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Acetabulum

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The Well-Cemented Total Hip Arthroplasty

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Summary

In this chapter the importance of meticulous bone preparation of the acetabulum and the optimal cement mantle in the socket are outlined with a discussion of all relevant literature. It is recommended to partially preserve the subchondral bone plate of the acetabular roof, but to open the cancellous spaces for cement interdigitation with a combination of reaming, multiple drill holes and copious pulsatile lavage. The cement mantle should be a least 2—3 mm with further cement interdigitation into the roof (Zone I) to prevent radiolucent lines, which are associated with a higher risk of failure.

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References

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Author information

Authors and Affiliations

  1. Leitender Oberarzt, Stiftung Orthopädische Universitäts-klinik Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Germany

    Priv.-Doz. Dr. med. Dominik Parsch

  2. Orthopaedic Department, University of Edinburgh, New Royal Infirmary, Little France, EH16 4SU, Edinburgh, UK

    Steffen J. Breusch M.D., PhD., FRCS Ed (Consultant Orthopaedic Surgeon Part-time Senior Lecturer)

Authors
  1. Priv.-Doz. Dr. med. Dominik Parsch
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  2. Steffen J. Breusch M.D., PhD., FRCS Ed
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© 2005 Springer Medizin Verlag Heidelberg

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Parsch, D., Breusch, S.J. (2005). Acetabulum. In: The Well-Cemented Total Hip Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-28924-0_16

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  • DOI: https://doi.org/10.1007/3-540-28924-0_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-24197-3

  • Online ISBN: 978-3-540-28924-1

  • eBook Packages: MedicineMedicine (R0)

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