title: An improved acetabular cementing technique in total hip arthroplasty. Aspiration of the iliac wing.
abstract: We have evaluated the effect of vacuum aspiration of the iliac wing on the osseointegration of cement into the acetabulum. We entered a total of 40 patients undergoing primary total hip arthroplasty into two consecutive study groups. Group 1 underwent acetabular cement pressurisation for 60 seconds before insertion of the acetabular component. Group 2 had the same pressurisation with simultaneous vacuum suction of the ilium using an iliac-wing aspirator. Standard post-operative radiographs were reviewed blindly to assess the penetration of cement into the iliac wing. Penetration was significantly greater in the group with aspiration of the iliac wing.
authors.affiliation: Department of Orthopaedic Surgery, Our Lady's Hospital, Navan, County Meath, Ireland. nhogan@gofree.indigo.ie
authors.forename: N
authors.initials: N
authors.lastname: Hogan
authors.forename: A
authors.initials: A
authors.lastname: Azhar
authors.forename: O
authors.initials: O
authors.lastname: Brady
mesh_terms: D000077:Acetabulum / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D002484:Cementation / Q000379:methods*; D005260:Female; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D007085:Ilium; D007430:Intraoperative Care / Q000379:methods; D008297:Male; D008875:Middle Aged; D016348:Osseointegration; D011859:Radiography; D013396:Suction / Q000295:instrumentation / Q000379:methods