This section concentrates on the radiological behaviour of the cement-bone interface as found in various long-term studies at Wrightington. The long-term clinical results have already been presented in Chapter 5. All cases of known sepsis are excluded. Eight studies of various aspects of the radiological behaviour of cement, all derived from the prospective series of hips operated on between November 1962 and December 1965 are summarized and agreements and disagreements are tabulated at the end of the chapter. A ninth radiological study of cement, this one retrospective for the hips operated on in 1967 and 1968, is also included. Most of these studies have been published in Clinical Orthopaedics and Related Research, and references to the original papers are appended.


Cancellous Bone Radiological Study Medullary Cavity Upward Migration Calcar Resorption 
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  1. 20).
    Weber F.A., Charnley, J. (1975): A Radiological Study of Fractures of Acrylic Cement in Relation to the Stem of a Femoral Head Prosthesis. J. Bone Joint Surg. 57 B, 297Google Scholar
  2. 21).
    DeLee, J., Charnley, J. (1976): Radiological Demarcation of Cemented Sockets in Total Hip Replacement. Clin. Orthop. 121, 20PubMedGoogle Scholar
  3. 22).
    Evans, E.M., Freeman, M.A.R., Miller, A.J., Vernon-Roberts, B. (1974): Metal Sensitivity as a Cause of Bone Necrosis and Loosening of the Prosthesis in Total Joint Replacement. J. Bone Joint Surg. 56 B, 626Google Scholar
  4. 23).
    Miller, A. J. (1972): Late Fractures of the Acetabulum after Total Hip Replacement. J. Bone Joint Surg. 54 B, 600Google Scholar
  5. 24).
    Follacci, F.M., Hammond, B.T., Charnley, J. (1968): The Long-Term Reaction of Bone to Self-Curing Acrylic Cement. J. Bone Joint Surg. 50 B, 822Google Scholar
  6. 25).
    Blacker, G., Charnley, J. (1978): Long-Term Study of Changes in the Upper Femur after Low Friction Arthroplasty. Clin. Orthop. (in press)Google Scholar
  7. 26) Bocco, F., Langan, P., Charnley, J. (1977): Changes in the Calcar Femoris in Relation to Cement Technology in Total Hip Replacement. Clin. Orthop. 128, 287Google Scholar
  8. 27).
    Al-Habboobys, S., McLeish, R.D. (1969): A Study of the Load Transfer from Prosthesis to Femur. Dissertation for M.Sc. in Victoria University of Manchester, Manchester Institute of Science & TechnologyGoogle Scholar
  9. 28).
    Harris, W.H., Schiller, A.L., Scholler, J., Freiberg, R.A., Scott, R. (1976): Extensive Localized Bone Resorption in the Femur Following Total Hip Replacement. J. Bone Joint Surg. 58A, 612Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1979

Authors and Affiliations

  • John Charnley
    • 1
    • 2
    • 3
  1. 1.University of ManchesterUK
  2. 2.Centre for Hip SurgeryWrightington HospitalWigan, LancashireEngland
  3. 3.King Edward VII HospitalMidhurst, SussexUK

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