Failure of the cement-bone interface. A consequence of strengthening the cement-prosthesis interface?

We report the early failure, at a mean of 37 months, of 17 femoral prostheses due to aseptic loosening at the cement-bone interface. In every case the prosthesis had been manufactured with a surface coating designed to enhance the strength of the cement-prosthesis interface. It is postulated that improving the bond at the cement-prosthesis interface may transfer increased stress to the cement-bone interface and cause early failure at that interface.

[1]  A. M. Ahmed,et al.  Thin film PMMA precoating for improved implant bone-cement fixation. , 1982, Journal of biomedical materials research.

[2]  R. Crowninshield,et al.  Cement strain measurement surrounding loose and well-fixed femoral component stems. , 1983, Journal of biomedical materials research.

[3]  W. Krause,et al.  Strength of the cement-bone interface. , 1982, Clinical orthopaedics and related research.

[4]  W J Maloney,et al.  The initiation of failure in cemented femoral components of hip arthroplasties. , 1991, The Journal of bone and joint surgery. British volume.

[5]  M. Manley,et al.  The load carrying and fatigue properties of the stem-cement interface with smooth and porous coated femoral components. , 1985, Journal of biomedical materials research.

[6]  M H Stone,et al.  Some factors affecting the strength of the cement-metal interface. , 1989, The Journal of bone and joint surgery. British volume.

[7]  C. E. Carlson,et al.  Improved fixation of the femoral component after total hip replacement using a methacrylate intramedullary plug. , 1978, The Journal of bone and joint surgery. American volume.

[8]  R. Haddad,et al.  Optimum pore size for bone cement fixation. , 1987, Clinical orthopaedics and related research.

[9]  W. Harris,et al.  Loosening of the femoral component after use of the medullary-plug cementing technique. Follow-up note with a minimum five-year follow-up. , 1986, The Journal of bone and joint surgery. American volume.

[10]  D. W. Roberts,et al.  Radiographic comparison of cementing techniques in total hip arthroplasty. , 1986, The Journal of arthroplasty.

[11]  L. Dorr,et al.  Anatomic Porous Replacement hip arthroplasty: first 100 consecutive cases. , 1990, Seminars in arthroplasty.

[12]  R. Barrack,et al.  Improved cementing techniques and femoral component loosening in young patients with hip arthroplasty. A 12-year radiographic review. , 1992, The Journal of bone and joint surgery. British volume.

[13]  W. Harris,et al.  The femoral cement compactor. An improvement in cementing technique in total hip replacement. , 1983, The Journal of bone and joint surgery. American volume.

[14]  W H Harris,et al.  The effect of improved cementing techniques on component loosening in total hip replacement. An 11-year radiographic review. , 1990, The Journal of bone and joint surgery. British volume.

[15]  W H Harris,et al.  Femoral component loosening using contemporary techniques of femoral cement fixation. , 1982, The Journal of bone and joint surgery. American volume.