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AuthorDraenert, K. author
TitleManual of Cementing Technique [electronic resource] / by K. Draenert, Y. Draenert, U. Garde, Ch. Ulrich
ImprintBerlin, Heidelberg : Springer Berlin Heidelberg, 1999
Connect tohttp://dx.doi.org/10.1007/978-3-642-60079-1
Descript XII, 114 p. 112 illus. in color. online resource

CONTENT

1 Historical Background -- 1.1 Conditions Before Charnley -- 1.2 John Charnley -- 2 Histomorphology of the Bone-to-Cement Contact -- 2.1 The Cemented Total Hip Arthroplasty -- 2.2 Histomorphology of the Bone-to-Cement Contact (Animal Experiments) -- 2.3 Histomorphology of Human Samples -- 3 Can Cancellous Bone Carry the Load? -- 3.1 About the Deformation Behavior of Spongiosa -- 3.2 Deformation of Bone Through Different Implants -- 3.3 Stiffening of Spongiosa with Bone Cement -- 4 Approach to the Hip Joint -- 4.1 Posterolateral Approach -- 4.2 Transgluteal Approach -- 5 Preparation of the Acetabulum -- 5.1 Preparatory Steps -- 5.2 Exposure of the Acetabulum -- 5.3 Fossa Acetabuli -- 5.4 Preparation of the Bony Acetabulum -- 5.5 Anatomical Composition of the Joint Surface of the Acetabulum -- 5.6 Lavage, Anticoagulation and Stiffening of the Acetabular Roof -- 5.7 Inclination and Alignment -- 6 Preparation of the Bone Cement -- 6.1 Advantages of Standard Viscosity Bone Cement -- 6.2 Cold Storage as a Simple Method To Achieve a Temporarily Lower Viscosity -- 6.3 Homogeneous and Bubble-Free Mixture -- 6.4 Prepressurizing Bone Cements, a Conditio Sine Qua Non -- 6.5 Application of the Bubble-Free Bone Cement -- 7 Preparation of the Femur -- 7.1 Opening of the Medullary Canal and Implantation Axis -- 7.2 Surgical Diamond Instrumentation -- 7.3 Drainage of the Medullary Canal -- 7.4 Preparation of the Implantโ{128}{153}s Bed -- 7.5 Lavage -- 7.6 Plugging the Medullary Cavity -- 7.7 Heparinization, Cementation, and Implantation -- 8 Scientific Background of Vacuum Application -- 8.1 The Problem of Thromboembolism and Drainage of the Medullary Canal -- 8.2 The Distal Drill Hole -- 8.3 The Stem-Canal Volume Relationship -- 9 Consideration of the Prosthetic Design of the Femoral Stem -- 9.1 Stiffening Spongiosa of the Femur -- 9.2 Calcar Femoris -- 9.3 Stem Design -- 9.4 Preoperative Planning -- 9.5 Centralizing Anatomical Design -- 10 Instrumentation -- 11 Conclusions: The Success of Cemented Components -- 11.1 First-Generation Cementing Techniques -- 11.2 Success of the Cemented Component Is Due to Stiffened Bone Structures -- 11.3 Cancellous Bone Stiffened by Bone Cement Can Survive -- 11.4 Preservation of Cancellous Bone -- References -- Author Index


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