Distal femoral plug migration with cement pressurization in revision surgery and a simple technique for its prevention.
The notes and radiographs of a consecutive series of 83 hip revisions were studied. In 69 hips, a cemented femoral component was used in which the cement was pressurized and the canal was blocked by an intramedullary plastic plug. It was found that distal migration of this plug occurred very frequently and, in 14 hips (20%), the migration was considered severe. The causes and implications of this are discussed, and a simple technique for preventing the problem is described.
Northmore-Ball
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MD
Unit for Joint Reconstruction, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire, England.
Narang
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OV
Vergroesen
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D
D001843:Bone Cements; D005548:Foreign-Body Migration / Q000517:prevention & control*; D006622:Hip Prosthesis; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control; D012086:Reoperation
D001843:Bone Cements