title: Revision of cemented fixation and cement-bone interface strength.
abstract: Interfacial shear strength between poly(methyl methacrylate) (PMMA) bone cement and cancellous bone was measured in bone samples from human proximal femora. Samples were prepared with fresh cement-bone, fresh cement inside a mantle of existing cement and with fresh cement-revised bone surfaces. Push-out tests to measure shear strength caused failure only at bone-cement interfaces; revised bone interfaces were 30 per cent weaker (P < 0.02) than primary interfaces. The clinical relevance is that revision of cemented joint arthroplasties may necessitate removal of components with sound cement-bone fixation. The practice of removing all traces of PMMA cement may not yield the optimal fixation; adhesion of fresh cement to freshly prepared surfaces of the existing cement might also be considered where circumstances are favourable.
authors.affiliation: Nuffield Orthopaedic Centre, Headington, Oxford.
authors.forename: A
authors.initials: A
authors.lastname: Rosenstein
authors.forename: W
authors.initials: W
authors.lastname: MacDonald
authors.forename: A
authors.initials: A
authors.lastname: Iliadis
authors.forename: P
authors.initials: P
authors.lastname: McLardy-Smith
mesh_terms: D001843:Bone Cements; D006622:Hip Prosthesis; D006801:Humans; D066298:In Vitro Techniques; D008422:Materials Testing; D012086:Reoperation
chemical_list: D001843:Bone Cements