Inexpensive methods of repairing cortical defects in cemented total joint replacement.

Abstract

Inexpensive methods to augment cement pressurization in the face of cortical defects are presented. The first two methods involve the use of disposable plastic syringes and the foil packaging from suture material. The third uses screws that were removed with hardware. The techniques prevent cement extrusion from the cortical defects with minimal stripping of the remaining soft tissues. Methods for using foil packaging to form templates for accurate production of well-fitting cortical inlay grafts and the use of plastic wire ties as temporary fixation devices are also described.