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Effects of Reamer-Femoral Component Offset on Cement Mantle Penetration in Hip Resurfacing ArthroplastyPaulick, Mark Lloyd 01 May 2010 (has links)
Hip resurfacing arthroplasty has changed the treatment of end stage arthritis without severe deformity for young, active adults. Presently, there are varying clinical approaches to implant design selection and cementation techniques. The purpose of this project is to determine what amount of reamer-femoral component offset allows for the best cement penetration into the femoral head.
Rapid prototyped femoral component models were produced with reamer femoral component offsets of 0.0 mm, 0.5 mm, and 1.0 mm. After implantation onto models of reamed femoral heads made from high-density open-cell reticulated carbon foam, cement penetration was assessed from cross-sections of the foam-implant unit. Increased offset was found to decrease the extent of cement over penetration from the dome and chamfer. Increased offset also yielded optimal cement penetration as measured from the walls. Finally, increased offset was found to increase the height of cement mantle formation while maintaining complete seating of all implants.
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