63 year old female with PMMA extrusion into the femoral nutrient vessel during arthroplasty. Coronal oblique reformatted CT image demonstrating the nutrient canal more clearly with cement extruded from its distal foramen (arrow).

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

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


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.


Arthroplasty; Computed Tomography; Radiographs; Polymethyl Methacrylate

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