Efficacy of Two Types of Femoral Cement Restrictor in Total Hip Arthroplasty

Jeffery, J.A.

doi:10.1177/112070009700700104

HIP International

1997

DOI: 10.1177/112070009700700104

|View full text |Cite

Efficacy of Two Types of Femoral Cement Restrictor in Total Hip Arthroplasty

J.A. Jeffery

Abstract: Distal occlusion of the femoral canal in total hip arthroplasty is important for cement pressurisation. Failure to adequately restrict cement may result in earlier prosthetic loosening and a longer column of distal cement which may make revision surgery more difficult. A standard plastic restrictor (Hardinge type) was compared with a bone plug restriction method in a randomised, prospective trial of 50 patients. Both types of restrictor failed to adequately restrict cement in over 50% of cases.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

1999

2003

Publication Types

Select...

Article3

Relationship

Self Cite0

Independent3

Authors

Journals

Cited by 3 publications

(2 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unless the femoral canal is sufficiently sealed with some type of restrictor, this basic requirement will not be fulfilled and prosthetic loosening may be expected at an early stage (Oh et al 1978, Jeffery 1997.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Poor results with the Shuttle Stop: Resorbable versus nonresorbable intramedullar cement restrictor in a prospective and randomized study with a 2-year follow-up

Freund

Herold

Röck

et al. 2003

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

mentioning

confidence: 99%

“…Several materials and designs have been used for femoral canal closure (Jeffery 1997, Harris and McGann 1986, Bulstra et al 1996. Most of these are nonresorbable and difficulties in removing the restrictor in revision cases have been reported (Northmore-Ball et al 1991).…”

mentioning

confidence: 99%

Poor results with the Shuttle Stop: Resorbable versus nonresorbable intramedullar cement restrictor in a prospective and randomized study with a 2-year follow-up

Freund

Herold

Röck

et al. 2003

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

Differences and similarities between chronic obstructive pulmonary disease and asthma

Jeffery

1999

Clin Experimental Allergy

102

View full text Add to dashboard Cite

Asthma and chronic obstructive pulmonary disease (COPD) are complex conditions with imprecise definitions, which make definitive morphological comparisons difficult. The airways in asthma are occluded by tenacious plugs of exudate and mucus, and there is fragility of airway surface epithelium, thickening of the reticular layer beneath the epithelial basal lamina (the last two not usually features of COPD), and bronchial vessel congestion and oedema. There is an increased inflammatory infiltrate comprising ‘activated’ lymphocytes and eosinophils with release of granular content in the latter, and enlargement of bronchial smooth muscle, particularly in medium‐sized bronchi. CD4+ve lymphocytes predominate over CD8+ve cells and neutrophils are sparse. In contrast, three conditions contribute to COPD. In chronic bronchitis there is cough and mucous hypersecretion with enlargement of tracheobronchial submucosal glands and a disproportionate increase of mucous acini. CD8+ve lymphocytes predominate over CD4+ve cells and there are increased numbers of subepithelial macrophages and intra‐epithelial neutrophils. Exacerbations of bronchitis are associated with a tissue eosinophilia, apparent absence of IL‐5 protein but gene expression for IL‐4 and IL‐5 is present. In small or peripheral airways disease, there is inflammation of bronchioli and mucous metaplasia and hyperplasia, with increased intraluminal mucus, increased wall muscle, fibrosis, and airway stenoses (also referred to as chronic obstructive bronchiolitis). Respiratory bronchiolitis involving increased numbers of pigmented macrophages is a critically important early lesion. Increasingly severe peribronchiolitis includes infiltration of T lymphocytes in which the CD8+ subset again predominates. These inflammatory changes may predispose to the development of centrilobular emphysema and reduced FEV1 via the destruction of alveolar attachments. In emphysema there is abnormal, permanent enlargement of airspaces distal to the terminal bronchiolus (i.e. within the acinus) accompanied by destruction of alveolar walls and without obvious fibrosis. The severity of emphysema, rather than type, appears to be the most important determinant of chronic deterioration of airflow, and in this there may be significant loss of elastic recoil and microscopic emphysema prior to the observed macroscopic destruction of the acinus.

show abstract

Occlusion and Stability of Two Different Femoral Canal Plugs in Cemented Hip Arthroplasty. A Prospective and Randomized Study, with a Two Year Follow-Up

2003

View full text Add to dashboard Cite

The aim of this prospective and randomised study was to test the ability of two different femoral plugs to seal off the femoral canal to prevent cement leakage, displacement of the restrictor and early aseptic loosening. Seventy patients, 35 in each of two groups, were included. There were 31 men and 39 women. The average age was 70 years; the follow-up was two years. In group 1 (the Exeter plug) there were four cases with cement leakage and in group 2 there were three (the DePuy plug). There were four cases with failures in group 1, due to technical failure peroperatively, and none in group 2. Two cases with early mechanical loosening were found in group 1 and none in group 2. Both restrictors were found equivalent in their ability to occlude the femoral canal but peroperatively there seem to be technical difficulties with the Exeter restrictor.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Efficacy of Two Types of Femoral Cement Restrictor in Total Hip Arthroplasty

Cited by 3 publications

References 13 publications

Poor results with the Shuttle Stop: Resorbable versus nonresorbable intramedullar cement restrictor in a prospective and randomized study with a 2-year follow-up

Poor results with the Shuttle Stop: Resorbable versus nonresorbable intramedullar cement restrictor in a prospective and randomized study with a 2-year follow-up

Differences and similarities between chronic obstructive pulmonary disease and asthma

Occlusion and Stability of Two Different Femoral Canal Plugs in Cemented Hip Arthroplasty. A Prospective and Randomized Study, with a Two Year Follow-Up

Contact Info

Product

Resources

About