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Should the cement mantle around the femoral component be thick or thin?

Skinner, J.A., Todo, S., Taylor, M., Wang, J.S., Pinskerova, V. and Scott, G. (2003) Should the cement mantle around the femoral component be thick or thin? Journal of Bone and Joint Surgery, British Volume, 85B, (1), pp. 45-51. (doi:10.1302/0301-620X.85B1.13055).

Record type: Article


We have compared the survival and radiological outcome at ten years after total hip replacement using two techniques for preparing the femoral canal. The same prosthesis was used throughout and all operations were performed by the same surgical team. In technique 1 the canal was over-reamed by 2 mm and in technique 2 it was reamed to the same size as the prosthesis. Technique 1 was performed on 92 patients and technique 2 on 97 patients. The survival at ten years was 97.2% (90.6 to 99.2) for technique 1 and 98.8% (92.9 to 99.8) for technique 2. Vertical migration was greater in technique 1 (1.8 mm versus 1.0 mm at five years; p = 0.36). There were significantly more lytic lesions and radiolucent lines at five years (p = 0.0061) with technique 1. We conclude that technique 2 is not worse and may produce better long- term results than current teaching suggests.

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Published date: 2003
Additional Information: British volume
Organisations: Engineering Sciences


Local EPrints ID: 22359
ISSN: 0301-620X
PURE UUID: dfffcda0-907e-4568-ad46-a43f7566df0f

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Date deposited: 24 Mar 2006
Last modified: 17 Jul 2017 16:22

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Author: J.A. Skinner
Author: S. Todo
Author: M. Taylor
Author: J.S. Wang
Author: V. Pinskerova
Author: G. Scott

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