- See:
- Radiographic Evaluation of Cemented Femoral Components:
- Exam for THR Loosening:
- Discussion:
- failure to remove soft cancellous bone from medial surface of femoral neck, so column of cement does not rest on dense cancellous or
cortical bone & support stem;
- failure to roughen the medullary canal sufficiently, especially smooth surface of the thin layer of dense bone that forms about stem of a
femoral head prosthesis;
- failure to remove sufficient cancellous bone to permit an adequate column of cement about entire stem - thin column cracks easily;
- tip of the stem should be supported by a plug of cement, since this part of the stem is subjected to axial loading;
- failure to position componenet in a neutral or mildly valgus position
- varus position increases the moment of bending of the stem