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W Barb

Publications and source records attributed to W Barb.

3 recordsLinked to original sources

Intramedullary fixation of artificial hip joints with bone cement-precoated implants. I. Interfacial strengths.

In order to minimize the problems associated with implant fixation using acrylic bone cement, a new technique has been investigated. Canine hip prostheses were precoated with self-curing acrylic bone cement and implanted in random source dogs using the same cement for fixation, a precoated prosthesis on one side and an uncoated (control) on the other. After 1, 3, and 6 months, both femora were excised and sectioned for mechanical assessment of the interfaces among bone, cement, and implant. It was found that the precoated implants had much higher interfacial shear strengths than the uncoated ones (average 14.2 and 6.8 MPa for implant-cement interface; 2.0 and 1.2 MPa for the cement-bone interface for all implant periods). The precoated "old" cement and the "new" cement's interfacial shear strength was the strongest with an average of 15.1 MPa for all implant periods. The present results indicate that the precoated hemiarthroplastic implants provide a firmer intramedullary fixation than the traditional, uncoated implants.

Animals↗

Intramedullary fixation of artificial hip joints with bone cement-precoated implants. II. Density and histological study.

Bilateral coxofemoral hemiarthroplasties were performed in dogs using experimental and control implants, which were fixed with bone cement. The stem of the experimental implant was precoated with bone cement, about 2 mm thick. After 1, 3, and 6 months the femora with implant specimens were harvested and sectioned for mechanical and histological evaluation. Histological observations on the implant-bone interface and density measurements of the bone cement are reported. The density of the precoated bone cement was higher than the same cement used for implant fixation at the time of implantation (1.202 vs. 1.188 g/mL). The precoating also resulted in milder histological reactions, including thinner fibrous tissue capsule and smaller gap between bone and cement. The present results and the previously reported mechanical findings strongly support our hypothesis that a better and longer lasting prosthesis fixation can be achieved using cement-precoated prosthesis combined with the customary cement fixation technique.

Animals↗