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Title: Does use of a "rim cutter" improve quality of cementation of the acetabular component of cemented exeter total hip arthroplasty? Author: Conroy JL, Chawda M, Kaushal R, Whitehouse SL, Crawford RW, English H. Journal: J Arthroplasty; 2009 Jan; 24(1):71-6. PubMed ID: 18534440. Abstract: A randomized controlled trial was performed to assess the effect of a rim cutter device on cement mantles in modern elective total hip arthroplasty using a flanged acetabular component. Forty patients were randomized to a rim cutter (21) or control (19) group. A statistically significant improvement in cement penetration was demonstrated in zone 1 (10.1 vs 8.6 mm, P = .023), and in cement mantle thickness in zones 2 and 3 (7.8 and 6.7 mm vs 5.7 and 5.4 mm [P < .001 and P = .017]), with a reduced incidence of bottoming out of the socket (1/21 vs 8/19 [P = .007]). Cement mantle thicknesses greater than 8 mm were achieved more consistently in the rim cutter group (30% vs 2%). This technique improves cement penetration and mantle thickness in a reliable manner.[Abstract] [Full Text] [Related] [New Search]