The cement-canal prosthesis: A new cementation technique studied in cadaver femora

Abstract

This report presents the cement-canal prosthesis. Acrylic cement is injected through the prosthesis by means of an integrated drill hole system. A second canal system within the prosthesis allows suction from the cavities, which could form in the mantle during cement injection. In an experimental study using 36 human cadaveric femora, 3 cement implantation pressures (0.5 bar, 1.0 bar and 1.5 bar) were used. A conventional cementing technique served as a control. Compared to the controls, a deeper penetration of bone cement into cancellous bone was found. Increasing cement pressure led to deeper cement penetration. The average depths of the cement layer were 2.2 mm at 0.5 bar implantation pressure, 2.9 mm at 1.0 bar and 3.9 mm at 1.5 bar. A cement mantle without voids was achieved by this technique, whereas control specimens showed a wide variability in cement defects.