ArticleArthroplasty today2020
Quality of the femoral cement mantle in total hip arthroplasty using the direct anterior hip approach.
Article in Arthroplasty today, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Biomechanical Impact of Cementation Technique Variations on Femoral Stem Stability: An In Vitro Polyurethane Model Study.Journal of clinical medicine · 2025Article
- Does introduction of a cemented polished taper-slip femoral stem reduce early periprosthetic fracture risk with anterior approach total hip arthroplasty? A case-matched study.Archives of orthopaedic and trauma surgery · 2025Article
- Comparative analysis of the quality of the cement mantle in hip hemiarthroplasty after femoral neck fracture between three different surgical approaches: a single-center retrospective observational study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Observational
- A comparison of cemented femoral fixation via anterior versus posterior approach total hip arthroplasty: an analysis of 60,739 total hip arthroplasties.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2024Article
- Use of a Low Profile Ultra-High Molecular Weight Polyethylene Diaphyseal Humeral Cement Restrictor in Shoulder Arthroplasty.Journal of shoulder and elbow arthroplasty · 2024Article
- Are we getting better at cementing femoral stems in total hip arthroplasty? A 5-year institutional trend.Archives of orthopaedic and trauma surgery · 2023Article
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5 authors.
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Abstract
backgroundLimited literature exists concerning the femoral cement mantle quality that can be achieved through an anterior approach in total hip arthroplasty (THA). We radiologically evaluated the quality and thickness of the femoral cement mantle in patients undergoing THA utilizing the direct anterior approach (DAA).
methodsImmediate postoperative anteroposterior and lateral radiographs of 116 consecutive patients who underwent hybrid or fully cemented THA using the DAA and cemented Quadra-C stem (Medacta, International, SA, Switzerland) were assessed by 2 arthroplasty surgeons blinded to the study. Surgical indications were hip osteoarthritis or subcapital hip fracture. The cement mantle and stem alignment were evaluated using the Barrack classification and Khalily methods, respectively. After calibration of radiographs, the thinnest part of the cement mantle per Gruen zone was recorded. Parameters were compared between obese and nonobese patients.
resultsAgreement between raters was substantial for the cement quality in anteroposterior (k = 0.707,
conclusionsDAA enables correct implantation and effective cementation of straight femoral stems. A high-quality cement mantle can be achieved using DAA even in obese patients.
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