The Teaching Point

Polymethylmethacrylate extrusion into the femoral nutrient vessel is a rare phenomenon but one that needs to be recognised to prevent any diagnostic confusion with a periprosthetic fracture, to stop delays in patient`s mobilisation and to expedite discharge.






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From the manuscript

Polymethylmethacrylate extrusion into the femoral nutrient vessel during arthroplasty: A phenomenon to be aware of

Free full text article: Polymethylmethacrylate extrusion into the femoral nutrient vessel during arthroplasty: A phenomenon to be aware of

Abstract
Third generation cementing technique is now commonly used for total hip arthroplasty. The aim of this technique is to sufficiently pressurise the cement and allow maximal penetration of the cement into any remaining trabecular bone to provide a stable fixation of the prosthesis. We report a case where this pressurisation resulted in polymethylmethacrylate retrograde filling of the nutrient vessel and we discuss the controversial diagnosis and current literature surrounding this rare phenomenon.






References



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1. Arthroplasty

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