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Related Concept Videos

Soundness of Cement01:17

Soundness of Cement

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The soundness of cement refers to the ability of cement paste to retain its volume after setting. Unsound cement can lead to expansion and structural damage due to the presence of free lime, magnesia, and calcium sulfate. Free lime hydrates very slowly, expanding and causing unsoundness, which is difficult to detect because it intercrystallizes with other compounds. Magnesia also reacts with water, forming crystals that can disrupt the cement's structure. Calcium sulfate can create...
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Cementing Constrained Liners Into Secure Cementless Shells: A Minimum 15-Year Follow-Up Study.

Grant H Young1, Matthew P Abdel2, Richard L Amendola1

  • 1Department of Orthopaedics, University of Iowa, Iowa City, Iowa.

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Summary

This study reports on the 15-year outcomes of cemented constrained liners in cementless acetabular shells. The construct demonstrated excellent medium-term durability for complex hip instability cases.

Keywords:
cementing constrained linerscementing linersinstabilitysecure cementless shellstotal hip arthroplasty revision

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Area of Science:

  • Orthopedic surgery
  • Biomaterials engineering
  • Reconstructive surgery

Background:

  • Constrained liners cemented into cementless acetabular shells are an established technique.
  • Previous short-term follow-up (average 3.9 years) demonstrated promising results.
  • This study extends the follow-up to a minimum of 15 years for the same patient cohort.

Purpose of the Study:

  • To evaluate the minimum 15-year follow-up results of cemented constrained liners in cementless acetabular shells.
  • To assess the durability and revision rates of this specific hip reconstruction technique over the medium term.

Main Methods:

  • A cohort of 31 patients receiving cemented constrained liners into cementless acetabular shells between 1988 and 2000 was studied.
  • Procedures were performed at three institutions for recurrent hip dislocation or intraoperative instability.
  • Patients were evaluated for device failure and any reason for revision surgery.

Main Results:

  • One patient was lost to follow-up at the minimum 15-year mark.
  • Revision for device failure occurred in 3 hips (9.7%).
  • Revision for any reason was required in 5 hips (16.1%).

Conclusions:

  • The cemented constrained liner in a cementless acetabular shell construct shows excellent medium-term durability.
  • This technique is a viable option for managing complex cases of hip instability.
  • The 15-year follow-up supports the long-term efficacy of this reconstructive approach.