Distal occlusion of the femoral canal in total hip arthroplasty is important for cement pressurisation. Failure to adequately restrict cement may result in earlier prosthetic loosening and a longer column of distal cement which may make revision surgery more difficult. A standard plastic restrictor (Hardinge type) was compared with a bone plug restriction method in a randomised, prospective trial of 50 patients. Both types of restrictor failed to adequately restrict cement in over 50% of cases.
AmstutzH.C., MarkolfK.L., McNieceG.M., GruenT.A.. Loosening of total hip components: cause and prevention. In: The Hip. Procs of the 4th meeting of The Hip Society.St Louis etc: CV Mosby Co1976: 102–16.
2.
SutherlandC.J., WildeA.H., BordenL.S., MarksK.E.. A ten-year follow-up of one hundred consecutive Muller curved-stem total hip replacement arthroplasties.J Bone Joint Surg Am1982; 64-A: 970–82.
3.
MulroyR.D., HarrisW.H.. The effect of improved cementing techniques on component loosening in total hip replacement, and 11 year radiographic review.J Bone Joint Surg Br1990; 72-B: 757–60.
4.
MacDonaldW., BeaverR.. Penetration and shear strength of cement - Bone Interfaces in vivo.Clin Orthop and Rel Resear, Jan1993; 286: 283–8.
5.
OhI., CarlsonC.E., TomfordW.W., HarrisW.H.. Improved fixation of the femoral component after total hip replacement using a methacrylate intramedullary plug.J Bone Joint Surg Am1978; 60-A: 608–13.
6.
MalloryT.H.. A plastic intermedullary plug for total hip arthroplasty.Clin Orthop and Rel Resear1981; 155: 37–40.
7.
KnightW.E.. Femoral plugging using cancellous bone.Clin Orthop and Rel Resear1992; 163: 167–9.
8.
HarrisW.H., McGannW.A.. Loosening of the femoral component after use of the medullary plug technique. Follow-up note with a minimum five-year follow-up.J Bone Joint Surg Am1986; 68-A: 1064–6.
9.
BarrackR.L., MulroyR.D., HarrisW.H.. Improved cementing techniques and femoral component loosening in young patients with hip arthroplasty. A 12 years radiographic review.J Bone Joint Surg Br1992; 74-B: 385–9.
10.
BallardW.T., CallaghanJ.J., SullivanP.M., JohnsonR.C.. The results of improved cementing techniques for total hip arthroplasty in patients less than fifty years old. A ten year follow-up study.J Bone Joint Surg Am1994; 76-A: 959–64.
11.
BourneR.B., OhI., HarrisW.. Femoral cement pressurisation during total hip arthroplasty. The role of different femoral stems with reference to stem size and shape.Clin Orthop and Rel Resear, March1984; 183: 12–6.
12.
WroblewskiB.M., Van derRijt. Intramedullary cancellous bone block to improve stem fixation in Charnley low-friction arthroplasty.J Bone Joint Surg (Br)1984; 66-B: 639–44.
13.
BulstraS.K., GeesinkR.G.T., BakkerD., BulstraT.H., BouwmeesterS.J.M., Van der LindenA.J.. Femoral canal occlusion in total hip replacement using a resorbable and flexible cement restrictor.J Bone Joint Surg Br1996; 892–8.
14.
Northmore-BallM.D., NarangO.V., VergroesenD.. Distal femoral plug migration in revision surgery and a simple technique for its prevention.J Arthrop1991; 6(3): 199–201.
15.
ThomsenN.O.B., JensenT.T., UhrbrandB., MossingN.B.. Intramedullary Plugs in Total Hip Arthroplasty. A comparative study.J Arthrop1992; 7(suppl): 415–8.
16.
JohnsonA.J., JohnsonD., El HawaryR., TanS.R., WongL.A., GrossM.. Occlusion and stability of synthetic femoral canal plugs used in cemented hip arthroplasty.J Appl Biomat1995; 6: 213–8.
17.
WilsonS.F., OchoaJ.A., RogersL.L., LancasterR.L., RitchieA.. Finite element analysis in the design and characterization of an absorbable cement restrictor.J Engin Med1995; 209: 163–7.
18.
PaulA.S., HodgkinsonJ.P.. A new femoral cement restrictor.J Arthrop1992, 7 (suppl): 411–3.
