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The aim of the present study was to investigate the influence of the cup outer diameter on the contact mechanics and cement fixation of a cemented total hip replacement (THR) with different wear penetration depths and under different cup inclination angles using finite element (FE) method.
Two acetabular cup designs with outer diameters of 40 and 43 mm were modelled and the effect of cup outer diameter, penetration depth and cup inclination angle on the contact mechanics and cement fixation stresses in the cemented THR were studied.
A cement fixation version of the cup is available.
In cement fixation of femoral stems, two different principles apply [8, 9].
Screw and cement fixation resulted in the most stable fixation (P <.05).
There are extensive published data supporting the clinical efficacy and durability of cement fixation.
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Cemented fixation for the humeral and glenoid components in shoulder arthroplasty remains the standard to which all other methods of fixation must be compared.
Cemented fixation uses PMMA bone cement to grout the implant and bone together, while cementless fixation involves either a press-fit between the implant and bone, or specific design features that encourage bone growth into or onto the implant.
Although in vitro and early in vivo clinical studies show promising results, these devices must be measured against cemented fixation, which continues to be the "gold standard" in TKA.
Cementless acetabular component fixation has been used because it does not require cancellous bone, which is sparse in osteopetrosis patients, for bone-cement fixation [ 34].
In the subsequent open procedure, the stem was found to be loose and was therefore revised using cement-in-cement fixation.
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