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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 9, 1216-1219.
doi: 10.1302/0301-620X.87B9.15871  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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An improved acetabular cementing technique in total hip arthroplasty

ASPIRATION OF THE ILIAC WING

N. Hogan, MSc(Oxon), MRCSI, Orthopaedic Senior Specialist Registrar1; A. Azhar, FRCS(Ed), Orthopaedic Registrar1; and O. Brady, MCh, FRCSI(Tr & Orth), Consultant Orthopaedic Surgeon1

1 Department of Orthopaedic Surgery, Our Lady’s Hospital, Navan, County Meath, Ireland.

Correspondence should be sent to Dr N. Hogan at 3 The Schoolhouse, Mount Saint Anne’s, Milltown, Dublin 6, Ireland; e-mail: nhogan{at}gofree.indigo.ie

We have evaluated the effect of vacuum aspiration of the iliac wing on the osseointegration of cement into the acetabulum. We entered a total of 40 patients undergoing primary total hip arthroplasty into two consecutive study groups. Group 1 underwent acetabular cement pressurisation for 60 seconds before insertion of the acetabular component. Group 2 had the same pressurisation with simultaneous vacuum suction of the ilium using an iliac-wing aspirator. Standard post-operative radiographs were reviewed blindly to assess the penetration of cement into the iliac wing. Penetration was significantly greater in the group with aspiration of the iliac wing.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General