20
The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155 December 1, 2006 ©2006 by The Journal of Bone and Joint Surgery, Inc.

The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Embed Size (px)

Citation preview

Page 1: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement

by Paul D. Postak, and A. Seth Greenwald

J Bone Joint Surg AmVolume 88(suppl 4):148-155

December 1, 2006

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 2: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

A failed cemented total hip replacement showing marked radiolucency indicating disruption of the bone-cement interface.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 3: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 4: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 5: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

The Vortex system.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 6: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Creation of bone-cement specimens through retrofilling.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 7: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

The environmental test chamber.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 8: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

A classic diametral tension fracture.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 9: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Figs. 6-A through 6-I Specimens of each bone cement in which the median percent area porosity was calculated.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 10: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Vacuum-mixed VersaBond.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 11: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Vacuum-mixed VersaBond AB with Gentamicin.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 12: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Vacuum-mixed Endurance.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 13: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Vacuum-mixed Endurance Gentamicin.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 14: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Vacuum-mixed Surgical Simplex P.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 15: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Vacuum-mixed Simplex P with Tobramycin.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 16: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Vacuum-mixed Surgical Simplex P with hand-blended tobramycin.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 17: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Hand-mixed Surgical Simplex P.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 18: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Percent area porosity for each bone cement evaluated.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 19: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Ultimate diametral tension strength for each bone cement evaluated.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.

Page 20: The Influence of Antibiotics on the Fatigue Life of Acrylic Bone Cement by Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am Volume 88(suppl 4):148-155

Fatigue life in diametral tension for each bone cement evaluated.

Paul D. Postak, and A. Seth Greenwald J Bone Joint Surg Am 2006;88:148-155

©2006 by The Journal of Bone and Joint Surgery, Inc.