The University of Southampton
University of Southampton Institutional Repository

Cementing techniques in hip resurfacing

Chandler, M., Kowalski, R.S.Z., Watkins, N.D., Briscoe, A. and New, A.M.R. (2006) Cementing techniques in hip resurfacing Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 220, (2), pp. 321-331. (doi:10.1243/09544119JEIM113).

Record type: Article


The subject of the cementing technique in hip resurfacing has been poorly studied to date. The hip resurfacing prosthesis is unique in the family of cemented prostheses because the cement mantle is blind (hidden underneath the implant) and is radiographically obscured. This presents an immediate challenge to the surgeon at the time of surgery, but also has a longer-term implication in terms of lack of post-operative clinical observation. This should be compared with total hip replacement or total knee replacement where the cement mantle can at least be partially observed both intra- and post-operatively. With this in mind, the objective of this review is, firstly, to understand the cement mantles typically achieved in current clinical practice and, secondly, to identify those factors affecting the cement mantle and to consolidate them into an improved and reproducible cementing technique. The outcome of this work shows that the low-viscosity technique can commonly lead to excessive cement penetration in the proximal femoral head and an incompletely seated component, whereas a more consistent controlled cement mantle can be achieved with a high-viscosity cementing technique. Consequently, it is recommended that a high-viscosity technique should be used to minimize the build-up of excessive cement, to reduce the temperature created by the exothermic polymerization, and to help to ensure correct seating of the prosthesis. A combination of these factors is potentially critical to the clinical success of some articular surface replacement (ASR) procedures. It is important to note that we specifically studied the DePuy ASR system; therefore only the general principles (and not the specifics) of the cementing technique may apply to other resurfacing prostheses, because of differences in internal geometry, clearance, and surgical technique.

Text s21.pdf - Version of Record
Download (566kB)

More information

Published date: February 2006
Additional Information: Special issue paper
Keywords: bone cement, cementing technique, hip resurfacing


Local EPrints ID: 30133
ISSN: 0954-4119
PURE UUID: e7106afe-9e06-4c57-a4df-a81f3cd17dbe

Catalogue record

Date deposited: 10 May 2006
Last modified: 07 Sep 2017 16:35

Export record



Author: M. Chandler
Author: R.S.Z. Kowalski
Author: N.D. Watkins
Author: A. Briscoe
Author: A.M.R. New

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton:

ePrints Soton supports OAI 2.0 with a base URL of

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.