Development of a reinforced PMMA-based hip spacer adapted to patients' needs

Medical Engineering and Physics

Volumn 31, Issue 8, 2009, Pages 930-936

  Thielen, T ^a   Maas, S ^a   Zuerbes, A ^a   Waldmann, D ^a   Anagnostakos, K ^b   Kelm, J ^b  

^a UNIVERSITY OF LUXEMBOURG   (Luxembourg)

^b SAARLAND UNIVERSITY   (Germany)

Author keywords

Infection; PMMA; Reinforcement; Spacer fracture; Total hip arthroplasty

Indexed keywords

BODY WEIGHT; COLLAPSE LOADS; DRUG RELEASE; EXPECTED LOADS; GERMANY; INFECTION; LIMITED STRENGTH; LOAD CYCLE; LOAD RANGE; MATERIAL STRENGTH; METAL CORE; PMMA; REIMPLANTATION; S-N CURVE; SPACER FRACTURE; TOTAL HIP ARTHROPLASTY; TWO STAGE; WEIGHT BEARING;

BONE; CEMENTS; FRACTURE; GRAPH THEORY; HIP PROSTHESES; REINFORCEMENT; TITANIUM;

BONE CEMENT;

ANTIBIOTIC AGENT; BONE CEMENT; METAL; TITANIUM;

ARTICLE; BODY WEIGHT; CONTROLLED STUDY; DAILY LIFE ACTIVITY; DRUG RELEASE; GERMANY; HIP FRACTURE; HUMAN; LEG LENGTH INEQUALITY; LOAD CARRYING CAPACITY; PRIORITY JOURNAL; PROSTHESIS INFECTION; REIMPLANTATION; TOTAL HIP PROSTHESIS; WEIGHT BEARING;

ACTIVITIES OF DAILY LIVING; HIP PROSTHESIS; HUMANS; INTRAOPERATIVE PERIOD; MATERIALS TESTING; POLYMETHYL METHACRYLATE; PROSTHESIS DESIGN; WALKING; WEIGHT-BEARING;

EID: 70349448130     PISSN: 13504533     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.medengphy.2009.05.004     Document Type: Article

References (30)

1. Affatato S., Mattarozzi A., Taddei P., Robotti P., Soffiatti R., Sudanese A., et al. Investigations on the wear behaviour of the temporary PMMA-based hip Spacer-G. Proc Inst Mech Eng 217 (2003) 1-8
2. Magnan B., Regis D., Biscaglia R., and Bartolozzi P. Preformed acrylic bone cement spacer loaded with antibiotics: use of two-stage procedure in 10 patients because of infected hips after total replacement. Acta Orthop Scand 72 (2001) 591-594
3. Shin S.S., Della Valle C.J., Ong B.C., and Meere P.A. A simple method for construction of an articulating antibiotic-loaded cement spacer. J Arthroplasty 17 (2002) 785-787
4. Zweymüller K., and Perner K. Strategies in revision of infected cases. Hip Int 8 (1998) 167-185
5. Bergmann G., Deuretzbacher G., Helle M., Graichen F., Rohlmann A., Strauss J., et al. Hip contact forces and gait patterns from routine activities. J Biomech 34 (2001) 859-871
6. Heimkes B., Posel P., and Plitz W. Studien zur Biomechanik des kindlichen Hüftgelenkes. Z Orthop 133 (1995) 357-363
7. Pauwels F. Gesammelte Abhandlungen zur funktionellen Anatomie des Bewegungsapparates (1965), Springer Verlag, Berlin
8. Krause W.R., and Hofmann A. Antibiotic impregnated acrylic bone cements: a comparative study of the mechanical properties. J Bioact Compat Polym 4 (1989) 345-362
9. Lewis G. Fatigue testing and performance of acrylic bone-cement materials: state of the art review. J Biomed Mater Res 66B 1 (2003) 457-486
10. Dippmann C. Statische und dynamische Drucktestung von PMMA-Hüftinterimsprothesen. PhD. Thesis. Universität des Saarlandes, Homburg/Saar; 2005.
11. Hsieh P.-H., Chen L.-H., Chen C.-H., Lee M.S., Yang W.-E., and Shih C.-H. Two-stage revision hip arthroplasty for infection with a custom-made, antibiotic-loaded, cement prosthesis as an interim spacer. J Trauma Injury Infect Crit Care 56 (2004) 1247-1252
12. Leunig M., Chosa E., Speck M., and Ganz R. A cement spacer for two-stage revision of infected implants of the hip. Int Orthop 22 (1998) 209-214
13. Meani E., Romanò C., Crosby L., and Hofmann G. Infection and local treatment in orthopedic surgery (2007), Springer Verlag, Berlin
14. Carrero V., and Honl M. Mechanischer Test eines Knochenzementspacers für die Revisionshüftendoprothetik. DePuy Prüftestbericht (2000)
15. Baleani M., Traina F., and Toni A. The mechanical behaviour of a pre-formed hip spacer. Hip Int 13 (2003) 159-162
16. Schoellner C., Fuerderer S., Rompe J.D., and Eckardt A. Individual bone cement spacers (IBCS) for septic hip revision-preliminary report. Arch Orthop Trauma Surg 123 (2003) 254-259
17. D'Angelo F., Negri L., Zatti G., and Grassi F.A. Two-stage revision surgery to treat an infected hip implant. A comparison between a custom-made spacer and a pre-formed one. La Chirurgia degli organi di movimento 90 3 (2005) 271-279
18. Minelli E.B., Benini A., Magnan B., and Bartolozzi P. Release of gentamicin and vancomycin from temporary human hip spacers in two-stage revision of infected arthroplasty. J Antimicrob Chemother 53 (2004) 329-334
19. Kelm J. Die PMMA-Hüftinterimsprothese-mechanische Eigenschaften, mikrobiologische Wirksamkeit und klinischer Einsatz. Habilitationsschrift: Medizinische Fakultät der Universität des Saarlandes, Homburg/Saar; 2008.
20. Thielen T., Maas S., Zuerbes A., Waldmann D., and Kelm J. Mechanical material properties of polymethylmethacrylate (PMMA) for medical applications. MP Mater Test 04 (2009) 203-209
21. Aesculap AG & Co. KG. Test report: Dauerfestigkeitsprüfung von PMMA-Spacer (2001), Tuttlingen, Germany
22. Haddad F.S., Masri B.A., Garbuz D.S., and Duncan C.P. The treatment of the infected hip replacement. The complex case. Clin Orthop Relat Res 369 (1999) 144-156
23. Ivarsson I., Wahlstrom O., Djerf K., and Jacobsson S.A. Revision of infected hip replacement Two-stage procedure with a temporary gentamicin spacer. Acta Orthop Scand 65 (1994) 7-8
24. Kraay M.J., Goldberg V.M., and Figgie H.E. Use of an antibiotic impregnated polymethyl methacrylate intramedullary spacer for complicated revision total hip arthroplasty. J Arthroplasty 7 (1992) 397-402
25. Lee A.J., Ling R.S., Gheduzzi S., Simon J.P., and Renfro R.J. Factors affecting the mechanical and viscoelastic properties of acrylic bone cement. J Mater Sci Mater Med 13 (2002) 723-733
26. Oest O., Müller K., and Hupfauer W. Die Knochenzemente (1975), Ferdinand Enke Verlag, Stuttgart
27. Saha S., and Pal S. Mechanical properties of bone cement: a review. J Biomed Mater Res 18 (1984) 435-462
28. Kühn K.-D. Bone cements up-to-date comparison of physical and chemical properties of commercial materials (2000), Springer-Verlag, Berlin
29. Baleani M., Cristofolino L., and Viceconti M. Endurance testing of hip prostheses: a comparison between the load fixed in ISO 7206 standard and the physiological loads. Clin Biomech 14 5 (1999) 339-345
30. Kelm J., Regitz T., Schmitt E., Jung W., and Anagnostakos K. In vivo and in vitro studies of antibiotic release from and bacterial growth inhibition by antibiotic-impregnated polymethylmethacrylate hip spacers. Antimicrob Agents Chemother 50 1 (2006) 332-335