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Ann R Coll Surg Engl. 2006 Mar;88(2):127-30.

Femoral cementing techniques: current trends in the UK.

Author information

1
Department of Orthopaedic Surgery, University of Bristol and Winford Unit, Avon Orthopaedic Centre, Southmead General Hospital, Bristol, UK.

Abstract

INTRODUCTION:

The results of a survey conducted amongst hip surgeons in Great Britain on the use of bone cement and femoral cementing techniques are reported.

MATERIALS AND METHODS:

A postal questionnaire was sent out to the members of the British Orthopaedic Association for their opinion on cement usage and femoral cementing techniques in primary hip arthroplasty.

RESULTS:

A majority of surgeons use high viscosity cement (82%) and cement containing antibiotics (77%). Almost a fifth of the respondents were unaware of the place of storage of the cement and of the ambient theatre temperature. Over two-thirds experienced inconsistencies in the handling of cement and attributed this to inconsistent theatre temperature (40%) and storage temperature (14%). A majority of the surgeons followed the 'modern' femoral cementing technique of vacuum mixing (94%), plugging the femoral canal (98%), pulsed lavage (87%), retrograde cement introduction (95%), use of stem centralisers (62%) and cement pressurisation. Four-fifths of the surgeons used time as a guide for cement and stem insertion rather than consistency of the cement.

CONCLUSIONS:

Though most of the surgeons follow contemporary cementing techniques, it appears that inconsistency of the working properties of the cement is a major impediment. Many surgeons are also unaware of the variables that can influence polymerisation and working time of the cement.

PMID:
16551398
PMCID:
PMC1964046
DOI:
10.1308/003588406X94931
[Indexed for MEDLINE]
Free PMC Article

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