Acetabular cement temperature in arthroplasty. Effect of water cooling in 19 cases

• Published in: Acta orthopaedica Scandinavica Vol. 63; no. 5; p. 543
• Main Author: Wykman, A G
• Format: Journal Article
• Language: English
• Published: England 1992
• Subjects: Aged; Aged, 80 and over; Evaluation Studies as Topic; Female; Hip Prosthesis - methods; Humans; Isotonic Solutions - administration & dosage; Isotonic Solutions - therapeutic use; Male; Methylmethacrylate; Methylmethacrylates - administration & dosage; Methylmethacrylates - therapeutic use; Middle Aged; Ringer's Solution; Temperature; Therapeutic Irrigation - instrumentation; Therapeutic Irrigation - methods; Therapeutic Irrigation - standards
• ISSN: 0001-6470
• DOI: 10.3109/17453679209154733

In 19 patients who underwent total hip arthroplasty the temperature was studied at the bone-cement interface in the acetabulum during the polymethyl methacrylate curing process. To evaluate the effect of fluid cooling, the patients were randomized into two groups: one group with no irrigation, the other with continuous irrigation with Ringer solution during cement curing. The temperature was recorded with a thermocouple at the bone-cement interface. Without water cooling, the median maximum temperature was 49 (41-67) degrees C. In 9 out of 11 patients the temperature elevations were sufficient to cause impaired bone regeneration or thermal necrosis of bone. Continuous water irrigation reduced the amount of heat at the bone-cement interface; median maximum temperature was 41 (37-48) degrees C.