J Korean Orthop Assoc.  2008 Dec;43(6):746-751.

Bonding Strength between Cement and an Implant according to the Cementing Time

Affiliations
  • 1Department of Orthopedic Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. wscho@amc.seoul.kr
  • 2Department of Orthopedic Surgery, Ulsan University Hospital, Ulsan, Korea.

Abstract

PURPOSE: The objective of this study was to compare the bonding strength between cement and an implant according to the cementing time.
MATERIALS AND METHODS
The two types of cement used were CMW(R) 1 and 3 (Depuy Ltd., Blackpool, UK). Plastic molds containing CMW(R) 1 were pressed onto metal blocks at 2, 4, 5 or 6 minutes after mixing the cement, while molds containing CMW(R) 3 were pressed onto blocks at 3, 5, 6 or 7 minutes after mixing the cement. Tensile strength was tested with using an Instron Model 8874 (Instron Corp., Canton, MA, USA). Tensile strengths were compared using the Kruskal-Wallis test and the Mann-Whitney U test.
RESULTS
The strongest bonding strengths for the tensile load were at 2 minutes post-mixing for CMW(R) 1, and at 3 minutes post-mixing for CMW(R) 3. The strength rapidly decreased after 5 minutes for CMW(R) 1 and after 6 minutes for CMW(R) 3.
CONCLUSION
This study suggests that the risk of loosening between cement and an implant is likely to be minimized by the surgical technique that considers the bonding strength according to time.

Keyword

Bonding strength; Bone cement; Loosening; Arthroplasty

MeSH Terms

Arthroplasty
Fungi
Plastics
Tensile Strength
Plastics

Figure

  • Fig. 1 Basic materials for testing the tensile force between cement and a metal block (A: metal block, B: plastic tube, C: test material after cementing within the plastic tube, D: test material after removing the plastic tube).

  • Fig. 2 The method to test the tensile strength between cement and a metal block (a; cement, b; metal block, c; block holder).

  • Fig. 3 Graph of the mean tensile bonding strength of CMW® 1 cement over time after mixing. The error bars represent the standard error.

  • Fig. 4 Graph of the mean tensile bonding strength of CMW® 3 cement over time after mixing. The error bars represent the standard error.


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