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[Cemented total hip arthroplasty in Germany--an update].
J Kreutzer1, M Schneider, U Schlegel
1Stiftung Orthopädische Universitätsklinik Heidelberg.
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|March 9, 2005
Summary
Modern cementing techniques for total hip arthroplasty (THA) have significantly improved in Germany since 1998. Continued surgeon education is crucial for optimizing these essential cementing techniques for long-term success.
Area of Science:
- Orthopaedic surgery
- Biomaterials science
- Surgical techniques
Context:
- A 1998 survey revealed low adoption of modern cementing techniques in German total hip arthroplasty (THA).
- This study revisits German orthopaedic surgeons five years later to assess changes in THA cementing practices.
Purpose:
- To evaluate the adoption and popularity of modern cementing techniques in total hip arthroplasty (THA) in Germany.
- To compare current cementing practices with data from a 1998 national survey.
Summary:
- Palacos bone cement remains dominant (>90%). Vacuum mixing systems increased in popularity (67.9%).
- Femoral bone preservation (81.8%) and pulsatile lavage (57.2%) were common. Retrograde cement application via cement gun (71.1%) and use of cement restrictors (>95%) were prevalent.
- Sustained cement pressurization (64%) and adequate cement mantle thickness (>2mm) were less common. Acetabular keyhole preparation and lavage techniques varied. High-viscosity cement application (68.3%) and manual pressurization (58.1%) were frequently employed.
Impact:
- Cementing techniques in THA have shown significant improvement compared to 1998.
- Highlights the critical role of surgeon education and training in enhancing operative techniques for improved long-term THA outcomes.