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At least 217 records · Page 12Linked to original sources
PubMed2000

Cemented Lubinus and Furlog total hip endoprosthesis: a 12-year follow-up study of 175 hips comparing the cementing technique.

We analyzed 175 total hip replacements with cemented Lubinus and Furlong arthroplasties in 164 patients with a median age of 65 (32-80) years and followed them for 12 years to evaluate and compare the efficacy of total hip prosthesis designs. Survival analysis was combined with an analysis of radiological findings and a study of functional outcome of the patients. The 12-year survival of Furlong arthroplasty in patients of 60 years of age and older was O.85 (95% CI 1.00-0.52). The survival of Lubinus arthroplasty in patients younger than 60 years of age was 0.70 (0.91-0.48), while the survival in older patients was 0.75 (0.89-0.61). The 12-year survival of well-cemented Lubinus prosthesis was 0.91 (1.00-0.79), indicating the importance of the cementing technique. The survival of the cups was marginally better than that of the stems. In the 12-year follow-up study, the clinical state and function varied from hips ready for revision to hips where a continuously long survival could be predicted. Harris hip score did not differentiate between patients who had intact and loose components. We conclude that cemented arthroplasty affords a notable alternative with satisfactory long-term survival and function. The better survival of cemented cup than the stem may be utilized as a basis for "reverse" hybrid arthroplasty. Adequate long-term follow-up of all arthroplasties as a quality maintenance and to prevent difficult revisions is a major challenge.

Adult↗
PubMed2004

Bioactive cement or ceramic/porous coating vs. conventional cement to obtain early stability of the acetabular cup. Randomised study of 96 hips followed with radiostereometry.

Ninety patients (96 hips) scheduled for THA were stratified to fixation of the acetabular component in three main groups of about equal size. Fluoride cement, porous coated press-fit cup with ceramic coating or Palacos cum Gentamicin cement were used. All patients received Spectron EF stem. The migration of the cups and the femoral head penetration into the socket were measured with radiostereometric analysis. At 2 years the choice of fixation did not influence the migration or rotation of the cup. Patients with compromised bone quality showed increased three-dimensional (3D or total) migration. Proximal and 3D penetration rates were increased in cemented compared with the uncemented cups (p<0.001), which probably not could be related to the choice of fixation. Appearance of radiolucent lines was almost equal in the two cemented groups. Uncemented cups had less radiolucent lines at 2 years. Fluoride containing cement or uncemented fixation did not improve the early postoperative stability of the socket.

Acetabulum↗
PubMed1998

Long-term elution of antibiotics from bone-cement: an in vivo study using the prosthesis of antibiotic-loaded acrylic cement (PROSTALAC) system.

A prospective study of 49 patients undergoing a modified 2-stage exchange arthroplasty for infected total hip and knee arthroplasties using the prosthesis of antibiotic-loaded acrylic cement (PROSTALAC) system with a variety of doses of tobramycin and vancomycin was performed. The intra-articular concentrations of tobramycin and vancomycin were measured at the time of removal of the PROSTALAC temporary spacer and reimplantation of a definitive joint arthroplasty prosthesis, at a mean 118 days following initial implantation. The 95% confidence interval of the intra-articular concentration of tobramycin (4.35-123.88 mg/L) was entirely above the breakpoint sensitivity limit for sensitive organisms when at least 3.6 g of tobramycin was used per package of bone-cement but was entirely below it when at most 2.4 g was used. Vancomycin elution was not as good; however, detectable levels were still present in most patients. There was a statistically significant increase in the elution of vancomycin when the dose of tobramycin was increased from at most 2.4 g to at least 3.6 g. The dose of vancomycin in the cement did not influence the elution of either tobramycin or vancomycin. On the basis of these results, the use of at least 3.6 g of tobramycin and 1 g of vancomycin per package of bone-cement is recommended when antibiotic-loaded cement spacers are used in 2-stage exchange arthroplasty for infected total hip and knee arthroplasties.

Anti-Bacterial Agents↗
PubMedDate not supplied

Clinical studies of dental cements: V. Recall evaluation and a zinc phosphate cement.

Patients with restorations cemented with a reinforced zinc oxide-eugenol cement and a zinc phosphate cement were recalled after a four- to seven-year interval. No significant differences in clinical success were observed between restoration luted with the two cements. No significant difference in the incidence of caries at the restoration margins was noted between the cements.

Dental Restoration, Permanent↗
PubMed1993

[Effects of inadequate cementing techniques on mechanical loading of bone cement].

Good, painfree and durable function of an endoprosthesis is highly dependent on its anchorage in the bony bed. Apart from the problem of mechanical loading of the prosthesis and the change in the strains in the cortical bone, stresses on the bone cement as a force-transmitting element, are of considerable importance. Inadequate cementing technique and resulting faulty cementing is a common cause of loosening of the endoprosthesis. The present article investigates the influence of inadequate cementing technique on the stress and strain conditions of bone cement, in particular at the distal end of the prosthesis.

Biomechanical Phenomena↗
PubMed1991

A method for bone-cement interface thermometry. An in vitro comparison between low temperature curing cement Palavit, and Surgical Simplex P.

Previous temperature measurements at the bone-cement intreface have all shown large variations. To evaluate more precisely the temperature profiles during cement curing, a new experimental model was developed. Eight thermocouple electrodes at the bone-cement interface for each test specimen were used for continuous temperature recordings. Temperature profiles of Palavit was compared with those of Surgical Simplex P in an in vitro model using isolated pig femurs. Defects of 12 x 17 mm in the femoral metaphysis were filled with cement. In six tests with each type of cement, Palavit peaked at a temperature of 50 +/- 0.5 degrees C, whereas Surgical Simplex P peaked at 60 +/- 0.7 degrees C. Core temperatures reached peak values of 70 +/- 0.8 degrees C and 95 +/- 2.2 degrees C for Palavit and Surgical Simplex P, respectively.

Animals↗
PubMed1992

Cement removal in revision hip arthroplasty. Experience with bone cement added to the cavity in 20 cases.

A new technique for cement removal is presented where bone cement is added to the cavity after removal of a femoral component. The old and new segments of cement are then removed together by using a threaded extractor. In 16 of 20 patients, the method was successful; the entire cement mass was extracted in 35 (25-50) min without complications or bone loss. In 4 of the patients, the technique had to be combined with traditional methods for cement removal.

Aged↗
PubMed1991

[Cementing brackets with glass ionomer cements].

The results of this in-vitro investigation on cementing brackets with different glass ionomer cements show that Fuji I is the only cement which could be used as an alternative for bonding metal brackets to enamel. Although present clinical use seems to be quite satisfying, further in-vivo research will be necessary to prove and confirm these findings. All other investigated glass ionomer materials demonstrated a significant loss of shear bond strength after various temperature changes and therefore do not seem to be indicated for clinical use. At the moment research and development of the various glass ionomer cements are so intensified that it is almost impossible to give general statements or recommendations on different brands for cementing brackets to enamel.

Dental Bonding↗
PubMed1991

Delayed cementation and bond strength of dual-cure cements.

The purpose of this study was to determine whether the shear bond strength to enamel of three dual-cure resin cements is affected by delaying the time between cement mix and application. Etched, silanated Dicor cylinders were bonded to etched enamel with each cement at various time intervals: Immediately after mix, just prior to chemical set and at an intermediate time. Shear bond values were determined using the Instron. No significant differences were found among any of the cements at any of the times. The clinical implication is that as long as these cements remain fluid, there will not be a significant change in the bond strength of Dicor to enamel.

Acrylic Resins↗
PubMed1989

[Histopathological studies of periodontal tissue reactions to perforations in the furcation of dogs' teeth treated with cyanoacrylate cement (FH Cement)].

In the previous study (Shikwa Gakuho, 85: 413-451, 1985.), Morinaga reported on the histopathology of furcation perforations treated with ethyl cyanoacrylate and showed that, because of its properties, this material cannot be expected to effect a permanent blockade. It did not, however, irritate the wound. The purpose of this study is to investigate the effects of a new cyanoacrylate cement (FH Cement) when applied to furcation perforations. Subjects were 25 mandibular and maxilla premolars and molars obtained from 3 adult dogs. The method used in the study was as follows. After administration of pentobarbital-sodium general anesthesia, the pulp chamber was opened by means of a high-speed air turbine fitted with a diamond point. According to usual procedures, the pulp was removed, and the main root canal was filled. Next the floor of the pulp chamber was deliberately perforated by means of a 1mm round bur that had been previously sterilized in advance pouring a physiological sodium chloride solution at the same time. The perforated areas were then washed with a same solution, wiped, and dried with aseptic cotton pellets. They were then stuffed with cyanoacrylate cement. The cavity was lined with gutta-percha temporary stopping, and the remainder of the cavity was filled with silver amalgam. At periods of 1, 2, 4, 8 and 12 weeks after the operation, the animals were sacrificed by means of electricity under general anesthesia. The jaw bones were removed, fixed, decalcified, and embedded in celloidin. Longitudinal sections were stained with hematoxylin-eosin. Results 1. Periodontal tissues around perforated sites were healed by means of scar tissue, though suppuration occurred in a few cases. 2. Hard tissue was appended to the teeth in a small number of cases. 3. Repair of the alveolar bone was observed in the damaged site in about half of all cases. From the result mentioned above, cyanoacrylate cement (FH Cement) was seemed to did not close the site perforation for it self, but was not a stimulant to wound, in case of appropriate blockade.

Animals↗
PubMed1994

[Computer-assisted experimental implantation technique for comparative quality assessment of various cementation techniques in cemented hip prosthesis implantation].

For the anchorage of femoral prosthesis stems in total hip arthroplasty, various cement application techniques are used. Experimental comparison of these techniques requires a set-up in which only the cementing technique itself is tested. We used a computer-controlled implantation device based on a milling machine and standardized artificial femur models. The stems are reproducibly positioned by the machine and any influence of manual positioning during the implantation is excluded. The results can be evaluated macroscopically and radiologically with no interference by disturbing bone--with sufficient sensitivity to objectify differences in cement quality. The increase in pressure in the peripheral medullary cavity, which is responsible for the embolisation, can be determined experimentally for the individual cementing technique. The experimental implantation device described enables a standardized comparison of various cementing techniques.

Bone Cements↗
PubMed2000

Study of cement apparatus, cement production and transportation in adult male Neoechinorhynchus rutili (Acanthocephala, Eoacanthocephala).

Investigation with light and electron microscopy has been made of the cement apparatus of the mature male Neoechinorhynchus rutili, a parasite of Gasterosteus aculeatus. N. rutili possesses a single compact mass of glandular tissue (cement gland) with eight giant nuclei. The nucleus is lobe-shaped and has a conspicuous nucleolus with a granular appearance. The cytoplasm of the gland contains prominent rough endoplasmic reticulum, mitochondria and electron dense secretory granules. A short duct connects the gland with a single, separate cement reservoir. The duct appears to lack a lumen and is seen as an electron-dense, compact structure. Many microtubules of approximately 150 nm outer diameter are located throughout the cytoplasm of the duct. It is proposed that the microtubules in N. rutili are responsible for the transport of cement granules from the gland to the reservoir. The cement reservoir appears as a compact organ filled with granules measuring at least 0.5 microm in diameter.

Acanthocephala↗
PubMed1993

Autopsy studies of the bone-cement interface in well-fixed cemented total hip arthroplasties.

Although knowledge of the clinical status of the implant is important, only instrumented mechanical testing of retrieved specimens provides quantitative assessment of implant fixation. This measurement allows placement of the implant along a continuum of loosening and is the foundation for the interpretation of subsequent findings. Analysis of implants that have been proven to be well fixed by instrumented testing reveals significant differences in the initial events in the loosening of femoral and acetabular components. Although radiolucencies were observed around all of these well-fixed femoral and acetabular components, the histology (and therefore the etiology) of the radiolucency is different and variable on the two sides of the articulation. The majority of femoral radiolucencies appear to be due to age and stress-related remodeling while particulate-induced bone resorption plays an important role in acetabular radiolucencies. A finding common to both sides of the articulation in these stable components, however, was intimate contact of bone with cement without any interposed soft tissue even after 17.5 years of service. Primary incompatibility and/or failure of the cement was not identified as a factor in initiating either femoral or acetabular component loosening. These studies document the long-term compatibility of bone with cement in bulk form. Improvements in cemented femoral component fixation should focus on stem design and cementing technique. Long-term acetabular component fixation can be improved by reduction or elimination of polyethylene wear and optimization of the bone-implant interface.

Biocompatible Materials↗
PubMed2001

Ni phases formed in cement and cement systems under highly alkaline conditions: an XAFS study.

X-ray absorption fine structure (XAFS) spectroscopy was applied to assess the solubility-limiting phase of Ni in cement and cement minerals. The study reveals the formation Ni and Al containing hydrotalcite-like layered double hydroxides (Ni-Al LDHs) when cement material (a complex mixture of CaO, SiO2, Al2O3, Fe2O3 and SO3) was treated with Ni in artificial cement pore water under highly alkaline conditions (pH = 13.3). This finding indicates that Ni-Al LDHs and not Ni-hydroxides determine the solubility of Ni in cement materials.

Journal Article↗
PubMed1996

Cement viscosity affects the bone-cement interface in total hip arthroplasty.

Quantitative information regarding the interface strength and degree of cement penetration associated with cement viscosity during total hip arthroplasty is limited. The aim of the present study was to determine the effect of the viscosity of bone cement at the time of implantation on the mechanical integrity of total hip arthroplasty. Cement that was injected at an early less viscous stage produced greater failure strength in a push-out test than its more viscous counterpart.

Analysis of Variance↗
PubMed1997

Effect of convergence angle on retention of resin-bonded retainers cemented with resinous cements.

STATEMENT OF PROBLEM: Poor retention is a common cause of failure for resin-bonded restorations. PURPOSE: This study evaluated the effect of the convergence angle of tooth preparations on retention of resin-bonded restorations, luted with adhesive and conventional resinous cements. MATERIAL AND METHODS: A total of 80 posterior retainers with four different tooth preparation angles were cemented with two different resinous cements, and retentive strength was measured. RESULTS: The results indicated that (1) increased tapering of tooth preparations resulted in loss of retention and this variable was statistically significant for both cements used when convergence angles exceeded 10 degrees and (2) sandblasted nickel-chromium retainers, combined with adhesive resins, should provide sufficient retention for posterior resin-bonded fixed partial dentures.

Adhesives↗
PubMed1999

An in vitro investigation of a poly(vinyl phosphonic acid) based cement with four conventional glass-ionomer cements. Part 1: Flexural strength and fluoride release.

OBJECTIVE: To investigate the flexural strength and fluoride release of four conventional glass-ionomer cements: Ketac-Molar (KM), HiFi (HF), Vivaglass Fil (VF), Ketac-Fil (KF) and a newly developed glass polyphosphonate cement, Diamond Carve (DC). METHOD: Disc specimens (10 mm diameter, 1 mm thick) were prepared and mould stored at 37 degrees C. After one hour, the specimens were removed from their mould and immersed in 20 ml of deionised water until required for testing. Biaxial flexural strength was determined at 1 hour and at 1, 7, 30 and 90 days after the start of mixing. Measurements of fluoride release from the specimens were carried out at 2 hours and at 1, 3, 7, 14, 30, 60 and 90 days after the start of mixing using a fluoride ion selective electrode. The results were analysed using ANOVA and student 't' tests. RESULTS: All the materials displayed different flexural strength patterns. KM and DC became stronger whilst KF and VF plateaued in strength with time. HF peaked in strength and then became weaker. At 90 days, the mean flexural strengths in decreasing order was as follows: KM > or = VF > or = DC > or = HF > KF. An initial fast rate of fluoride release followed by a slower but steady release of fluoride was observed in each of the materials. The mean cumulative fluoride release in decreasing order was as follows: VF > KF > or = HF > DC > KM. VF released significantly higher level and KM significantly lower level of fluoride than the other materials. CONCLUSIONS: The acid used to form the cement could not be used to predict changes in cement strength behaviour with respect to time. DC increased in strength with time and its flexural strength at 90 days was comparable to that of HF and VF. The cumulative and rate of fluoride release varied for the materials. DC had a low fluoride release consistent with a fast setting material with good early resistance to water.

Analysis of Variance↗
PubMed2005

Antiproliferative effect of mineral trioxide aggregate, zinc oxide-eugenol cement, and glass-ionomer cement against three fibroblastic cell lines.

An important requirement for dental materials placed in direct contact with living tissues is biocompatibility. The purpose of this study was to evaluate the antiproliferative activity of three dental materials (mineral trioxide aggregate, zinc oxide-eugenol cement, and glass-ionomer cement) against a panel of established fibroblastic cell lines (L929, BHK21/C13, and RPC-C2A). The materials were prepared according to the manufacturer's instructions and were tested in insert wells for 12, 24, and 48 h. Cell number fraction was estimated by the sulforhodamine-B assay, in reference to controls. The degree of antiproliferative effect in ascending order was mineral trioxide aggregate, glass-ionomer cement, and zinc oxide-eugenol cement in all cell lines tested.

Aluminum Compounds↗