ArticleJournal of biomechanics2010
The mechanical effects of different levels of cement penetration at the cement-bone interface.
Article in Journal of biomechanics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
31 citing papers in PubMed, 63 citations in OpenAlex.
- The technique of cement application has no influence on cement intrusion in total knee arthroplasty: randomized study comparing three different techniques.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Trial
- Pull out Strength of Dual Outer Diameter Pedicle Screws Compared to Uncemented and Cemented Standard Pedicle Screws: A Biomechanical in vitro Study.Orthopaedic surgery · 2017Trial
- Elution, Porosity, and Mechanical Performance of Vancomycin-Loaded Polymethylmethacrylate (PMMA) Bone Cement.Annals of biomedical engineering · 2026Article
- Classification of diaphyseal tumors based on residual medullary cavity length for prosthetic reconstruction.Scientific reports · 2025Article
- Pulsed lavage is associated with better quality of bone-cement-implant interface in knee arthroplasties (TKA/UKA) compared to syringe lavage in vitro; however, clinical data are missing: A systematic review.Journal of experimental orthopaedics · 2024Review
- [Cement in revision arthroplasty-what about the "glacier effect"? : Case studies viewed from different perspectives].Orthopadie (Heidelberg, Germany) · 2024Review
- Pulsatile Lavage Systems with High Impact Pressure and High Flow Produce Cleaner Cancellous Bone Prior to Cementation in Cemented Arthroplasty.Journal of clinical medicine · 2021Article
- Cementing technique for total knee arthroplasty in cadavers using a pastry bone cement.Journal of orthopaedic surgery and research · 2021Article
- A Multiscale Finite Element Analysis of Balloon Kyphoplasty to Investigate the Risk of Bone-Cement Separation In Vivo.International journal of spine surgery · 2021Article
- Femoral Stem Cementation in Hip Arthroplasty: The Know-How of a "Lost" Art.Current reviews in musculoskeletal medicine · 2021Review
- Post-operative fracture risk assessment following tumor curettage in the distal femur: a hybrid in vitro and in silico biomechanical approach.Scientific reports · 2020Article
- High congruency MB insert design: stabilizing knee joint even with PCL deficiency.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Reliability of two different measuring techniques with computer tomography for penetration and distribution of cement in the proximal tibia after total knee arthroplasty.BMC musculoskeletal disorders · 2020Article
- Cementing Osseointegration Implants Results in Loosening: Case Report and Review of Literature.Cureus · 2020Article
- Cementing technique for primary knee arthroplasty: a scoping review.Acta orthopaedica · 2019Article
- Review
- All-polyethylene tibial components generate higher stress and micromotions than metal-backed tibial components in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Biomechanical effects of morphological variations of the cortical wall at the bone-cement interface.Journal of orthopaedic surgery and research · 2016Article
- Peri-implant stress correlates with bone and cement morphology: Micro-FE modeling of implanted cadaveric glenoids.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2015Article
- Biomechanical evaluation of bone screw fixation with a novel bone cement.Biomedical engineering online · 2015Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
The mechanical effects of varying the depth of cement penetration in the cement-bone interface were investigated using finite element analysis (FEA) and validated using companion experimental data. Two FEA models of the cement-bone interface were created from micro-computed tomography data and the penetration of cement into the bone was varied over six levels each. The FEA models, consisting of the interdigitated cement-bone constructs with friction between cement and bone, were loaded to failure in tension and in shear. The cement and bone elements had provision for crack formation due to excessive stress. The interfacial strength showed a strong relationship with the average interdigitation (r(2)=0.97 and r(2)=0.93 in tension and shear, respectively). Also, the interface strength was strongly related with the contact area (r(2)=0.98 and r(2)=0.95 in tension and shear, respectively). The FEA results compared favorably to the stiffness-strength relationships determined experimentally. Overall, the cement-bone interface was 2.5 times stronger in shear than in tension and 1.15 times stiffer in tension than in shear, independent of the average interdigitation. More cracks occurred in the cement than in the bone, independent of the average interdigitation, consistent with the experimental results. In addition, more cracks were generated in shear than in tension. In conclusion, achieving and maintaining maximal infiltration of cement into the bone to obtain large interdigitation and contact area is key to optimizing the interfacial strength.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.