylor, G. / Bone surface preparation in cemented joint replacement. In: Journal of Bone and Joint Surgery - British Volume. 1993 ; Vol. 75B, No. 3. pp. 459-463.
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