Femoral cement pressurization in hip arthroplasty: a comparison of 3 systems

Niall Alasdair Munro, Malcolm Nicol, Selvaraj Sivasubramaniam, Sheik Mehboob Hussain, David Farquhar Finlayson

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


Cement pressurization is critical to achieving optimal results in cemented arthroplasty of the hip. An in vitro experiment using plastic femoral models (10 per group) was undertaken to measure the pressures developed by 3 cementing systems: the Howmedica Mark 1 (Stryker Howmedica, Limerick, Ireland) and DePuy Cemvac retrograde cementation systems (DePuy CMW, Blackpool, UK), and a novel antegrade system consisting of a 60-mL catheter-tipped syringe and a Miller proximal femoral seal (Zimmer Ltd, Swindon, UK). The mean pressure was higher for the syringe system (161.45 +/- 28.9 kPa) than the Mark 1 (103.51 +/- 22.0 kPa) or Cemvac (92.65 +/- 30.7 kPa) systems (P = .0001). In addition, fewer cement mantle defects were seen with the syringe system (1, interquartile range [IQR] 1-2) than the Mark 1 (3, IQR 2-4) or Cemvac (3, IQR 1-3) systems (P = .0256).
Original languageEnglish
Pages (from-to)893-901
Number of pages9
JournalThe Journal of Arthroplasty
Issue number6
Publication statusPublished - Sept 2007


  • Arthroplasty, Replacement, Hip
  • Bone Cements
  • Cementation
  • Femur
  • Pressure


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