The effect of cement gun and cement syringe use on the tibial cement mantle in total knee arthroplasty
- Lutz, Michael J.
- Pincus, Paul F.
- Whitehouse, Sarah L.
- Halliday, Brett R.
DOIAbstract
Evidence suggests that a thicker cement mantle improves fixation strength and resistance to tensile and shear forces in the tibial component of total knee arthroplasty. A low proportion of orthopaedic surgeons currently employ techniques to improve cement penetration in the tibial plateau. We demonstrate that the use of a pressurised cement gun or cement syringe provides a highly statistically significant difference (p<0.001) to the depth of the tibial cement mantle and reduction in radiolucent lines when compared to cement applied by hand. This ensures a thicker cement mantle and may reduce the possibility of early failure by improving the strength of fixation and the resistance to tensile and shear forces. There is no statistical diff...
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