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McMahon SE, Alvi F, Lemon JG et al. Injury 2010;41:352–5.

This study provides evidence that cement pressures in femurs undergoing cemented total hip arthroplasty following previous fixation are lower than those in femurs without previous fixation.


It has previously been postulated that cement leaks from drill holes in femurs that have previously undergone operative fixation of a fracture (e.g. a compression plate/screw device for a femoral neck fracture) may affect cement pressurization during cementing of femoral components in total hip arthroplasty. This in turn may have long-term implications for the implant and the patient, as inadequate cementing may lead to loosening of the femoral stem.

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