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Knee

MEASUREMENT OF THE EFFECT OF APPLICATION TIME OF BONE CEMENT ON THE CEMENT- BONE INTERFACE STRENGTH IN TWO TYPES OF HIGH VISCOSITY BONE CEMENT

British Association for Surgery of the Knee (BASK)



Abstract

Purpose of the Study

This study aims at investigating the effect of application time of bone cement on the cement-bone interface strength in two types of commercially available bone cements, Cement-A and Cement-B.

Materials and methods

Cement-A and Cement-B were applied to cancellous bone specimens at two different times; 2 and 4 minutes (min). The bone specimens were formulated from bovine bone. Specimens were loaded to failure and the force at which the cement-bone interface failed was recorded. The shear strength of the cement-bone interface was calculated by dividing the force at failure by the cross-sectional surface area of the cement-bone interface.

Results

The mean (± standard deviation) and median (inter-quartile range) shear strength of the cement-bone interface was 2.79 ± 1.29 MPa and 2.29 (2.34) MPa for Cement-A applied at 2 min; 1.35 ± 0.89 MPa and 1.35 (1.74) MPa for Cement-A applied at 4 min; 2.93 ± 1.21 MPa and 3.01 (2.61) MPa for Cement-B applied at 2 min; and 3.00 ± 1.11 MPa and 2.92 (1.61) MPa for Cement-B applied at 4 min. Compared to all other groups, the cement-bone interface strength was significantly lower when Cement-A was applied to the bone specimens at 4 min (p < 0.05). There was no significant difference in the cement-bone interface strength when Cement-B was applied to bone at 2 and at 4 min.

Conclusions

Under these testing conditions, the cement-bone interface strength did not seem to be affected by the time of application of Cement-B to bone. However, it was significantly lower when Cement-A was applied to bone at 4 min.