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The same stem cemented with high-viscosity cement showed better survival, approaching the acceptable threshold.
It is yet to be determined whether the presence of a fixed stem (cemented or cementless) would improve middle and long-term survival of hip resurfacing components or create femoral stress shielding and late component loosening.
However, no clinical studies have compared the performance of tobramycin-laden bone cement with that of standard bone cement (Simplex P). 23 patients (25 hips) were randomized to receive an Exeter (Stryker Orthopaedics) femoral stem cemented with either Simplex P (standard) or Simplex T (tobramycin-laden) cement.
44 patients were originally randomized to receive total hip replacement with a Lubinus SPII titanium-aluminum-vanadium stem cemented either with the new Cemex Rx bone cement or with control bone cement, Palacos R. Patients were examined using RSA, Harris hip score, and conventional radiographs.
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Ten Lubinus SP2 stems cemented into bone specimens and 12 patients with the same stem design were used to evaluate the precision of stem translations and rotations.
The huts of Scottish Highlanders were formerly made of heather and heath stems cemented with peat mud mixed with dry grass or straw; today, temporary sheds are often built in a similar way and roofed with heather.
We now present 5-year RSA results of the TM and compare them with those of the NexGen Option Stemmed cemented tibial component (Zimmer, Warsaw IN).
In situations where stems are necessary, metaphyseal defects requiring augments, these findings support the use of a short cemented stem, which has been shown in this study to provide comparable results to long offset stems (cemented and uncemented).
All patients were assessed and managed by a single surgeon and anaesthetist pre/intra/postoperatively. We used a metal on metal combination of Birmingham resurfacing acetabular component, Birmingham modular heads, and various stems (cemented and uncemented).
Thirdly, the strategies of treatment for fractures were heterogeneous (e.g., Dall-miles system, locking plate, cementless long stem, and cemented long stem).
Around one cup and one stem cement fractures and fragmentation could be somewhat better seen with tomosynthesis.
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