Revision of polyethylene acetabular liners with a cemented polyethylene cup: a laboratory study.
Various technique parameters for the revision of failed polyethylene acetabular liners using a cemented polyethylene cup were evaluated in this laboratory study. The effects of cement mantle thickness and roughening the inner surface of the shell or outer surface of the cup were determined by measuring cup dissociation strength from the metal shell after cyclic loading of the cup. The use of a cement mantle thickness of 2 to 4 mm provided dissociation strengths 3 to 4 times greater than that of the original, press-fit polyethylene liner. If a failed acetabular liner is revised by a cemented cup within the existing, well-fixed, metal shell, the size of the cup selected should create a cement mantle of <4 mm. Roughening the inside of a smooth shell or one with few screw-holes increases fixation strength approximately 20% but also creates particulate debris.
Kummer
Frederick J
FJ
Musculoskeletal Research Center, Hospital for Joint Diseases, New York, New York 10003, USA. fkummer@yahoo.com
Adams
Mark C
MC
Dicesare
Paul E
PE
D019644:Arthroplasty, Replacement, Hip; D002484:Cementation; D006622:Hip Prosthesis; D020959:Polyethylene; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation
D020959:Polyethylene