Cementation technique for elbow arthroplasty; an international survey

Kwaees, Tariq A, Singhal, Rohit, Eygendaal, Denise and Charalambous, Charalambos P (2019) Cementation technique for elbow arthroplasty; an international survey. Journal of Orthopaedics, 16 (6). pp. 459-462. ISSN 0972-978X

Full text not available from this repository.

Official URL: https://doi.org/10.1016/j.jor.2019.06.032


Modern cementation techniques have markedly improved survivorship in lower limb arthroplasty, which have been heavily researched in the hip and knee but less so for upper limb procedures. Aseptic loosening is a leading cause of failure in total elbow arthroplasty (TEA) which could be related to the quality of cementation. The aim of this study was to investigate the cementation techniques used for TEA among practicing elbow surgeons. An electronic questionnaire was emailed to members of the British elbow and shoulder society (BESS) and PubMed identified experts. Questions focused on the type of prosthesis, operative rates for elective and trauma cases, nature of cement used, canal preparation and cement insertion. Opinions regarding satisfaction with current techniques and mantle quality were also collected. A total of 26 surgeons completed the questionnaire. The Coonrad-Moorey was the most popular device amongst respondents. Most cemented both components, used antibiotic loaded cement, washed the canal with saline and inserted the cement retrograde. There was wide variation in cementation techniques used for the humerus and ulna, particularly regarding cement preparation, insertion, and use of a restrictor and pressurisation. Modern cementation techniques are not being utilised in TEA which could be contributing to implant loosening rates and longevity. [Abstract copyright: © 2019 Published by Elsevier B.V. on behalf of Professor P K Surendran Memorial Education Foundation.]

Repository Staff Only: item control page