ArticleBone & joint research2017
The influence of cement thickness on stem subsidence and cement creep in a collarless polished tapered stem: When are thick cement mantles detrimental?
Article in Bone & joint research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- The impact of cementing technique in polished taper fit hip stems : a modelling analysis of implant-cement interface.Bone & joint research · 2025Article
- Stem introducer designs and surgical technique play a significant role in achieving the optimal implant-cement interface.Bone & joint research · 2025Article
- Comparison of Different Materials in the Same-Sized Cemented Stems on Periprosthetic Fractures in Bone Models.Journal of clinical medicine · 2025Article
- [Cement in revision arthroplasty-what about the "glacier effect"? : Case studies viewed from different perspectives].Orthopadie (Heidelberg, Germany) · 2024Review
- Cemented or uncemented fixation: Which allows a more acceptable prosthetic femoral version in total hip arthroplasty?Journal of orthopaedic surgery and research · 2023Article
- [The third-generation modern cementing technique in hip and knee arthroplasty].Orthopadie (Heidelberg, Germany) · 2023Review
- Collarless Polished Tapered Stems of Identical Shape Provide Differing Outcomes for Stainless Steel and Cobalt Chrome: A Biomechanical Study.Journal of functional biomaterials · 2023Article
- Parathyroid hormone (1-34) can reverse the negative effect of valproic acid on the osseointegration of titanium rods in ovariectomized rats.Journal of orthopaedic translation · 2021Article
- Postoperative migration of the anatomical and functional anteversion angle following total hip arthroplasty with a well-fixed cemented femoral component with line-to-line implantation.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
- Current concepts and outcomes in cemented femoral stem design and cementation techniques: the argument for a new classification system.EFORT open reviews · 2020Review
- Cemented versus uncemented hip implant fixation: Should there be age thresholds?Bone & joint research · 2019Article
- Short stems have lower load at failure than double-wedged stems in a cadaveric cementless fracture model.Bone & joint research · 2019Article
- Inversion of the acetabular labrum causes increased localized contact pressure on the femoral head: a biomechanical study.International orthopaedics · 2019Article
- The 'French paradox' may not be a paradox after all - but for what reason?Bone & joint research · 2019Article
- Biomechanical behaviour of a French femoral component with thin cement mantle: The 'French paradox' may not be a paradox after all.Bone & joint research · 2018Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesFavourable results for collarless polished tapered stems have been reported, and cement creep due to taper slip may be a contributing factor. However, the ideal cement thickness around polished stems remains unknown. We investigated the influence of cement thickness on stem subsidence and cement creep.
methodsWe cemented six collarless polished tapered (CPT) stems (two stems each of small, medium and large sizes) into composite femurs that had been reamed with a large CPT rasp to achieve various thicknesses of the cement mantle. Two or three tantalum balls were implanted in the proximal cement in each femur. A cyclic loading test was then performed for each stem. The migration of the balls was measured three-dimensionally, using a micro-computed tomography (CT) scanner, before and after loading. A digital displacement gauge was positioned at the stem shoulder, and stem subsidence was measured continuously by the gauge. Final stem subsidence was measured at the balls at the end of each stem.
resultsA strong positive correlation was observed between mean cement thickness and stem subsidence in the CT slices on the balls. In the small stems, the balls moved downward to almost the same extent as the stem. There was a significant negative correlation between cement thickness and the horizontal:downward ratio of ball movement.
conclusionCollarless polished tapered stems with thicker cement mantles resulted in greater subsidence of both stem and cement. This suggests that excessive thickness of the cement mantle may interfere with effective radial cement creep.
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