Cementation of a Polyethylene Liner Into a Metal Acetabular Shell
A Biomechanical Study
Aaron A. Hofmann, MD, Edward J. Prince, MD, F. Thurston Drake, BA, and Kenneth J. Hunt, MD
The Journal of Arthroplasty Vol. 24 No. 5 2009
Abstract Cementation of a liner into a well-fixed acetabular shell is common in revision hip arthroplasty. We compare the biomechanical strengths of cemented liners with standard locked liners. Fifty polyethylene liners were inserted into acetabular shells using the standard locking mechanism or 1 of 2 cement types then loaded to failure by torsion or lever-out testing. Lever-out testing showed that all cemented liners failed at similar loads to standard locked liners. With torsion testing, cemented liners failed at significantly higher loads than standard locked liners; roughening the liner increased load to failure. Cementation of an acetabular liner into a metal shell is safe and strong and a good alternative to metal shell replacement. Saw roughening of the polyethylene liner strengthens the poly-cement interface.
- Results With the Cementless Spotorno Stem in Total Hip Arthroplasty
- Third-Generation Ceramic-on-Ceramic Bearing Surfaces in Revision Total Hip Arthroplasty
- Corrosion of a Hip Stem With a Modular Neck Taper Junction
- Elevated Serum Concentrations of Cobalt, Chromium, Nickel, and Manganese After Metal-On-Metal Alloarthroplasty of the Hip
- Long-term Results for the Uncemented Zweymuller/Alloclassic Hip Endoprosthesis
- In Vivo Wear Rate of the Birmingham Hip Resurfacing Arthroplasty
- The management of severe acetabular bone defects in revision hip arthroplasty using modular porous metal components
- Cementation of a Polyethylene Liner Into a Metal Acetabular Shell
- Blood metal ion concentrations after hip resurfacing arthroplasty
- Migration of the Trabecular Metal Monoblock Acetabular Cup System
- Risk factors for inflammatory pseudotumour formation following hip resurfacing
- Primary Total Hip Arthroplasty With Duraloc Cup in Patients Younger Than 50 Years
- Ten-year follow-up of the non-porous Allofit cementless acetabular component
- Ceramic-on-ceramic bearing surface and risk of revision due to dislocation after primary total hip replacement