A series of 190 consecutive patients were followed 30 (24-44) months after fixation of the femoral stem with a new MMA/DMA/IBMA bone cement at total hip arthroplasty. Clinically, the patients performed as traditionally reported with cemented implants. Revision surgery for loosening had been undertaken in 2%, and a further 2% were assessed as loose. Polished Exeter® stems subsided 3+ mm in every fifth case, as could be expected, but any other radiological changes were rarely found. The short term results with this new product is considered acceptable.
Kindt-LarsenT., SmithD.B., JensenJ.S.Innovations in acrylic bone cement and application equipment.J Appl Biomat1995; 6: 75–83.
2.
SylvestA., KramhøftM., JensenJ.S., ThomsenL.D., JensenJ.C.Monomer concentration in central venous blood during polymerization of bone cement, and toxicity of a new monomer.Eur J Exp Muscu-loskel Res1991; 1: 47–50.
3.
JohnstonR.C., FitzgeraldR.H., HarrisW.H., PossR., MüllerM.E., SledgeC.B.Clinical and radiographic evaluation of total hip replacement.J Bone Joint Surg (Am)1990; 2: 161–8.
4.
GruenT.A., McNeiceG.M., AmstutzH.C.Modes of failure of cemented stem-type femoral components: a radiographic analysis of loosening.Clin Orthop1979; 141: 17–27.
5.
DallD.M., LearmonthI.D., SolomonM., DavenportJ.M.811 Charnley hips followed for 3-17 years.Acta Orthop Scand1993; 64q: 252–6.
6.
BannisterG.C., MilesA.W., MayP.C.Properties of bone cement prepared under operating theatre conditions.Clin Mater1989; 4: 343–7.
7.
CarlssonÅS, NilssonJÅ, BlomgrenG., JosefssonG., LindbergL.T., ÖnnerfältR.Low- vs high-viscosity cement in hip arthroplasty. No radiographic difference in 226 arthrosis cases followed for 5 years.Acta Orthop Scand1993; 64: 257–62.
8.
SarmientoA., NatarajanV., GruenT.A., McMahonM.Radiographic performance of two different total hip cemented arthroplasties.Orthop Clin North Amer1988; 19: 505–15.
9.
FowlerJ.L., GieG.A., LeeA.J.C., LingR.S.M.Experience with the Exeter total hip replacement since 1970.Orthop Clin North Amer1988; 19: 477–89.
10.
LeeA.J.C., PerkinsR.D., LingR.S.M.Time-dependent properties of polymethylmethacrylate bone cement. In: OlderJ, ed. Implant bone interface.Berlin: Springer, 1990.
11.
RockbornP., OlssonS.S.Loosening and bone resorption in Exeter hip arthroplasty.J Bone Joint Surg (Br)1993; 75: 865–8.
12.
Hashemi-NejadA., ManktelowA., EastwoodD.Correspondance.J Bone Joint Surg (Br)1994; 76: 507.
13.
DallD.M., LearmonthI.D., SolomonM.I., MilesA.W., DavenportJ.M.Fracture and loosening of Charnley femoral stems. Comparison between first generation and subsequent designs.J Bone Joint Surg (Br)1993; 75: 259–65.
14.
GieG.A., LingR.S.M.Correspondance.J Bone Joint Surg (Br)1994; 76: 506–7.