Cement Viscosity and Application Time Lead to Significant Changes in Cement Penetration and Contact Surface Area
Cement distribution and intrusion of Palacos R and Simplex P decreased with time. Simplex P trapped air at the implant-cement interface, decreasing the amount of contact at the implant-cement interface, which is worrisome for long-term implant fixation. Given the significant changes in cement properties after mixing, it is necessary for surgeons to understand the viscosity and timing of cement application to achieve optimal cement penetration and surface contact area to potentially decrease implant loosening. High-viscous Palacos R should be applicated immediately with doughing time and medium-viscous Simplex P for about 4 minutes considering a threshold of minimum pressure.
Authors
- Christian Paúl
- Christian Fölsch
- J Ryan Martin (ORCID: https://orcid.org/0000-0002-4125-2154)
- Julia Schirmer
- Bernd Ishaque (ORCID: https://orcid.org/0000-0002-5356-8973)
- Jan Scherberich (ORCID: https://orcid.org/0000-0003-1117-4287)
- Cosmin Glameanu
- Gabriele Anja Krombach (ORCID: https://orcid.org/0000-0003-2493-3289)
- Torben Harz (ORCID: https://orcid.org/0000-0001-9444-8655)
- Alexander Jahnke (ORCID: https://orcid.org/0000-0003-0968-9724)
- Jessica Steinbart
- Markus Rickert (ORCID: https://orcid.org/0000-0001-7681-9918)
- Klaus‐Dieter Kühn
- Carlos Alfonso Fonseca Ulloa
Institutions
- Justus-Liebig-Universität Gießen (DE)
- Medical University of Graz (AT)
- Vanderbilt University Medical Center (US)
Publication Details
- Journal
- Arthroplasty Today
- Published
- 2024-10-17
- DOI
- https://doi.org/10.1016/j.artd.2024.101476
- Citations
- 6
- Primary Topic
- Orthopaedic implants and arthroplasty
- Type
- article
- Field-Weighted Citation Impact
- 3.44