Intrusion Characteristics of High Viscosity Bone Cements for the Tibial Component of a Total Knee Arthroplasty Using Negative Pressure Intrusion Cementing Technique

Nam L. Dinh, Alexander C. Chong, Justin K. Walden, Scott C. Adrian, Robert P. Cusick

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

BACKGROUND: With the advent of new bone cements with different viscosities, it is important to understand how they respond to different cementing techniques. The purpose of this study was to evaluate the high viscosity (HV) bone cement intrusion characteristics comparing negative pressure intrusion technique (NPI) and finger-packing technique in a cadaveric proximal tibial bone.

METHODS: Soft tissues were removed from twenty- four fresh frozen cadaver proximal tibiae, and standard arthroplasty tibial cuts were performed. Palacos-R (Zimmer, Warsaw, IN) and Simplex-HV (Stryker Howmedica Osteonics, Mahwah, NJ) bone cement were used. Each tibia was randomly assigned to receive one of the two bone cements with finger-packing technique and NPI technique. Forty-five Newton weight was applied along the long axis of the tibia during cement-setting phase. Once the cement had cured, sagittal sections were prepared and analyzed for cement penetration depth using digital photography and stereoscopic micrographs. Area of interest (AOI) for each specimen was also used to quantitatively evaluate the area of cement penetration.

RESULTS: When using Palacos-R, significant dif ferences were detected in cement penetration between the two cementing techniques. On the other hand, when using Simplex-HV, cement penetration was not significantly increased with finger-packing technique when compared to NPI technique. When comparing the two high-viscosity bone cements when using NPI cementing technique, significant differences were detected at Zone 4, where Simplex-HV penetrated deeper than the Palacos-R. When finger-packing technique was used with Simplex-HV, significant differences were detected in bone cement penetration at Zones 3-5. When looking at AOI, no significant differences were found between the Palacos-R and Simplex-HV bone cements in terms of penetration depths with NPI technique. Higher penetration depths were achieved with Simplex-HV bone cement compared to Palacos-R cement in finger packing technique.

CONCLUSION: The data demonstrated that the combination of different bone cement formulations and the cementing technique has a significant effect on cement penetration into the cut bone surface.

Original languageEnglish (US)
Pages (from-to)161-166
Number of pages6
JournalThe Iowa orthopaedic journal
Volume36
StatePublished - Jan 1 2016

Fingerprint

Bone Cements
Knee Replacement Arthroplasties
Viscosity
Pressure
Polymethyl Methacrylate
Fingers
Tibia
Bone and Bones
Photography
Cadaver
Arthroplasty
Weights and Measures

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Intrusion Characteristics of High Viscosity Bone Cements for the Tibial Component of a Total Knee Arthroplasty Using Negative Pressure Intrusion Cementing Technique. / Dinh, Nam L.; Chong, Alexander C.; Walden, Justin K.; Adrian, Scott C.; Cusick, Robert P.

In: The Iowa orthopaedic journal, Vol. 36, 01.01.2016, p. 161-166.

Research output: Contribution to journalArticle

@article{8cac4c2440f246f5b0e6ac49ff0cc089,
title = "Intrusion Characteristics of High Viscosity Bone Cements for the Tibial Component of a Total Knee Arthroplasty Using Negative Pressure Intrusion Cementing Technique",
abstract = "BACKGROUND: With the advent of new bone cements with different viscosities, it is important to understand how they respond to different cementing techniques. The purpose of this study was to evaluate the high viscosity (HV) bone cement intrusion characteristics comparing negative pressure intrusion technique (NPI) and finger-packing technique in a cadaveric proximal tibial bone.METHODS: Soft tissues were removed from twenty- four fresh frozen cadaver proximal tibiae, and standard arthroplasty tibial cuts were performed. Palacos-R (Zimmer, Warsaw, IN) and Simplex-HV (Stryker Howmedica Osteonics, Mahwah, NJ) bone cement were used. Each tibia was randomly assigned to receive one of the two bone cements with finger-packing technique and NPI technique. Forty-five Newton weight was applied along the long axis of the tibia during cement-setting phase. Once the cement had cured, sagittal sections were prepared and analyzed for cement penetration depth using digital photography and stereoscopic micrographs. Area of interest (AOI) for each specimen was also used to quantitatively evaluate the area of cement penetration.RESULTS: When using Palacos-R, significant dif ferences were detected in cement penetration between the two cementing techniques. On the other hand, when using Simplex-HV, cement penetration was not significantly increased with finger-packing technique when compared to NPI technique. When comparing the two high-viscosity bone cements when using NPI cementing technique, significant differences were detected at Zone 4, where Simplex-HV penetrated deeper than the Palacos-R. When finger-packing technique was used with Simplex-HV, significant differences were detected in bone cement penetration at Zones 3-5. When looking at AOI, no significant differences were found between the Palacos-R and Simplex-HV bone cements in terms of penetration depths with NPI technique. Higher penetration depths were achieved with Simplex-HV bone cement compared to Palacos-R cement in finger packing technique.CONCLUSION: The data demonstrated that the combination of different bone cement formulations and the cementing technique has a significant effect on cement penetration into the cut bone surface.",
author = "Dinh, {Nam L.} and Chong, {Alexander C.} and Walden, {Justin K.} and Adrian, {Scott C.} and Cusick, {Robert P.}",
year = "2016",
month = "1",
day = "1",
language = "English (US)",
volume = "36",
pages = "161--166",
journal = "The Iowa orthopaedic journal",
issn = "1541-5457",
publisher = "University of Iowa",

}

TY - JOUR

T1 - Intrusion Characteristics of High Viscosity Bone Cements for the Tibial Component of a Total Knee Arthroplasty Using Negative Pressure Intrusion Cementing Technique

AU - Dinh, Nam L.

AU - Chong, Alexander C.

AU - Walden, Justin K.

AU - Adrian, Scott C.

AU - Cusick, Robert P.

PY - 2016/1/1

Y1 - 2016/1/1

N2 - BACKGROUND: With the advent of new bone cements with different viscosities, it is important to understand how they respond to different cementing techniques. The purpose of this study was to evaluate the high viscosity (HV) bone cement intrusion characteristics comparing negative pressure intrusion technique (NPI) and finger-packing technique in a cadaveric proximal tibial bone.METHODS: Soft tissues were removed from twenty- four fresh frozen cadaver proximal tibiae, and standard arthroplasty tibial cuts were performed. Palacos-R (Zimmer, Warsaw, IN) and Simplex-HV (Stryker Howmedica Osteonics, Mahwah, NJ) bone cement were used. Each tibia was randomly assigned to receive one of the two bone cements with finger-packing technique and NPI technique. Forty-five Newton weight was applied along the long axis of the tibia during cement-setting phase. Once the cement had cured, sagittal sections were prepared and analyzed for cement penetration depth using digital photography and stereoscopic micrographs. Area of interest (AOI) for each specimen was also used to quantitatively evaluate the area of cement penetration.RESULTS: When using Palacos-R, significant dif ferences were detected in cement penetration between the two cementing techniques. On the other hand, when using Simplex-HV, cement penetration was not significantly increased with finger-packing technique when compared to NPI technique. When comparing the two high-viscosity bone cements when using NPI cementing technique, significant differences were detected at Zone 4, where Simplex-HV penetrated deeper than the Palacos-R. When finger-packing technique was used with Simplex-HV, significant differences were detected in bone cement penetration at Zones 3-5. When looking at AOI, no significant differences were found between the Palacos-R and Simplex-HV bone cements in terms of penetration depths with NPI technique. Higher penetration depths were achieved with Simplex-HV bone cement compared to Palacos-R cement in finger packing technique.CONCLUSION: The data demonstrated that the combination of different bone cement formulations and the cementing technique has a significant effect on cement penetration into the cut bone surface.

AB - BACKGROUND: With the advent of new bone cements with different viscosities, it is important to understand how they respond to different cementing techniques. The purpose of this study was to evaluate the high viscosity (HV) bone cement intrusion characteristics comparing negative pressure intrusion technique (NPI) and finger-packing technique in a cadaveric proximal tibial bone.METHODS: Soft tissues were removed from twenty- four fresh frozen cadaver proximal tibiae, and standard arthroplasty tibial cuts were performed. Palacos-R (Zimmer, Warsaw, IN) and Simplex-HV (Stryker Howmedica Osteonics, Mahwah, NJ) bone cement were used. Each tibia was randomly assigned to receive one of the two bone cements with finger-packing technique and NPI technique. Forty-five Newton weight was applied along the long axis of the tibia during cement-setting phase. Once the cement had cured, sagittal sections were prepared and analyzed for cement penetration depth using digital photography and stereoscopic micrographs. Area of interest (AOI) for each specimen was also used to quantitatively evaluate the area of cement penetration.RESULTS: When using Palacos-R, significant dif ferences were detected in cement penetration between the two cementing techniques. On the other hand, when using Simplex-HV, cement penetration was not significantly increased with finger-packing technique when compared to NPI technique. When comparing the two high-viscosity bone cements when using NPI cementing technique, significant differences were detected at Zone 4, where Simplex-HV penetrated deeper than the Palacos-R. When finger-packing technique was used with Simplex-HV, significant differences were detected in bone cement penetration at Zones 3-5. When looking at AOI, no significant differences were found between the Palacos-R and Simplex-HV bone cements in terms of penetration depths with NPI technique. Higher penetration depths were achieved with Simplex-HV bone cement compared to Palacos-R cement in finger packing technique.CONCLUSION: The data demonstrated that the combination of different bone cement formulations and the cementing technique has a significant effect on cement penetration into the cut bone surface.

UR - http://www.scopus.com/inward/record.url?scp=85041262052&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85041262052&partnerID=8YFLogxK

M3 - Article

C2 - 27528854

AN - SCOPUS:85041262052

VL - 36

SP - 161

EP - 166

JO - The Iowa orthopaedic journal

JF - The Iowa orthopaedic journal

SN - 1541-5457

ER -