The damage accumulation failure scenario is one of the most prominent ones of cemented THA reconstruction, and involves the accumulation of mechanical damage in materials and interfaces due to repetitive dynamic loading eventually resulting in gross loosening. This study addresses this scenario by combining finite element techniques with the theory of continuum damage mechanics, to analyze the ...

Modern cementing techniques aim to improve the interlock between bone and cement and to establish a durable interface. Cement penetration is generally believed to influence interface failure, but current methods for improving the cement-bone interface are inadequate. Oscillation is the reciprocated movement of an object through its balanced position, or the quantum physics of systematic fluctua...

A ZnO containing nano-hydroxyapatite/chitosan (n-HA/CS) cement was developed and its bone formation ability was investigated in vitro and in vivo. The physico-chemical properties of the cement were determined in terms of pH variation during and after setting, injectability and wettability. The results indicated that, the pH varied from 7.04 to 7.12 throughout the soaking of the cement in distil...

In terms of absolute consumption, the cement industry occupies a front position in the ranks of energy consumed industries. The total energy costs (thermal and electrical) make up about 30 to 40 percent of the total production costs of cement. This is why efficient energy utilization has always been a matter of priority in the cement industry. Cement manufactures requires very high temperatures...

Stem cement debonding is 1 of the most common forms of fixation failure and is thought to be a prelude to gross loosening of a total hip reconstruction. However, the immediate consequences of debonding remains a matter of controversy. The dynamic effects of stem cement debonding in total hip reconstruction were analyzed using 3-dimensional finite element techniques. Stem cement interface condit...

This study describes a new tibial cement punch pressurizer to enhance cement penetration into the metaphyseal cancellous bone of the tibial plateau. Thirty knees of 15 patients undergoing simultaneous bilateral total knee arthroplasty (TKA) were randomly selected to receive the tibial cement punch pressurizer on one side, with the opposite side serving as control. Using computerized and radiogr...

It is with great interest that we read the article by Seo et al, “Percutaneous Osteoplasty for the Treatment of a Painful Osteochondral Lesion of the Talus: A Case Report and Literature Review,” published in the 2012 September/October issue of Pain Physician (1). This is a well-prepared case report which presents a novel surgical procedure using calcium polyacrylatehydroxyapatite cement in perc...

OBJECTIVE The purpose of this study is to find the optimal stiffness and volume of bone cement and their biomechanical effects on the adjacent vertebrae to determine a better strategy for conducting vertebroplasty. METHODS A three-dimensional finite-element model of a functional spinal unit was developed using computed tomography scans of a normal motion segment, comprising the T11, T12 and L...

The aim of this study was to determine if there were dose-response relationships of cement volume with cement leakage and pain relief after percutaneous vertebroplasty (PVP) for osteoporosis vertebral compression fractures (OVCFs). We collected the patient and procedural characteristics on 108 patients with OVCFs in our hospital who received PVP. Univariate and multivariate analyses were perfor...

OBJECTIVE To investigate the clinical effect of high and low viscosity bone cement in vertebroplasty for treatment of osteoporotic vertebral compression fractures. METHODS 40 cases of patients with osteoporotic thoracolumbar compression fractures admitted into department of orthopeadics in our hospital were reviewed. All patients were divided into high viscosity bone cement group (20 cases) a...