The use of a keel in the tibial component during modern primary total knee arthroplasty (TKA) has become common, and its cementation may affect the future performance of the prosthesis. Although proponents of cementing the entire tibial component argue that this technique provides better initial fixation and may prevent aseptic loosening, reasons exist to apply cement only to the tibial basepla...

We conducted a longitudinal study including patients with the same type of primary hybrid total hip replacement and evaluated patient activity and femoral osteolysis at either five or ten years post-operatively. Activity was measured using the University of California, Los Angeles scale. The primary outcome was the radiological assessment of femoral osteolysis. Secondary outcomes were revision ...

Class C fly ash is a coal combustion product normally produced from lignite or subbituminous coal obtained as a result of the power generation process. In recent years, efforts were taken to incorporate self-cementing fly ash into full-depth reclaimed (FDR) asphalt pavements to improve the structural capacity of asphalt pavement base layers. In this study, an existing asphalt pavement in County...

PURPOSE To assess the stiffness of the cement bone composite and the depth and uniformity of cement penetration into the surface of the tibial component during total knee reconstruction in a porcine model. METHODS The effectiveness of 3 protocols were compared: 2 commonly used cementing techniques-finger-packing of cement on the cut surface followed by impaction, and coating of the undersurfa...

Ca3SiO5 and its polymorphic representations are the dominant phase(s) present in ordinary portland cement (OPC). As environmental pressures bracket the production of OPC, there is increasing emphasis on designing newer, more efficient OPC chemistries. While minor impurities in the form of (Al, Fe, Mg) are long understood to have substantial influences on the structure and reactivity of the sili...

Complications related to joint imbalance may contribute to some of the most predominant modes of failure in total knee arthroplasty (TKA). These complications include instability, aseptic loosening, asymmetric component wear, and idiopathic pain. Fixation may represent a step that introduces unchecked variability into the procedure and may contribute to the incidence of joint imbalance-related ...

M. A. MOYERS-GONZÁLEZ, I. A. FRIGAARD, O. SCHERZER and T.-P. TSAI 1Département de mathématiques et de statistique, Université de Montréal, CP 6128 succ. Centre-Ville, Montréal, Quebec, Canada H3C 3J7 email: [email protected] 2Department of Mathematics and Department of Mechanical Engineering, University of British Columbia, 2054-6250 Applied Science Lane, Vancouver, British Columbia, Cana...

The authors present in this brief note a technique to facilitate the introduction of high viscosity bone cement into a cement syringe for retrograde high pressure cementing during total hip or revision knee arthroplasty. The nozzle part of the syringe is connected to the suction device used intra-operatively, to achieve a negative pressure in the syringe. Introduction of the cement into the syr...

Seven zinc oxide-eugenol cements with compressive strengths from 200 psi to 8,000 psi were used for temporarily cementing completed inlays, crowns, and bridges. The effectiveness of each cement in a variety of clinical situations is presented. Cement of 1,000 psi met the requirements of typical clinical cases most frequently. The cements of compressive strength 200, 400, 600, 2,200, and 3,500 p...