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

Authors

  • Peter Jonathan Smitham
  • Caroline Perkins
  • Martin Williams
  • Steve Eastaugh-Waring

DOI:

https://doi.org/10.3941/jrcr.v3i2.59

Keywords:

Arthroplasty, Computed Tomography, Radiographs, Polymethyl Methacrylate

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.

Author Biographies

Peter Jonathan Smitham

Registrar in Trauma and Orthopaedics,

Derriford Hospital, Devon

Also a PhD student

Martin Williams

Radiology Consultant

Steve Eastaugh-Waring

Orthopaedic Consultant

Published

2009-01-31

Issue

Section

Musculoskeletal Radiology