Pressurisation leads to better cement penetration into the glenoid bone

The aim of this study was to compare a third-generation cementing procedure for glenoid components with a new technique for cement pressurisation. In 20 pairs of scapulae, 20 keeled and 20 pegged glenoid components were implanted using either a third-generation cementing technique (group 1) or a new...

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Main Authors: Raiss, Patric (Author) , Sowa, Boris (Author) , Bruckner, Thomas (Author) , Eck, Simon (Author) , Wörz, Stefan (Author) , Rohr, Karl (Author)
Format: Article (Journal)
Language:English
Published: 2012
In: The bone & joint journal
Year: 2012, Volume: 94-B, Issue: 5, Pages: 671-677
ISSN:2049-4408
DOI:10.1302/0301-620X.94B5.28831
Online Access:Verlag, Volltext: http://dx.doi.org/10.1302/0301-620X.94B5.28831
Verlag, Volltext: https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.94B5.28831
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Author Notes:P. Raiss, B. Sowa, T. Bruckner, S. Eck, S. Woerz, K. Rohr, M. Rickert, P. Kasten

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520 |a The aim of this study was to compare a third-generation cementing procedure for glenoid components with a new technique for cement pressurisation. In 20 pairs of scapulae, 20 keeled and 20 pegged glenoid components were implanted using either a third-generation cementing technique (group 1) or a new pressuriser (group 2). Cement penetration was measured by three-dimensional (3D) analysis of micro-CT scans. The mean 3D depth of penetration of the cement was significantly greater in group 2 (p < 0.001). The mean thickness of the cement mantle for keeled glenoids was 2.50 mm (2.0 to 3.3) in group 1 and 5.18 mm (4.4 to 6.1) in group 2, and for pegged glenoids it was 1.72 mm (0.9 to 2.3) in group 1 and 5.63 mm (3.6 to 6.4) in group 2. A cement mantle < 2 mm was detected less frequently in group 2 (p < 0.001). Using the cement pressuriser the proportion of cement mantles < 2 mm was significantly reduced compared with the third-generation cementing technique. 
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