Early failure mechanisms of constrained tripolar acetabular sockets used in revision total hip arthroplasty.

Science.gov (United States)

Cooke, Christopher C; Hozack, William; Lavernia, Carlos; Sharkey, Peter; Shastri, Shani; Rothman, Richard H

2003-10-01

Fifty-eight patients received an Osteonics constrained acetabular implant for recurrent instability (46), girdlestone reimplant (8), correction of leg lengthening (3), and periprosthetic fracture (1). The constrained liner was inserted into a cementless shell (49), cemented into a pre-existing cementless shell (6), cemented into a cage (2), and cemented directly into the acetabular bone (1). Eight patients (13.8%) required reoperation for failure of the constrained implant. Type I failure (bone-prosthesis interface) occurred in 3 cases. Two cementless shells became loose, and in 1 patient, the constrained liner was cemented into an acetabular cage, which then failed by pivoting laterally about the superior fixation screws. Type II failure (liner locking mechanism) occurred in 2 cases. Type III failure (femoral head locking mechanism) occurred in 3 patients. Seven of the 8 failures occurred in patients with recurrent instability. Constrained liners are an effective method for treatment during revision total hip arthroplasty but should be used in select cases only.

Acetabular QCT in Total Hip Arthroplasty - a reliability study using porcine hips

DEFF Research Database (Denmark)

Mussmann, Bo Redder; Overgaard, Soren; Torfing, Trine

and reliability of bone mineral density measurements (BMD) in close proximity of the acetabular cup using SECT and DECT images and 3D segmentation software. Materials and methods 22 acetabular cups (12 cemented, 10 un-cemented) were inserted in porcine hip specimens ex vivo. A femoral stem was attached to each...... difference between the double measurements in SECT was 8 mg/cm3 (p=0.64) and 2 mg/cm3 in DECT (p=0.6). In the cemented concept the differences were 33 mg/cm3 (p=0.054) and 11 mg/cm3 (p=0.014), respectively. ICC was >0.90 regardless of scan mode and cup type. In both cup types the Bland-Altman limits...... of agreement were wider in SECT (uncemented: -95 to 111; cemented: -86 to 153) compared with DECT (uncemented: -28 to 23; cemented: -21 to 44). Conclusion There were no statistically significant reliability differences between SECT and DECT, but results suggest that the agreement of DECT is better than...

Effect of Cement Replacement with Carbide Waste on the Strength of Stabilized Clay Subgrade

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Muntohar A.S.

2016-03-01

Full Text Available Cement is commonly used for soil stabilization and many other ground improvement techniques. Cement is believed to be very good to improve the compressive and split-tensile strength of clay subgrades. In some application cement could be partly or fully replaced with carbide waste. This research is to study the effectiveness of the cement replacement and to find the maximum carbide waste content to be allowed for a clay subgrade. The quantities of cement replaced with the carbide waste were 30, 50, 70, 90, and 100% by its mass. The results show that replacing the cement with carbide waste decreased both the compressive and split tensile strength. Replacing cement content with carbide waste reduced its ability for stabilization. The carbide waste content should be less than 70% of the cement to provide a sufficient stabilizing effect on a clay subgrade.

Relationship between Wiberg's lateral center edge angle, Lequesne's acetabular index, and medial acetabular bone stock

International Nuclear Information System (INIS)

Werner, Clement M.L.; Copeland, Carol E.; Stromberg, Jeff; Turen, Clifford H.; Ruckstuhl, Thomas; Bouaicha, Samy

2011-01-01

Knowledge of acetabular anatomy is crucial for cup positioning in total hip replacement. Medial wall thickness of the acetabulum is known to correlate with the degree of developmental dysplasia of the hip (DDH). No data exist about the relationship of routinely used radiographic parameters such as Wiberg's lateral center edge angle (LCE-angle) or Lequesne's acetabular index (AI) with thickness of the medial acetabular wall in the general population. The aim of our study was to clarify the relationship between LCE, AI, and thickness of the medial acetabular wall. Measurements on plain radiographs (LCE and AI) and axial CT scans (quadrilateral plate acetabular distance QPAD) of 1,201 individuals (2,402 hips) were obtained using a PACS imaging program and statistical analyses were performed. The mean thickness of the medial acetabulum bone stock (QPAD) was 1.08 mm (95% CI: 1.05-1.10) with a range of 0.1 to 8.8 mm. For pathological values of either the LCE ( 12 ) the medial acetabular wall showed to be thicker than in radiological normal hips. The overall correlation between coxometric indices and medial acetabular was weak for LCE (r =-0.21. 95% CI [-0.25, -0.17]) and moderate for AI (r = 0.37, [0.33, 0.41]). We did not find a linear relationship between Wiberg's lateral center edge angle, Lequesne's acetabular index and medial acetabular bone stock in radiological normal hips but medial acetabular wall thickness increases with dysplastic indices. (orig.)

Effect of amorphous silica ash used as a partial replacement for cement on the compressive and flexural strengths cement mortar.

Science.gov (United States)

Usman, Aliyu; Ibrahim, Muhammad B.; Bala, Nura

2018-04-01

This research is aimed at investigating the effect of using amorphous silica ash (ASA) obtained from rice husk as a partial replacement of ordinary Portland cement (OPC) on the compressive and flexural strength of mortar. ASA was used in partial replacement of ordinary Portland cement in the following percentages 2.5 percent, 5 percent, 7.5 percent and 10 percent. These partial replacements were used to produce Cement-ASA mortar. ASA was found to contain all major chemical compounds found in cement with the exception of alumina, which are SiO2 (91.5%), CaO (2.84%), Fe2O3 (1.96%), and loss on ignition (LOI) was found to be 9.18%. It also contains other minor oxides found in cement. The test on hardened mortar were destructive in nature which include flexural strength test on prismatic beam (40mm x 40mm x 160mm) and compressive strength test on the cube size (40mm x 40mm, by using the auxiliary steel plates) at 2,7,14 and 28 days curing. The Cement-ASA mortar flexural and compressive strengths were found to be increasing with curing time and decreases with cement replacement by ASA. It was observed that 5 percent replacement of cement with ASA attained the highest strength for all the curing ages and all the percentage replacements attained the targeted compressive strength of 6N/mm2 for 28 days for the cement mortar

Positive effect of removal of subchondral bone plate for cemented acetabular component fixation in total hip arthroplasty: a randomised RSA study with ten-year follow-up.

Science.gov (United States)

Flivik, G; Kristiansson, I; Ryd, L

2015-01-01

We hypothesised that the removal of the subchondral bone plate (SCBP) for cemented acetabular component fixation in total hip arthroplasty (THA) offers advantages over retention by improving the cement-bone interface, without jeopardising implant stability. We have previously published two-year follow-up data of a randomised controlled trial (RCT), in which 50 patients with primary osteoarthritis were randomised to either retention or removal of the SCBP. The mean age of the retention group (n = 25, 13 males) was 70.0 years (sd 6.8). The mean age in the removal group (n = 25, 16 males) was 70.3 years (sd 7.9). Now we have followed up the patients at six (retention group, n = 21; removal group, n = 20) and ten years (retention group: n = 17, removal group: n = 18), administering clinical outcome questionnaires and radiostereometric analysis (RSA), and determining the presence of radiolucent lines (RLLs) on conventional radiographs. RSA demonstrated similar translation and rotation patterns up to six years. Between six and ten years, proximal acetabular component migration and changes of inclination were larger in the retention group, although the mean differences did not reach statistical significance. Differences in migration were driven by two patients in the SCBP retention group with extensive migration versus none in the SCBP removal group. The significant difference (p < 0.001) in the development of radiolucent lines in the retention group, previously observed at two years, increased even further during the course of follow-up (p < 0.001). While recognising SCBP removal is a more demanding technique, we conclude that, wherever possible, the SCBP should be removed to improve the cement-bone interface in order to maximise acetabular component stability and longevity. ©2015 The British Editorial Society of Bone & Joint Surgery.

Petroleum Sludge as gypsum replacement in cement plants: Its Impact on Cement Strength

Science.gov (United States)

Benlamoudi, Ali; Kadir, Aeslina Abdul; Khodja, Mohamed

2017-08-01

Due to high cost of cement manufacturing and the huge amount of resources exhaustion, companies are trying to incorporate alternative raw materials or by-products into cement production so as to produce alternative sustainable cement. Petroleum sludge is a dangerous waste that poses serious imparts on soil and groundwater. Given that this sludge contains a high percentage of anhydrite (CaSO4), which is the main component of gypsum (CaSO4.2H2O), it may play the same gypsum role in strength development. In this research, a total replacement of gypsum (100%) has been substituted by petroleum sludge in cement production and has led to an increase of 28.8% in UCS values after 28 curing days. Nevertheless, the burning of this waste has emitted a considerable amount of carbon monoxide (CO) gas that needs to be carefully considered prior to use petroleum sludge within cement plants.

The principle of low frictional torque in the Charnley total hip replacement.

Science.gov (United States)

Wroblewski, B M; Siney, P D; Fleming, P A

2009-07-01

The design of the Charnley total hip replacement follows the principle of low frictional torque. It is based on the largest possible difference between the radius of the femoral head and that of the outer aspect of the acetabular component. The aim is to protect the bone-cement interface by movement taking place at the smaller radius, the articulation. This is achieved in clinical practice by a 22.225 mm diameter head articulating with a 40 mm or 43 mm diameter acetabular component of ultra-high molecular weight polyethylene. We compared the incidence of aseptic loosening of acetabular components with an outer diameter of 40 mm and 43 mm at comparable depths of penetration with a mean follow-up of 17 years (1 to 40). In cases with no measurable wear none of the acetabular components were loose. With increasing acetabular penetration there was an increased incidence of aseptic loosening which reflected the difference in the external radii, with 1.5% at 1 mm, 8.8% at 2 mm, 9.7% at 3 mm and 9.6% at 4 mm of penetration in favour of the larger 43 mm acetabular component. Our findings support the Charnley principle of low frictional torque. The level of the benefit is in keeping with the predicted values.

Relationship between Wiberg's lateral center edge angle, Lequesne's acetabular index, and medial acetabular bone stock

Energy Technology Data Exchange (ETDEWEB)

Werner, Clement M.L. [Balgrist University Hospital Zurich, Department of Orthopaedics, Zurich (Switzerland); University of Maryland Medical Systems, R. Adams Cowley Shock Trauma Center, Baltimore, MD (United States); Copeland, Carol E.; Stromberg, Jeff; Turen, Clifford H. [University of Maryland Medical Systems, R. Adams Cowley Shock Trauma Center, Baltimore, MD (United States); Ruckstuhl, Thomas; Bouaicha, Samy [Balgrist University Hospital Zurich, Department of Orthopaedics, Zurich (Switzerland)

2011-11-15

Knowledge of acetabular anatomy is crucial for cup positioning in total hip replacement. Medial wall thickness of the acetabulum is known to correlate with the degree of developmental dysplasia of the hip (DDH). No data exist about the relationship of routinely used radiographic parameters such as Wiberg's lateral center edge angle (LCE-angle) or Lequesne's acetabular index (AI) with thickness of the medial acetabular wall in the general population. The aim of our study was to clarify the relationship between LCE, AI, and thickness of the medial acetabular wall. Measurements on plain radiographs (LCE and AI) and axial CT scans (quadrilateral plate acetabular distance QPAD) of 1,201 individuals (2,402 hips) were obtained using a PACS imaging program and statistical analyses were performed. The mean thickness of the medial acetabulum bone stock (QPAD) was 1.08 mm (95% CI: 1.05-1.10) with a range of 0.1 to 8.8 mm. For pathological values of either the LCE (<20 ) or the AI (>12 ) the medial acetabular wall showed to be thicker than in radiological normal hips. The overall correlation between coxometric indices and medial acetabular was weak for LCE (r =-0.21. 95% CI [-0.25, -0.17]) and moderate for AI (r = 0.37, [0.33, 0.41]). We did not find a linear relationship between Wiberg's lateral center edge angle, Lequesne's acetabular index and medial acetabular bone stock in radiological normal hips but medial acetabular wall thickness increases with dysplastic indices. (orig.)

Use of waste brick as a partial replacement of cement in mortar.

Science.gov (United States)

Naceri, Abdelghani; Hamina, Makhloufi Chikouche

2009-08-01

The aim of this study is to investigate the use of waste brick as a partial replacement for cement in the production of cement mortar. Clinker was replaced by waste brick in different proportions (0%, 5%, 10%, 15% and 20%) by weight for cement. The physico-chemical properties of cement at anhydrous state and the hydrated state, thus the mechanical strengths (flexural and compressive strengths after 7, 28 and 90 days) for the mortar were studied. The microstructure of the mortar was investigated using scanning electron microscopy (SEM), the mineralogical composition (mineral phases) of the artificial pozzolan was investigated by the X-ray diffraction (XRD) and the particle size distributions was obtained from laser granulometry (LG) of cements powders used in this study. The results obtained show that the addition of artificial pozzolan improves the grinding time and setting times of the cement, thus the mechanical characteristics of mortar. A substitution of cement by 10% of waste brick increased mechanical strengths of mortar. The results of the investigation confirmed the potential use of this waste material to produce pozzolanic cement.

Use of waste brick as a partial replacement of cement in mortar

International Nuclear Information System (INIS)

Naceri, Abdelghani; Hamina, Makhloufi Chikouche

2009-01-01

The aim of this study is to investigate the use of waste brick as a partial replacement for cement in the production of cement mortar. Clinker was replaced by waste brick in different proportions (0%, 5%, 10%, 15% and 20%) by weight for cement. The physico-chemical properties of cement at anhydrous state and the hydrated state, thus the mechanical strengths (flexural and compressive strengths after 7, 28 and 90 days) for the mortar were studied. The microstructure of the mortar was investigated using scanning electron microscopy (SEM), the mineralogical composition (mineral phases) of the artificial pozzolan was investigated by the X-ray diffraction (XRD) and the particle size distributions was obtained from laser granulometry (LG) of cements powders used in this study. The results obtained show that the addition of artificial pozzolan improves the grinding time and setting times of the cement, thus the mechanical characteristics of mortar. A substitution of cement by 10% of waste brick increased mechanical strengths of mortar. The results of the investigation confirmed the potential use of this waste material to produce pozzolanic cement.

Effects of Particle Size and Cement Replacement of LCD Glass Powder in Concrete

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Seong Kyum Kim

2017-01-01

Full Text Available The high quality liquid crystal display (LCD processing waste glass (LPWG generated from the manufacturing process of Korea’s LCD industries, having the world’s highest technological level and production, was finely ground into particles smaller than cement particles (higher fineness than OPC to verify their applicability and performance as a replacement for cement. For a concrete mix having a W/B ratio of 0.44, cement was replaced with LPWG glass powder (LGP at ratios of 5, 10, 15, and 20% (LGP12 and 5 and 10% (LGP5 according to the particle size to prepare test cylinder specimens, which were tested with respect to air contents, slump in fresh concrete, and compressive strength and splitting tensile strength of hardened concrete. The microstructure of the concrete specimens was analyzed through Scanning Electron Microscopy (SEM, Energy Dispersive X-ray (EDX, and a Mercury Intrusion Porosimetry (MIP. Replacement of cement with LGP for cement could effectively decrease the quantity of cement used due to the excellent performance of LGP. It may positively contribute to the sustainable development of the cement industry as well as waste recycling and environment conservation on a national scale.

Failure rate of cemented and uncemented total hip replacements

DEFF Research Database (Denmark)

Makela, K. T.; Matilainen, M.; Pulkkinen, P.

2014-01-01

). Participants 347 899 total hip replacements performed during 1995-2011. Main outcome measures Probability of implant survival (Kaplan-Meier analysis) along with implant survival with revision for any reason as endpoint (Cox multiple regression) adjusted for age, sex, and diagnosis in age groups 55-64, 65......Objective To assess the failure rate of cemented, uncemented, hybrid, and reverse hybrid total hip replacements in patients aged 55 years or older. Design Register study. Setting Nordic Arthroplasty Register Association database (combined data from Sweden, Norway, Denmark, and Finland......-74, and 75 years or older. Results The proportion of total hip replacements using uncemented implants increased rapidly towards the end of the study period. The 10 year survival of cemented implants in patients aged 65 to 74 and 75 or older (93.8%, 95% confidence interval 93.6% to 94.0% and 95.9%, 95...

Experimental and numerical study of cemented bone-implant interface behaviour

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P. Zlamal

2011-01-01

Full Text Available Although the total hip replacement (THR is a long-proven method of surgical treatment of diseases and disorders of the human hip, the surgery brings some risk of long-term instability of the joint. The aim of the research was to investigate the cemented bone-implant interface behavior. The main problems (cement layer degradation and bone-cement interface debonding during physiological loading conditions have been investigated using a custom hip simulator. The experimental setup was designed to allow cyclic loading of the sample of pelvic bone with implanted cemented acetabular component. The hip contact force of required direction and magnitude was applied to the implant using a spherical femoral component head. The most unfavorable activity (downstairs walking was simulated. The process of damage accumulation in the fixation was monitored by repeated scanning using high resolution micro Computed Tomography (µCT. Use of micro-focus source and large high-resolution flat panel detector allows investigation of structural changes and crack propagation both in the cement layer and the trabecular bone.

STUDY OF FUNCTIONAL RESULTS OF CEMENTED TOTAL HIP REPLACEMENT BY MOORE’S APPROACH

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Arunim

2016-02-01

Full Text Available INTRODUCTION The total hip replacement (THR has probably become the surgical procedure of choice for vide variety of hip joint disabling diseases. The prosthesis used for THR is often grouped into cemented, cement-less and hybrid ones. There has been increasing trends in use of cement-less components citing more number of complications namely loosening, increased infection rate etc. however with additional cost factors as well. We conducted this study to ascertain whether in a developing country like ours should we really switch over to un-cemented hip replacements dreading such complications or can we still use cemented prosthesis with equally good if not better results. METHODS A study of functional results of cemented total hip replacement was done in patients with varied age groups ranging from 40 years to 75 years with the average age being 54.8 years. 20 patients with 21 diseased hips were treated with cemented total hip replacement by Moore’s posterior approach at NSCB Subharti medical college, Meerut, UP from December 2010 to December 2013 and reviewed thereafter with an average follow-up period of 4.2 years. Average surgical time required was one and half hour. Patients were asked to come for follow up on 1st month, 3rd month and 6th month and then every 6 months and were assessed as per modified Harris Hip Score. RESULTS All the patients were evaluated according to the Modified Harris Hip Scoring system. The results showed 14(67% hips with excellent results, 4(19% with good results, and 3(14% hips with fair results. No poor outcome was noted in this study. 2 cases of dislocation (10% were noted one on the 5th post-operative day and the other occurred after the patient was discharged from the institution. CONCLUSIONS The management of diseased and destroyed hips with chronic pain with cemented total hip replacement is effective and gives stable, mobile and painless hip joint to the patient. Functional results are excellent and

Hydration characteristics of zirconium oxide replaced Portland cement for use as a root-end filling material.

Science.gov (United States)

Camilleri, J; Cutajar, A; Mallia, B

2011-08-01

Zirconium oxide can be added to dental materials rendering them sufficiently radiopaque. It can thus be used to replace the bismuth oxide in mineral trioxide aggregate (MTA). Replacement of Portland cement with 30% zirconium oxide mixed at a water/cement ratio of 0.3 resulted in a material with adequate physical properties. This study aimed at investigating the microstructure, pH and leaching in physiological solution of Portland cement replaced zirconium oxide at either water-powder or water-cement ratios of 0.3 for use as a root-end filling material. The hydration characteristics of the materials which exhibited optimal behavior were evaluated. Portland cement replaced by zirconium oxide in varying amounts ranging from 0 to 50% in increments of 10 was prepared and divided into two sets. One set was prepared at a constant water/cement ratio while the other set at a constant water/powder ratio of 0.3. Portland cement and MTA were used as controls. The materials were analyzed under the scanning electron microscope (SEM) and the hydration products were determined. X-ray energy dispersive analysis (EDX) was used to analyze the elemental composition of the hydration products. The pH and the amount of leachate in Hank's balanced salt solution (HBSS) were evaluated. A material that had optimal properties that satisfied set criteria and could replace MTA was selected. The microstructure of the prototype material and Portland cement used as a control was assessed after 30 days using SEM and atomic ratio diagrams of Al/Ca versus Si/Ca and S/Ca versus Al/Ca were plotted. The hydration products of Portland cement replaced with 30% zirconium oxide mixed at water/cement ratio of 0.3 were calcium silicate hydrate, calcium hydroxide and minimal amounts of ettringite and monosulphate. The calcium hydroxide leached in HBSS solution resulted in an increase in the pH value. The zirconium oxide acted as inert filler and exhibited no reaction with the hydration by-products of Portland

Revisión acetabular con conservación del componente metálico osteointegrado y cementado de un componente de poliestireno. Reporte de una serie de 40 casos. [Acetabular revision cementing a liner into a stable acetabular shell

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Fernando Manuel Bidolegui

2013-12-01

Full Text Available In­tro­duc­ción: Un escenario cada vez más frecuente en la cirugía de revisión protésica de la cadera es hallar un cotilo no cementado fijo con una falla del componente modular de polietileno. Una completa revisión acetabular se presenta como demasiado agresiva cuando el componente metálico es salvable. Cementar un nuevo inserto de polietileno dentro del componente acetabular metálico os-teointegrado es una alternativa. Comunicamos los resultados con esta técnica, y sus indicaciones, el modo de realización y las posibles limitaciones. Materiales­y­Métodos: Entre 2001 y 2011, se cementaron 40 componentes de polietileno dentro de copas no cementadas. Se evaluó radiológicamente y clínicamente a todos los pacientes. El motivo por el que se cementó un inserto fue falla o rotura de mecanismo de captura (11 casos; 27,5%, ganar estabilidad (18 casos; 45% y falta de disponibilidad del inserto correspondiente (11 casos, 27,5%. Resultados:­ La tasa de duración del implante sin reoperación a 46 meses de seguimiento fue del 92%. Un paciente (2,4% sufrió una infección, y dos presentaron inestabilidad (4,8%. No se presentaron aflojamientos hasta el último seguimiento. El puntaje preoperatorio y posoperatorio en la escala de Harris fue de 59 y 80, respectivamente. Conclusiones: Los datos técnicos por considerar para tener éxito son: utilizar un inserto de menor tamaño que el de la copa, cementar insertos texturizados y dejar siempre como mínimo un manto de cemento uniforme de 2 mm. Nuestros resultados preliminares cementando un inserto de polietileno dentro de una copa acetabular osteointegrada parecerían justificar esta técnica de revisión en pos de prevenir la pérdida de capital óseo asociada a la necesidad de recambio de copas osteointegradas.

Potential Mixture of POFA and SCBA as Cement Replacement in Concrete – A Review

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Ali Noorwirdawati

2017-01-01

Full Text Available Concrete is an important material used in all kind of building construction and ordinary Portland cement (OPC is one of an important element in the production of concrete. However, the production of cement causes a problem because of high CO2 emission to atmosphere. The manufacture of 1 tonnes of cement would produce approximately released 1 tonnes of CO2. So, the need to search another material that can replace a cement with same properties and environmental friendly are crucial. The suitable material to replace cement has to be a pozzolanic materials. This is because pozzolanic materials has cementitious properties and high silica content. Palm oil fuel ash (POFA and sugarcane bagasse ash (SCBA are the material that suitable to replace cement because of high silica content. The use of POFA and SCBA in concrete has been studied by many researcher and it has been proved to improve the mechanical strength of the concrete either in normal concrete, high strength concrete or lightweight concrete. This paper would discuss the overview of the previous study on the cement replacement by POFA and SCBA and the potential of the both materials to be mix together to improve its properties. The chemical element which will be the focus point is SiO4, MgO, CaO and SO3, while the physical and mechanical properties such as workability, specific gravity, compressive strength and tensile strength will also be reviewed.

Improving the accuracy of acetabular cup implantation using a bulls-eye spirit level.

Science.gov (United States)

Macdonald, Duncan; Gupta, Sanjay; Ohly, Nicholas E; Patil, Sanjeev; Meek, R; Mohammed, Aslam

2011-01-01

Acetabular introducers have a built-in inclination of 45 degrees to the handle shaft. With patients in the lateral position, surgeons aim to align the introducer shaft vertical to the floor to implant the acetabulum at 45 degrees. We aimed to determine if a bulls-eye spirit level attached to an introducer improved the accuracy of implantation. A small circular bulls-eye spirit level was attached to the handle of an acetabular introducer. A saw bone hemipelvis was fixed to a horizontal, flat surface. A cement substitute was placed in the acetabulum and subjects were asked to implant a polyethylene cup, aiming to obtain an angle of inclination of 45 degrees. Two attempts were made with the spirit level masked and two with it unmasked. The distance of the air bubble from the spirit level's center was recorded by a single assessor. The angle of inclination of the acetabular component was then calculated. Subjects included both orthopedic consultants and trainees. Twenty-five subjects completed the study. Accuracy of acetabular implantation when using the unmasked spirit level improved significantly in all grades of surgeon. With the spirit level masked, 12 out of 50 attempts were accurate at 45 degrees inclination; 11 out of 50 attempts were "open," with greater than 45 degrees of inclination, and 27 were "closed," with less than 45 degrees. With the spirit level visible, all subjects achieved an inclination angle of exactly 45 degrees. A simple device attached to the handle of an acetabular introducer can significantly improve the accuracy of implantation of a cemented cup into a saw bone pelvis in the lateral position.

The Effect of Water Cement Ratio on Cement Brick Containing High Density Polyethylene (HDPE as Sand Replacement

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Ali Noorwirdawati

2018-01-01

Full Text Available Waste disposal can contribute to the problem of environmental pollution. Most of the waste material is plastic based, because the nature of difficult of plastic degradable by itself. In order to overcome the problem, many study has been conducted on the reuse of plastic material into various field such as civil engineering and construction. In this study, municipal solid waste (MSW in the form of High Density Polyethylene (HDPE plastic was used to replace sand in cement sand brick production. The HDPE used in this study was obtained from a recycle factory at Nilai, Negeri Sembilan. 3% of HDPE replacement was applied in this study, with the cement-sand mix design of 1:6 and water-cement ratio 0.35, 0.40, 0.45 and 0.50 respectively. All specimens were tested for compressive strength and water absorption at 7 and 28 days. The density of the bricks was also recorded. The finding show that brick with 3% HDPE content and 0.45 of water-cement ratio at 28 days of age curing show the highest compressive strength, which is 19.5N/mm2 compared to the control specimen of 14.4 N/mm2.

The economics of using prophylactic antibiotic-loaded bone cement in total knee replacement.

Science.gov (United States)

Gutowski, C J; Zmistowski, B M; Clyde, C T; Parvizi, J

2014-01-01

The rate of peri-prosthetic infection following total joint replacement continues to rise, and attempts to curb this trend have included the use of antibiotic-loaded bone cement at the time of primary surgery. We have investigated the clinical- and cost-effectiveness of the use of antibiotic-loaded cement for primary total knee replacement (TKR) by comparing the rate of infection in 3048 TKRs performed without loaded cement over a three-year period versus the incidence of infection after 4830 TKRs performed with tobramycin-loaded cement over a later period of time of a similar duration. In order to adjust for confounding factors, the rate of infection in 3347 and 4702 uncemented total hip replacements (THR) performed during the same time periods, respectively, was also examined. There were no significant differences in the characteristics of the patients in the different cohorts. The absolute rate of infection increased when antibiotic-loaded cement was used in TKR. However, this rate of increase was less than the rate of increase in infection following uncemented THR during the same period. If the rise in the rate of infection observed in THR were extrapolated to the TKR cohort, 18 additional cases of infection would have been expected to occur in the cohort receiving antibiotic-loaded cement, compared with the number observed. Depending on the type of antibiotic-loaded cement that is used, its cost in all primary TKRs ranges between USD $2112.72 and USD $112 606.67 per case of infection that is prevented.

Ultrasound in Total Hip Replacement: Value of Anterior Acetabular Cup Visibility and Contact With the Iliopsoas Tendon.

Science.gov (United States)

Guillin, Raphaël; Bertaud, Valérie; Garetier, Marc; Fantino, Olivier; Polard, Jean-Louis; Lambotte, Jean-Christophe

2018-06-01

To assess visibility of the acetabular cup in total hip replacement and to determine the value of direct and indirect signs of iliopsoas impingement syndrome with ultrasound. Ultrasound examinations were performed by a single operator in 17 patients with iliopsoas impingement syndrome and 48 control patients. Cup visibility, contact between the cup and psoas tendon, and the presence of indirect signs of iliopsoas impingement syndrome were investigated in all patients. When the acetabular cup was visible, its size and position in relation to the psoas tendon were recorded. Anterior cup visibility (P = .03), contact with the psoas tendon (P cup shift of 3 mm or greater yielded respective sensitivities of 82% and 59% and specificities of 81% and 100%. When iliopsoas impingement syndrome is clinically suspected, the presence of iliopsoas bursitis or a posteroanterior cup shift of greater than 3 mm under the psoas tendon serve to confirm the diagnosis. In the absence of these conditions, a therapeutic test may be necessary because of the incomplete, albeit high, specificity of other signs. © 2017 by the American Institute of Ultrasound in Medicine.

40 CFR 63.1220 - What are the replacement standards for hazardous waste burning cement kilns?

Science.gov (United States)

2010-07-01

... hazardous waste burning cement kilns? 63.1220 Section 63.1220 Protection of Environment ENVIRONMENTAL... Waste Combustors Replacement Emissions Standards and Operating Limits for Incinerators, Cement Kilns... burning cement kilns? (a) Emission and hazardous waste feed limits for existing sources. You must not...

PURIFIED WASTE FCC CATALYST AS A CEMENT REPLACEMENT MATERIAL

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Danute Vaiciukyniene

2015-06-01

Full Text Available Zeolites are commonly used in the fluid catalytic cracking process. Zeolite polluted with oil products and became waste after some time used. The quantity of this waste inevitably rises by expanding rapidly oil industry. The composition of these catalysts depends on the manufacturer and on the process that is going to be used. The main factors retarding hydration process of cement systems and modifying them strength are organic compounds impurities in the waste FCC catalyst. The present paper shows the results of using purified waste FCC catalyst (pFCC from Lithuania oil refinery, as Portland cement replacement material. For this purpose, the purification of waste FCC catalyst (FCC samples was treated with hydrogen peroxide. Hydrogen peroxide (H2O2 is one of the most powerful oxidizers known. By acting of waste with H2O2 it can eliminate the aforementioned waste deficiency, and the obtained product becomes one of the most promising ingredients, in new advanced building materials. Hardened cement paste samples with FCC or pFCC were formed. It was observed that the pFCC blended cements developed higher strength, after 28 days, compared to the samples with FCC or reference samples. Typical content of Portland cement substituting does not exceed 30 % of mass of Portland cement in samples. Reducing the consumption of Portland cement with utilizing waste materials is preferred for reasons of environmental protection.

The effect of fly ash and coconut fibre ash as cement replacement materials on cement paste strength

Science.gov (United States)

Bayuaji, R.; Kurniawan, R. W.; Yasin, A. K.; Fatoni, H. AT; Lutfi, F. M. A.

2016-04-01

Concrete is the backbone material in the construction field. The main concept of the concrete material is composed of a binder and filler. Cement, concrete main binder highlighted by environmentalists as one of the industry are not environmentally friendly because of the burning of cement raw materials in the kiln requires energy up to a temperature of 1450° C and the output air waste CO2. On the other hand, the compound content of cement that can be utilized in innovation is Calcium Hydroxide (CaOH), this compound will react with pozzolan material and produces additional strength and durability of concrete, Calcium Silicate Hydrates (CSH). The objective of this research is to explore coconut fibers ash and fly ash. This material was used as cement replacement materials on cement paste. Experimental method was used in this study. SNI-03-1974-1990 is standard used to clarify the compressive strength of cement paste at the age of 7 days. The result of this study that the optimum composition of coconut fiber ash and fly ash to substitute 30% of cement with 25% and 5% for coconut fibers ash and fly ash with similar strength if to be compared normal cement paste.

Preservation of the Acetabular Cup During Revision Total Hip Arthroplasty Using a Novel Mini-navigation Tool: A Case Report.

Science.gov (United States)

Vincent, John; Alshaygy, Ibrahim; Muir, Jeffrey M; Kuzyk, Paul

2018-01-01

While intraoperative navigation systems have been shown to improve outcomes in primary total hip arthroplasty (THA), their use in the context of revision has been largely overlooked. This case report presents the first documented use of an imageless navigation tool in the context of revision THA, and an unexpected benefit to the surgical procedure as a result. An 84-year-old female patient presented following five episodes of dislocation of the left hip and with pain in the left buttock, groin, and posterior aspect of her hip. Relevant surgical history included primary hip arthroplasty in 1999 and the first revision in 2014. Preoperative analysis revealed a constrained liner that had become disengaged and migrated inferiorly, lodging at the distal aspect of the femoral neck. Acetabular protrusion was also noted. The pre-operative plan included the replacement of the fragmented liner and likely of the acetabular cup due to hardware failure. Intraoperative assessment, however, revealed that the cup was in good condition and would be difficult to remove due to substantial bony ingrowth. With the assistance of imageless navigation, the orientation of the acetabular cup was determined and a new constrained liner was cemented into the preexisting acetabular component at an altered orientation, correcting anteversion by 7°. In revision hip arthroplasty cases, image-based navigation is limited by the presence of existing implants and corresponding metal artefact. This case demonstrates the successful use of an imageless navigation tool for revision surgery. Use of navigation led to the unexpected intraoperative discovery that the acetabular cup was in an acceptable state, and allowed the surgical team to correct the position of the cup using a constrained liner, thus preserving the cup. This significantly benefitted patient outcome, due to the risks associated with the removal of a firmly fixated acetabular cup. While more extensive research is required, this case

Utilization of Palm Oil Clinker as Cement Replacement Material

Directory of Open Access Journals (Sweden)

Jegathish Kanadasan

2015-12-01

Full Text Available The utilization of waste materials from the palm oil industry provides immense benefit to various sectors of the construction industry. Palm oil clinker is a by-product from the processing stages of palm oil goods. Channelling this waste material into the building industry helps to promote sustainability besides overcoming waste disposal problems. Environmental pollution due to inappropriate waste management system can also be drastically reduced. In this study, cement was substituted with palm oil clinker powder as a binder material in self-compacting mortar. The fresh, hardened and microstructure properties were evaluated throughout this study. In addition, sustainability component analysis was also carried out to assess the environmental impact of introducing palm oil clinker powder as a replacement material for cement. It can be inferred that approximately 3.3% of cement production can be saved by substituting palm oil clinker powder with cement. Reducing the utilization of cement through a high substitution level of this waste material will also help to reduce carbon emissions by 52%. A cleaner environment free from pollutants can be created to ensure healthier living. Certain industries may benefit through the inclusion of this waste material as the cost and energy consumption of the product can be minimized.

Utilization of Palm Oil Clinker as Cement Replacement Material.

Science.gov (United States)

Kanadasan, Jegathish; Abdul Razak, Hashim

2015-12-16

The utilization of waste materials from the palm oil industry provides immense benefit to various sectors of the construction industry. Palm oil clinker is a by-product from the processing stages of palm oil goods. Channelling this waste material into the building industry helps to promote sustainability besides overcoming waste disposal problems. Environmental pollution due to inappropriate waste management system can also be drastically reduced. In this study, cement was substituted with palm oil clinker powder as a binder material in self-compacting mortar. The fresh, hardened and microstructure properties were evaluated throughout this study. In addition, sustainability component analysis was also carried out to assess the environmental impact of introducing palm oil clinker powder as a replacement material for cement. It can be inferred that approximately 3.3% of cement production can be saved by substituting palm oil clinker powder with cement. Reducing the utilization of cement through a high substitution level of this waste material will also help to reduce carbon emissions by 52%. A cleaner environment free from pollutants can be created to ensure healthier living. Certain industries may benefit through the inclusion of this waste material as the cost and energy consumption of the product can be minimized.

Compatibility improvement method of empty fruit bunch fibre as a replacement material in cement bonded boards: A review

Science.gov (United States)

Dullah, Hayana; Abidin Akasah, Zainal; Zaini Nik Soh, Nik Mohd; Mangi, Sajjad Ali

2017-11-01

The utilization of oil palm empty fruit bunch (OPEFB) fibre on bio-composite product has been introduced to replace current material mainly wood fibre. OPEFB is widely available as palm oil is one of the major agricultural crops in Malaysia. EFB fibre are lignocellulosic materials that could replace other natural fibre product especially cement bonded board. However, the contains of residual oil and sugar in EFB fibre has been detected to be the reason for incompatibility issue between EFB fibre and cement mixtures. Regarding on the issue, a study has been conducted widely on finding the suitable pre-treatment method for EFB fibre to remove carbohydrate contained in the said fibre that are known to inhibit cement hydration. Aside from that, cement accelerator was introduced to enhance the hydration of cement when it was mixed with natural fibre. Hence, this paper will summaries the previous findings and in-depth study on the use of EFB fibre as a replacement material in cement bonded fibre boards.

PERFORMANCE OF CEMENT MORTARS REPLACED BY GROUND WASTE BRICK IN DIFFERENT AGGRESSIVE CONDITIONS

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ILHAMI DEMIR

2011-09-01

Full Text Available This article investigates the sulphate resistance of cement mortars when subjected to different exposure conditions. Cement mortars were prepared using ground waste brick (GWB as a pozzolanic partial replacement for cement at replacement levels of 0%, 2.5%, 5%, 7.5, 10%, 12.5 and 15%. Mortar specimens were stored under three different conditions: continuous curing in lime-saturated tab water (TW, continuous exposure to 5% sodium sulphate solution (SS, and continuous exposure to 5% ammonium nitrate solution (AN, at a temperature of 20 ± 3 ºC, for 7, 28, 90, and 180 days. Prisms with dimensions of 25×25×285 mm, to determine the expansions of the mortar samples; and another set of prisms with dimensions of 40×40×160 mm, were prepared to calculate the compressive strength of the samples. It was determined that the GWB replacement ratios between 2.5% and 10% decreased the 180 days expansion values. The highest compressive strength values were found for the samples with 10% replacement ratio in the TW, SS, and AN conditions for 180 days. The microstructure of the mortars were investigated using scanning electron microscopy (SEM and the Energy dispersive X-ray (EDX.

Influence Of Cement Kiln Dust As Partial Replacement On Some Properties Of Ordinary And White Portland Cement

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Salah Sharif

2013-04-01

Full Text Available Cement Kiln Dust (CKD is produced as a solid waste with large quantities during manufacturing of Portland cement clinker. The possibility of utilizing CKD as partial replacement for Ordinary Portland Cement (OPC and White Portland Cement (WPC produced in factories of the Iraqi cement state company has been examined in this study to fulfil the environmental and economical aims. Different percentages of CKD were blended with OPC and WPC mixes. The results show that the amount of water for normal consistency were increased with about 39 % and 31 % for OPC and WPC blended with 25 % CKD. The setting time (initial and final decreases with increasing percent of CKD added. Compressive strength decreases slightly with increasing CKD content up to 10 %. For 7- day curing time, it decreases 7 % and 9 % for OPC and WPC mixes, respectively. As percent of added CKD increases to more than 10 %, the compressive strength and other parameters where affected significantly. Overall results proved that OPC and WPC blended with up to 10 % CKD are admissible for passing relevant specification requirements.

Study on concrete with partial replacement of cement by rice husk ash

Science.gov (United States)

Kaarthik Krishna, N.; Sandeep, S.; Mini, K. M.

2016-09-01

Increase in the demand of conventional construction materials and the need for providing a sustainable growth in the construction field has prompted the designers and developers to opt for ‘alternative materials’ feasible for use in construction. For this objective, the use of industrial waste products and agricultural byproducts are very constructive. These industrial wastes and agricultural by products such as Fly Ash, Rice Husk Ash, Silica Fume, and Slag can be replaced instead of cement because of their pozzolanic behavior, which otherwise requires large tract of lands for dumping. In the present investigation, Rice Husk Ash has been used as an admixture to cement in concrete and its properties has been studied. An attempt was also done to examine the strength and workability parameters of concrete. For normal concrete, mix design is done based on Indian Standard (IS) method and taking this as reference, mix design has been made for replacement of Rice Husk Ash. Four different replacement levels namely 5%, 10%, 15% and 20% are selected and studied with respect to the replacement method.

Study of Compressive Strength of Concrete with Coal Power Plant Fly Ash as Partial Replacement of Cement and Fine Aggregate

Directory of Open Access Journals (Sweden)

FAREED AHMED MEMON

2010-10-01

Full Text Available This research study comprises of concrete cubes made with Ordinary Portland Cement and with different configurations of fly ash by replacing cement and fine aggregate. To achieve the aim of this study, total 81 concrete cubes were cast. Among 81 cubes, 9 cubes were made with normal concrete, 36 cubes were made by replacing 25%, 50%, 75% and 100% of fine aggregate with fly ash and 36 cubes were made by replacing 10%, 25%, 50%, and 75% of cement with fly ash. The cubes were 6\\" x 6\\" in cross-section, and the mix design was aimed for 5000 psi. After proper curing of all 81 cubes, they were tested at 3, 7 and 28 days curing age. The cubes were tested in Forney Universal Testing Machine. By analyzing the test results of all the concrete cubes, the following main findings have been drawn. The compressive strength of concrete cubes made by replacing 100 % fine aggregate by fly ash was higher than the concrete cubes made with Ordinary Portland Cement at all 3, 7 and 28 days curing ages. On the other hand, the compressive strength of concrete cubes made by replacing 10 % and 25 % cement by fly ash was slightly lower than the concrete cubes made with Ordinary Portland Cement at all curing ages, whereas, the compressive strength of concrete cubes made by replacing 50 % and 75 % of cement by fly ash were quite lower than the concrete cubes made with Ordinary Portland Cement at all curing ages.

Mechanical interactions of cuspal-coverage designs and cement thickness in a cusp-replacing ceramic premolar restoration: a finite element study.

Science.gov (United States)

Chang, Yen-Hsiang; Lin, Wen-Hsueng; Kuo, Wen-Chieh; Chang, Chia-Yu; Lin, Chun-Li

2009-04-01

The aim of this study was to investigate the biomechanical interactions between cuspal preparation designs and cement thickness in a cusp-replacing ceramic premolar restoration. The cavity was designed in a typical MODP (mesial-occlusal-distal- palatal) restoration failure shape when the palatal cusp has been lost. Twelve 3D finite element (FE) models with four cavity preparations (without coverage and with buccal cuspal coverage in 1.0, 1.5 and 2.0 mm reducing in cuspal height) and three cement thicknesses (50, 100 and 150 microm) were constructed to perform the simulations. The results indicated that enamel and cement stresses in designs with no buccal cusp replacement or a 1.0 mm thick buccal cusp replacement were higher than the designs with 1.5 and 2.0 mm thick replacement. No apparent differences were found in the dentin, enamel, and cement stresses based on cement thicknesses of 50, 100, or 150 microm. This study concluded that when cusp replacement is indicated, reduction of the buccal cusp by 1.5 mm at least could reduce stress.

Sodium carbonate activated slag as cement replacement in autoclaved aerated concrete

NARCIS (Netherlands)

Yuan, B.; Straub, C.; Segers, S.; Yu, Q.; Brouwers, H.J.H.

2017-01-01

This paper aims to study the suitability of fully replacing cement by sodium carbonate activated slag in producing autoclaved aerated concrete (AAC). The material properties of the product are characterized in terms of green strength development, mechanical properties, pore related properties such

[Total hip arthroplasty in post-dysplastic hip arthritis. Can type and position of the acetabular component influence longevity of the prosthesis?].

Science.gov (United States)

Fousek, J; Indráková, P

2007-02-01

The aim of the study was a retrospective evaluation of our patients with post-dysplastic hips treated by cemented or non-cemented total hip arthroplasty (THA) in order to ascertain which type and position of the acetabular component was most effective. In the years 1999-2002, 111 THA procedures were performed in 93 patients, 76 women and 17 men, with post-dysplastic hip arthritis. The average age of the patients at the time of implantation was 52.6 years. On the basis of pre-operative radiographic findings, the patients' conditions were evaluated using the Hartofilakidis classification into three disease categories: dysplasia, low dislocation and high dislocation, and the patients were placed in two groups. Group 1 included 78 patients, and group 2 comprised 26 patients. None of our patients was classified as having high dislocation. Thirty-nine of these patients had previously undergone surgery for dysplastic hips. A total of 104 THAs were evaluated, because radiographic data was incomplete in seven cases. In addition to X-ray findings, the prosthesis type (cemented, hybrid, non-cemented), post-operative complications and signs of loosening were included in the evaluation. Clinical outcomes were assessed by the Harris score. The follow-up terminating on 31st December 2005 was 67 months on the average. In group 1 patients, the average Harris score increased from 38.6 to 80.3 points and in group 2 patients from 35.5 to 84.9 points, mostly with excellent and good results. In 72.1 % of the hips, a press-fit acetabular component was implanted. In 55.8 % of the cases, the acetabular component was implanted off the anatomical center of rotation, into the high hip center, with the range from 9 to 20 mm and an average of 15 mm. The average limb lengthening was 2.5 cm, ranging from 1.0 to 3.5 cm. Our results show that it is more effective to use non-cemented THA for post-dysplastic hips. The implantation of a noncemented acetabular component into the high center provides

Properties of fresh and hardened sustainable concrete due to the use of palm oil fuel ash as cement replacement

Science.gov (United States)

Hamada, Hussein M.; Jokhio, Gul Ahmed; Mat Yahaya, Fadzil; Humada, Ali M.

2018-04-01

Palm oil fuel ash (POFA) is a by-product resulting from the combustion of palm oil waste such as palm oil shell and empty fruit bunches to generate electricity in the palm oil mills. Considerable quantities of POFA thus generated, accumulate in the open fields and landfills, which causes atmospheric pollution in the form of generating toxic gases. Firstly, to protect the environment; and secondly, having excellent properties for this purpose; POFA can be and has been used as partial cement replacement in concrete preparation. Therefore, this paper compiles the results obtained from previous studies that address the properties of concrete containing POFA as cement replacement in fresh and hardened states. The results indicate that there is a great potential to using POFA as cement replacement because of its ability to improve compressive strength, reduce hydration heat of cement mortar and positively affect other fresh and hardened concrete properties. The paper recommends that conducting further studies to exploit high volume of POFA along with other additives as cement replacement while maintaining high quality of concrete can help minimize CO2 emissions due to concrete.

Difficult acetabular revision. A preliminary report.

Science.gov (United States)

Newport, M L; Stuchin, S A; Frankel, V H; Zuckerman, J

1986-01-01

Thirteen patients (14 hips) underwent revision from conventional cemented total hip arthroplasty to uncemented acetabular threaded screw-in components and cementless femoral press-fit stems by means of the Autophor, Biofit, and Ti-Thread designs. The patients suffered from all forms of primary hip disease except rheumatoid arthritis; their average age was 34 years. The average preoperative Harris hip score was 39.4; the average postoperative score was 71.2 at six months, 90.6 at one year, and 91.6 at two years. Complications included two femoral shaft fractures, one femoral nerve palsy, and one dislocation. No signs have been observed of loosening or migration as of an early (6-24 months) follow-up.

Breathing zone concentrations of methylmethacrylate monomer during joint replacement operations

DEFF Research Database (Denmark)

Darre, E; Jørgensen, L G; Vedel, P

1992-01-01

By use of a methylmethacrylate (MMA) Dräger tube and bellow bump, the breathing zone concentrations of MMA monomer were measured for the operating surgeon during cementation of the components of hip and knee joint prostheses. The highest recordings (50-100 p.p.m.) were encountered during cementat...... cementation of the acetabular cups with conventional polymethylmethacrylate cement. Such exposure could be eliminated by the use of personal protection equipment, local punctual field suction or change to a MMA/n-decylmethacrylate/isobornylmethacrylate bone cement....

Cement replacement materials. Properties, durability, sustainability

International Nuclear Information System (INIS)

Ramezanianpour, Ali Akbar

2014-01-01

The aim of this book is to present the latest findings in the properties and application of Supplementary Cementing Materials and blended cements currently used in the world in concrete. Sustainability is an important issue all over the world. Carbon dioxide emission has been a serious problem in the world due to the greenhouse effect. Today many countries agreed to reduce the emission of CO2. Many phases of cement and concrete technology can affect sustainability. Cement and concrete industry is responsible for the production of 7% carbon dioxide of the total world CO2 emission. The use of supplementary cementing materials (SCM), design of concrete mixtures with optimum content of cement and enhancement of concrete durability are the main issues towards sustainability in concrete industry.

Partial Replacement of Cement with Bagasse Ash in Hot Mix Asphalt ...

African Journals Online (AJOL)

It is in this light that a laboratory based investigation for the replacement of cement with BA in Hot Mix Asphalt (HMA) was conducted. Tests on the suitability of materials used and their performance in terms of known engineering properties was carried out. Bitumen content of 4.5%, 5.5%, 6.5% and 7.5% was adopted.

Wood ash used as partly sand and/or cement replacement in mortar

DEFF Research Database (Denmark)

Ottosen, Lisbeth M.; Hansen, Esben Østergaard; Jensen, Pernille Erland

2016-01-01

, and the present work reports a characterization of three different WAs. Properties of mortar samples with the WAs used as partly cement and/or sand replacement are reported. Compressive strength development and porosity are the mortar properties in focus. The overall aim of the work is to evaluate the influence...... of the ashes were dry and sampled just after the incineration, whereas one ash had a water content of 15%, because the ash was sprayed with water to avoid dust during ash handling at the incineration plant. Regardless of replacing cement or sand with WAs, the compressive strength decreased compared...... to a reference without ash, however, the decrease was small for two of the ashes. Using the ash with the high LoI resulted in significantly lower compressive strength compared to the other two ashes. The mortar samples with two of the ashes (with low LoI) had qualities, which were very encouraging in order...

The effect of replaced recycled glass on thermal conductivity and compression properties of cement

Science.gov (United States)

khalil, A. S.; Mahmoud, M. A.; AL-Hathal, A.; Jawad, M. K.; Mozahim, B. M.

2018-05-01

This study deal with recycling of waste colorless glass bottles which are prepared as a powder and use them as an alternative for cement to save the environment from west and reduce some of cement(ceramic) damage and interactions with conserving physical properties of block concrete. Different weight percentage (0%, 2%, 4%, 5%, 6%, 8%, 10%, 15%, 20% and 25%) of recycled glass bottle were use in this research to be replaced by a certain percentages of cement. Thermal conductivity was studied for prepared samples. Results show that the thermal conductivity decrease with the increase of weight percentage of glass powder comparing with the stander sample.

Production of more durable and sustainable concretes using volcanic scoria as cement replacement

International Nuclear Information System (INIS)

Al-Swaidani, A. M.

2017-01-01

The objective of the study is to investigate strength and durability-related properties of volcanic scoria-based cements. Compressive and tensile strength development of mortars and concretes containing volcanic scoria with replacement levels ranging from 10 to 35% was investigated. Water permeability, chloride penetrability and porosity of concretes cured for 2, 7, 28, 90 and 180 days were also examined. Results revealed that volcanic scoria could be suitable for making blended cements. The strength of mortar/concrete containing volcanic scoria was lower than that of plain cement mortar/concrete at all ages. However, at 90 day curing, the strengths of volcanic scoria-based mortars/concretes were comparable to those of plain cement. In addition, water permeability, chloride penetrability and porosity of scoria-based concretes were much lower than those of plain concrete. Further, the results were statistically analysed and estimation equations have been developed to predict the studied properties. SEM/EDX analysis was employed, as well. [es

Clinical and Radiological Results over the Medium Term of Isolated Acetabular Revision

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Nicola Piolanti

2014-01-01

Full Text Available Acetabular cup loosening is associated with pain, reduced function, and instability of the implant. If such event happens while the femoral implant is in a satisfactory position and is well fixed to the bone, isolated acetabular revision surgery is indicated. The aim of this single-center retrospective study was to evaluate the clinical and radiological results over the medium term (12-month follow-up mean 36, max 60 of isolated acetabular revisions surgery using a porous hemispheric revision shell matched with a cemented all-poly cup and large diameter femoral head (>32. 33 patients were enrolled. We collect any relevant data from the clinical board. Routine clinical and radiographic examinations were performed preoperatively; the postoperative follow-up was made at 1, 3, and 6 months and yearly thereafter. At the last available follow-up, we report satisfactory improvement of functional scores in all the patients; 2 patients (6.1% showed thigh pain and only 4 hips (12.11% presented mild groin pain; all the femoral components are well fixed and there were no potential or pending rerevisions. With bias due to the follow-up and to the retrospective design of the study, we report clinical, functional, and radiological satisfactory results.

Surgical treatment of isolated aseptic acetabular loosening of the hip joint

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Zvereva К.Р.

2017-09-01

Full Text Available Aseptic acetabular loosening is one of the most common complications of primary hip arthroplasty Its treatment is possible in the volume of replacement of only the endoprosthesis cup with the preservation of a stable correctly oriented femoral component. The sequence of actions consists of provision of access to the acetabulum component and its replacement, after which the necessary offset is selected by changing the size of the head and installing a new pair of friction. Currently, the vast majority of the installed heads during the primary and revision hip replacement have a standard size forthe cone of the femoral component 12/14mm. According to the observations, in 3% of cases, there are femoral components with non-standard cone sizes 11/13 mm, usually established 7-8 years ago. The absence of heads forthe necessary cone leads to the need to replace the stable correctly oriented femoral component, which is accompanied by an increase in the time of intervention, the volume of intraoperative blood loss and the risk of intraopera-tive peri-prosthetic fracture. We represent the clinical case of a 75-year-old patient with a dislocation of the acetabular component and a stable correctly oriented femoral component, which during the audit intervention due to the lack of heads for an irregular cone size, total replacement of the components was made.

Optimization of fly ash as sand replacement materials (SRM) in cement composites containing coconut fiber

Science.gov (United States)

Nadzri, N. I. M.; Jamaludin, S. B.; Mazlee, M. N.; Jamal, Z. A. Z.

2016-07-01

The need of utilizing industrial and agricultural wastes is very important to maintain sustainability. These wastes are often incorporated with cement composites to improve performances in term of physical and mechanical properties. This study presents the results of the investigation of the response of cement composites containing coconut fiber as reinforcement and fly ash use as substitution of sand at different hardening days. Hardening periods of time (7, 14 and 28 days) were selected to study the properties of cement composites. Optimization result showed that 20 wt. % of fly ash (FA) is a suitable material for sand replacement (SRM). Meanwhile 14 days of hardening period gave highest compressive strength (70.12 MPa) from the cement composite containing 9 wt. % of coconut fiber and fly ash. This strength was comparable with the cement without coconut fiber (74.19 MPa) after 28 days of curing.

Cemented total knee replacement in 24 dogs: surgical technique, clinical results, and complications.

Science.gov (United States)

Allen, Matthew J; Leone, Kendall A; Lamonte, Kimberly; Townsend, Katy L; Mann, Kenneth A

2009-07-01

To characterize the performance of cemented total knee replacement (TKR) in dogs. Preclinical research study. Skeletally mature, male Hounds (25-30 kg; n=24) with no preexisting joint pathology. Dogs had unilateral cemented TKR and were evaluated at 6, 12, 26, or 52 weeks (6 dogs/time point) by radiography, bone density analysis, visual gait assessment, and direct measurement of thigh circumference and stifle joint range of motion as indicators of functional recovery. At study end, the stability of the cemented tibial component was determined by destructive mechanical testing. Joint stability was excellent in 16 dogs (67%) and good in 8 dogs. None of the tibial components had evidence of migration or periprosthetic osteolysis whereas 1 femoral component was loose at 52 weeks. There was an early and significant decrease in tibial bone density, likely because of disuse of the operated limb. Dogs returned to full activity by 12 weeks. The tibial cement-bone interface maintained its strength over 52 weeks. Cement provides stable fixation of the tibial component in canine TKR. Cemented TKR yields adequate clinical function and stifle joint excursion in the dog. Clinical studies are needed to determine the long-term fate of cemented TKR implants, to assess the influence of implant design on implant fixation and wear, and to obtain objective functional data.

Compressive strength, flexural strength and thermal conductivity of autoclaved concrete block made using bottom ash as cement replacement materials

International Nuclear Information System (INIS)

Wongkeo, Watcharapong; Thongsanitgarn, Pailyn; Pimraksa, Kedsarin; Chaipanich, Arnon

2012-01-01

Highlights: ► Autoclaved aerated concrete were produced using coal bottom ash as a cement replacement material. ► Coal bottom ash was found to enhance concrete strengths. ► Thermal conductivity of concrete was not significantly affected. ► X-ray diffraction and thermal analysis show tobermorite formation. -- Abstract: The bottom ash (BA) from Mae Moh power plant, Lampang, Thailand was used as Portland cement replacement to produce lightweight concrete (LWC) by autoclave aerated concrete method. Portland cement type 1, river sand, bottom ash, aluminium powder and calcium hydroxide (Ca(OH) 2 ) were used in this study. BA was used to replace Portland cement at 0%, 10%, 20% and 30% by weight and aluminium powder was added at 0.2% by weight in order to produce the aerated concrete. Compressive strength, flexural and thermal conductivity tests were then carried out after the concrete were autoclaved for 6 h and left in air for 7 days. The results show that the compressive strength, flexural strength and thermal conductivity increased with increased BA content due to tobermorite formation. However, approximately, 20% increase in both compressive (up to 11.61 MPa) and flexural strengths (up to 3.16 MPa) was found for mixes with 30% BA content in comparison to just around 6% increase in the thermal conductivity. Thermogravimetry analysis shows C–S–H formation and X-ray diffraction confirm tobermorite formation in bottom ash lightweight concrete. The use of BA as a cement replacement, therefore, can be seen to have the benefit in enhancing strength of the aerated concrete while achieving comparatively low thermal conductivity when compared to the results of the control Portland cement concrete.

Novel cemented cup-holding technique while performing total hip arthroplasty with navigation system.

Science.gov (United States)

Takai, Hirokazu; Takahashi, Tomoki

2017-09-01

Recently, navigation systems have been more widely utilized in total hip arthroplasty. However, almost all of these systems have been developed for cementless cups. In the case of cemented total hip arthroplasty using a navigation system, a special-ordered cemented holder is needed. We propose a novel cemented cup-holding technique for navigation systems using readily available articles. We combine a cementless cup holder with an inverted cementless trial cup. The resulting apparatus is used as a cemented cup holder. The upside-down cup-holding technique is useful and permits cemented cup users to utilize a navigation system for placement of the acetabular component.

Novel cemented cup-holding technique while performing total hip arthroplasty with navigation system

Directory of Open Access Journals (Sweden)

Hirokazu Takai, MD

2017-09-01

Full Text Available Recently, navigation systems have been more widely utilized in total hip arthroplasty. However, almost all of these systems have been developed for cementless cups. In the case of cemented total hip arthroplasty using a navigation system, a special-ordered cemented holder is needed. We propose a novel cemented cup-holding technique for navigation systems using readily available articles. We combine a cementless cup holder with an inverted cementless trial cup. The resulting apparatus is used as a cemented cup holder. The upside-down cup-holding technique is useful and permits cemented cup users to utilize a navigation system for placement of the acetabular component.

Short-term survival of the trabecular metal cup is similar to that of standard cups used in acetabular revision surgery.

Science.gov (United States)

Mohaddes, Maziar; Rolfson, Ola; Kärrholm, Johan

2015-02-01

The use of trabecular metal (TM) cups in revision surgery has increased worldwide during the last decade. Since the introduction of the TM cup in Sweden in 2006, this design has gradually replaced other uncemented designs used in Sweden. According to data from the Swedish Hip Arthroplasty Register (SHAR) in 2012, one-third of all uncemented first-time cup revisions were performed using a TM cup. We compared the risk of reoperation and re-revision for TM cups and the 2 other most frequently used cup designs in acetabular revisions reported to the SHAR. The hypothesis was that the performance of TM cups is as good as that of established designs in the short term. The study population consisted of 2,384 patients who underwent 2,460 revisions during the period 2006 through 2012. The most commonly used cup designs were the press-fit porous-coated cup (n = 870), the trabecular metal cup (n = 805), and the cemented all-polyethylene cup (n = 785). 54% of the patients were female, and the median age at index revision was 72 (19-95) years. Reoperation was defined as a second surgical intervention, and re-revision-meaning exchange or removal of the cup-was used as endpoint. The mean follow-up time was 3.3 (0-7) years. There were 215 reoperations, 132 of which were re-revisions. The unadjusted and adjusted risk of reoperation or re-revision was not significantly different for the TM cup and the other 2 cup designs. Our data support continued use of TM cups in acetabular revisions. Further follow-up is necessary to determine whether trabecular metal cups can reduce the re-revision rate in the long term, compared to the less costly porous press-fit and cemented designs.

Clinical and radiological evaluation of hybrid hip replacement in various disorders of hip

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Dhaon B

2005-01-01

Full Text Available Background: High rates of loosening of cemented implants led to change in technique of fixation of the implant. Methods: Fifty-nine hips were operated in 42 patients with non-cemented acetabular and cemented femoral components between January 1999 and July 2003. The average age of the patient was 45.2 years in our study. Preoperative diagnosis was avascular necrosis (28, ankylosing spondylitis (18, fracture neck femur (9, rheumatoid arthritis (2 and osteoarthritis (2. Results: At an average follow up of 3.6 years (range 1.2-5.8 years excellent to good results were obtained 92% according to Harris hip criteria. No radiological loosening was noted in any femoral or acetabular component on follow up. One poor result was seen in a case of bilateral ankylosing spondylitis operated on one side. Conclusion: Hybrid THA provides a viable and highly acceptable method of treatment of diseases of hip in young patients.

Evaluation of red mud as pozzolanic material in replacement of cement for production of mortars

International Nuclear Information System (INIS)

Manfroi, E.P.; Cheriaf, M.; Rocha, J.C.

2010-01-01

Red mud is a by-product of the alkaline extraction of aluminum from the bauxite and represents a renewed environmental problem due the significant annual throughput by the plants. In the present work, the pozzolanic properties of Brazilian red mud fired at 600, 700, 800 and 900 deg C were investigated by monitoring lime consumption using DTA analysis and Brazilian standard methodology NBR 5772 (1992). Products and kinetics of hydration were determined in cement pastes produced with 5 and 15% red mud using x-ray diffraction and DTA analysis. Compressive strength and capillary absorption tests were realized on mortars constituted by 5, 10 and 15% red mud in replacement of cement. When calcined at 600 deg C, the red mud develops good pozzolanic properties, and the compressive strength of mortars produced with this waste meet values in accordance with regulatory standard. These results shown than red mud can be used, in partial replacement of cement, as new construction material to produce sustainable mortars with low environmental impact. (author)

Partial replacement of Portland cement by red ceramic waste in mortars: study of pozzolanic activity

International Nuclear Information System (INIS)

Silva, A.R. da; Cabral, K.C.; Pinto, E.N. de M.G.l.

2016-01-01

The objective of this study is to analyze the pozzolanic activity of red ceramic residue on the partial replacement of Portland cement in mortars. The mortars were prepared by substituting 25% of the Portland cement for ground of ceramic residue with water cement’s factor of 0.48. The concrete used to construct the reference mortars and those with addiction was CPII-Z-32 (compound of Portland pozzolana cement). The chemical analysis and physical ceramic waste showed that this meets the requirements of NBR12653 (2014) for use as pozzolanic material. The pozzolanic activity index (IAP) obtained for the ceramic waste to twenty-eight days cure rate was 80.28%. (author)

Pelvic and acetabular fractures

International Nuclear Information System (INIS)

Mears, D.C.; Rubash, H.E.

1986-01-01

This treatise focuses primarily on the clinical aspects of diagnosis and treatments of pelvic and acetabular fractures. However, considerable attention is also paid to the radiographic diagnosis of trauma and postoperative effects. The book begins with a succinct review of pelvic and acetabular anatomy and pelvic biomechanics. It continues with a radiographic classification of pelvic injury, which will represent the major source of the book's interest for radiologists. The remainder of the book is concerned with clinical management of pelvic and acetabular trauma, including preoperative planning, surgical approaches, techniques of reduction, internal fixation, eternal fixation, post-operative care, and late problems. Even throughout this later portion of the book there are extensive illustrations, including plain radiographs, computed tomographic (CT) scans, reconstructed three-dimensional CT scans, and schematic diagrams of diverse pelvic and acetabular fractures and the elementary surgical techniques for their repair

Intra- and inter-observer agreement and reliability of bone mineral density measurements around acetabular cup

DEFF Research Database (Denmark)

Mussmann, Bo Redder; Overgaard, Soren; Torfing, Trine

2017-01-01

in measuring bone density (BMD) in complex anatomic structures which might be overcome using dual-energy computed tomography (DECT).PurposeTo test inter- and intra-observer agreement and reliability of in-house segmentation software measuring BMD adjacent to acetabular cup and to compare measurements performed...... with single-energy CT (SECT) and DECT in cemented and cementless cups.Material and Methods: Twenty-four acetabular cups inserted in porcine hip specimens were scanned with SECT and DECT. Bone density was measured in a three-dimensional volume adjacent to the cup. Double measurements were performed.......Results: BMD derived from SECT was approximately four times higher than that of DECT. In both scan modes, intraclass correlation coefficient (ICC) was >0.90 with no differences between repeated measurements, except for uncemented cups where a statistically significant difference of 11 mg/cm3 was found...

Chloride Diffusion and Acid Resistance of Concrete Containing Zeolite and Tuff as Partial Replacements of Cement and Sand.

Science.gov (United States)

Mohseni, Ehsan; Tang, Waiching; Cui, Hongzhi

2017-03-31

In this paper, the properties of concrete containing zeolite and tuff as partial replacements of cement and sand were studied. The compressive strength, water absorption, chloride ion diffusion and resistance to acid environments of concretes made with zeolite at proportions of 10% and 15% of binder and tuff at ratios of 5%, 10% and 15% of fine aggregate were investigated. The results showed that the compressive strength of samples with zeolite and tuff increased considerably. In general, the concrete strength increased with increasing tuff content, and the strength was further improved when cement was replaced by zeolite. According to the water absorption results, specimens with zeolite showed the lowest water absorption values. With the incorporation of tuff and zeolite, the chloride resistance of specimens was enhanced significantly. In terms of the water absorption and chloride diffusion results, the most favorable replacement of cement and sand was 10% zeolite and 15% tuff, respectively. However, the resistance to acid attack reduced due to the absorbing characteristic and calcareous nature of the tuff.

Loosening After Acetabular Revision

DEFF Research Database (Denmark)

Beckmann, Nicholas A.; Weiss, Stefan; Klotz, Matthias C.M.

2014-01-01

The best method of revision acetabular arthroplasty remains unclear. Consequently, we reviewed the literature on the treatment of revision acetabular arthroplasty using revision rings (1541 cases; mean follow-up (FU) 5.7 years) and Trabecular Metal, or TM, implants (1959 cases; mean FU 3.7 years...

An Investigation on Self-Compacting Concrete Using Ultrafine Natural Steatite Powder as Replacement to Cement

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P. Kumar

2017-01-01

Full Text Available An experimental investigation was made on flow properties and compressive strength of self-compacting concrete (SCC with ultrafine natural steatite powder (UFNSP as replacement to cement. The tests were conducted on specimens with 5%, 10%, 15%, 20%, and 25% of replacement of UFNSP to the weight of cement and compared to the control specimens. The flow properties of all specimens were tested and checked for their limit with the existing guidelines. The compressive strength test was done on all specimens for strength of 7 days, 14 days, 28 days, and 56 days. The hardened samples were tested for their microstructural behavior and the elements Mg, Ca, and Si were mapped. Through mapping, the formations of M-S-H along with C-S-H are observed. The results show that the addition of UFNSP influences the flow property, by reducing the flow, and increases the compressive strength till 20% replacement. Further the addition of UFNSP increases the denseness of microstructure of the specimens thus resulting in the strength increment.

The maximum percentage of fly ash to replace part of original Portland cement (OPC) in producing high strength concrete

Science.gov (United States)

Mallisa, Harun; Turuallo, Gidion

2017-11-01

This research investigates the maximum percent of fly ash to replace part of Orginal Portland Cement (OPC) in producing high strength concrete. Many researchers have found that the incorporation of industrial by-products such as fly ash as in producing concrete can improve properties in both fresh and hardened state of concrete. The water-binder ratio was used 0.30. The used sand was medium sand with the maximum size of coarse aggregate was 20 mm. The cement was Type I, which was Bosowa Cement produced by PT Bosowa. The percentages of fly ash to the total of a binder, which were used in this research, were 0, 10, 15, 20, 25 and 30%; while the super platicizer used was typed Naptha 511P. The results showed that the replacement cement up to 25 % of the total weight of binder resulted compressive strength higher than the minimum strength at one day of high-strength concrete.

Acetabular Fracture

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Chad Correa

2017-09-01

Full Text Available History of present illness: A 77-year-old female presented to her primary care physician (PCP with right hip pain after a mechanical fall. She did not lose consciousness or have any other traumatic injuries. She was unable to ambulate post-fall, so X-rays were ordered by her PCP. Her X-rays were concerning for a right acetabular fracture (see purple arrows, so the patient was referred to the emergency department where a computed tomography (CT scan was ordered. Significant findings: The non-contrast CT images show a minimally displaced comminuted fracture of the right acetabulum involving the acetabular roof, medial and anterior walls (red arrows, with associated obturator muscle hematoma (blue oval. Discussion: Acetabular fractures are quite rare. There are 37 pelvic fractures per 100,000 people in the United States annually, and only 10% of these involve the acetabulum. They occur more frequently in the elderly totaling an estimated 4,000 per year. High-energy trauma is the primary cause of acetabular fractures in younger individuals and these fractures are commonly associated with other fractures and pelvic ring disruptions. Fractures secondary to moderate or minimal trauma are increasingly of concern in patients of advanced age.1 Classification of acetabular fractures can be challenging. However, the approach can be simplified by remembering the three basic types of acetabular fractures (column, transverse, and wall and their corresponding radiologic views. First, column fractures should be evaluated with coronally oriented CT images. This type of fracture demonstrates a coronal fracture line running caudad to craniad, essentially breaking the acetabulum into two halves: a front half and a back half. Secondly, transverse fractures should be evaluated by sagittally oriented CT images. By definition, a transverse fracture separates the acetabulum into superior and inferior halves with the fracture line extending from anterior to posterior

Bone density and anisotropy affect periprosthetic cement and bone stresses after anatomical glenoid replacement: A micro finite element analysis.

Science.gov (United States)

Chevalier, Yan; Santos, Inês; Müller, Peter E; Pietschmann, Matthias F

2016-06-14

Glenoid loosening is still a main complication for shoulder arthroplasty. We hypothesize that cement and bone stresses potentially leading to fixation failure are related not only to glenohumeral conformity, fixation design or eccentric loading, but also to bone volume fraction, cortical thickness and degree of anisotropy in the glenoid. In this study, periprosthetic bone and cement stresses were computed with micro finite element models of the replaced glenoid depicting realistic bone microstructure. These models were used to quantify potential effects of bone microstructural parameters under loading conditions simulating different levels of glenohumeral conformity and eccentric loading simulating glenohumeral instability. Results show that peak cement stresses were achieved near the cement-bone interface in all loading schemes. Higher stresses within trabecular bone tissue and cement mantle were obtained within specimens of lower bone volume fraction and in regions of low anisotropy, increasing with decreasing glenohumeral conformity and reaching their maxima below the keeled design when the load is shifted superiorly. Our analyses confirm the combined influences of eccentric load shifts with reduced bone volume fraction and anisotropy on increasing periprosthetic stresses. They finally suggest that improving fixation of glenoid replacements must reduce internal cement and bone tissue stresses, in particular in glenoids of low bone density and heterogeneity. Copyright © 2016 Elsevier Ltd. All rights reserved.

Increased Coal Replacement in a Cement Kiln Burner by Feeding a Mixture of Solid Hazardous Waste and Shredded Plastic Waste

OpenAIRE

Ariyaratne, W. K. Hiromi; Melaaen, Morten Christian; Tokheim, Lars-André

2013-01-01

The present study aims to find the maximum possible replacement of coal by combined feeding of plastic waste and solid hazardous waste mixed with wood chips (SHW) in rotary kiln burners used in cement kiln systems. The coal replacement should be achieved without negative impacts on product quality, emissions or overall operation of the process. A full-scale experiment was carried out in the rotary kiln burner of a cement kiln by varying SHW and plastic waste feeding rates. Experimental result...

Fixation method does not affect restoration of rotation center in hip replacements: A single-site retrospective study

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Wegner Alexander

2012-06-01

Full Text Available Abstract Background Aseptic loosening is one of the greatest problems in hip replacement surgery. The rotation center of the hip is believed to influence the longevity of fixation. The aim of this study was to compare the influence of cemented and cementless cup fixation techniques on the position of the center of rotation because cemented cup fixation requires the removal of more bone for solid fixation than the cementless technique. Methods We retrospectively compared pre- and post-operative positions of the hip rotation center in 25 and 68 patients who underwent artificial hip replacements in our department in 2007 using cemented or cementless cup fixation, respectively, with digital radiographic image analysis. Results The mean horizontal and vertical distances between the rotation center and the acetabular teardrop were compared in radiographic images taken pre- and post-operatively. The mean horizontal difference was −2.63 mm (range: -11.00 mm to 10.46 mm, standard deviation 4.23 mm for patients who underwent cementless fixation, and −2.84 mm (range: -10.87 to 5.30 mm, standard deviation 4.59 mm for patients who underwent cemented fixation. The mean vertical difference was 0.60 mm (range: -20.15 mm to 10.00 mm, standard deviation 3.93 mm and 0.41 mm (range: -9.26 mm to 6.54 mm, standard deviation 3.58 mm for the cementless and cemented fixation groups, respectively. The two fixation techniques had no significant difference on the position of the hip rotation center in the 93 patients in this study. Conclusions The hip rotation center was similarly restored using either the cemented or cementless fixation techniques in this patient cohort, indicating that the fixation technique itself does not interfere with the position of the center of rotation. To completely answer this question further studies with more patients are needed.

Properties of palm oil fuel ash cement sand brick containing pulverized cockle shell as partial sand replacement

Science.gov (United States)

Mat Aris, S.; Muthusamy, K.; Uzer, A.; Ahmad, S. Wan

2018-04-01

Environmental pollution caused by the disposal of solid wastes generated from both palm oil industry and cockle shell trade has motivated researches to explore the potential of these wastes. Integrating these wastes in production of construction material is one of the ways to reduce amount of waste thrown at dumping area. Thus, the present investigation investigates the performance of palm oil fuel ash (POFA) cement sand brick containing pulverized cockle shell as partial fine aggregate replacement. All mixes used contain 20% of POFA as partial cement replacement. Total of six mixes were prepared by adding a range of pulverized cockle shell that is 0%, 10%, 20%, 30%, 40% and 50% as partial sand replacement. The mixes were prepared in form of brick. All the water cured samples were tested for compressive strength and flexural strength until 28 days. Findings show that brick produced using 20% pulverized cockle shell exhibit the highest compressive strength and flexural strength also the lowest water absorption value.

Study on properties of rice husk ash and its use as cement replacement material

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Ghassan Abood Habeeb

2010-06-01

Full Text Available This paper investigates the properties of rice husk ash (RHA produced by using a ferro-cement furnace. The effect of grinding on the particle size and the surface area was first investigated, then the XRD analysis was conducted to verify the presence of amorphous silica in the ash. Furthermore, the effect of RHA average particle size and percentage on concrete workability, fresh density, superplasticizer (SP content and the compressive strength were also investigated. Although grinding RHA would reduce its average particle size (APS, it was not the main factor controlling the surface area and it is thus resulted from RHA's multilayered, angular and microporous surface. Incorporation of RHA in concrete increased water demand. RHA concrete gave excellent improvement in strength for 10% replacement (30.8% increment compared to the control mix, and up to 20% of cement could be valuably replaced with RHA without adversely affecting the strength. Increasing RHA fineness enhanced the strength of blended concrete compared to coarser RHA and control OPC mixtures.

CT evaluation of acetabular fractures

Energy Technology Data Exchange (ETDEWEB)

Piazza, P; Girelli, G; Coran, F; Lutman, M

1986-01-01

The paper deals with sixteen cases of acetabular fractures studied with CT. After a short description of the normal CT findings, the different kind of fractures are reported. The usefulness of CT examination in evaluating acetabular fractures and their complications is confirmed both in conservative treatment and surgical approach.

Use of a constrained tripolar acetabular liner to treat intraoperative instability and postoperative dislocation after total hip arthroplasty: a review of our experience.

Science.gov (United States)

Callaghan, John J; O'Rourke, Michael R; Goetz, Devon D; Lewallen, David G; Johnston, Richard C; Capello, William N

2004-12-01

Constrained acetabular components have been used to treat certain cases of intraoperative instability and postoperative dislocation after total hip arthroplasty. We report our experience with a tripolar constrained component used in these situations since 1988. The outcomes of the cases where this component was used were analyzed for component failure, component loosening, and osteolysis. At average 10-year followup, for cases treated for intraoperative instability (2 cases) or postoperative dislocation (4 cases), the component failure rate was 6% (6 of 101 hips in 5 patients). For cases where the constrained liner was cemented into a fixed cementless acetabular shell, the failure rate was 7% (2 of 31 hips in 2 patients) at 3.9-year average followup. Use of a constrained liner was not associated with an increased osteolysis or aseptic loosening rate. This tripolar constrained acetabular liner provided total hip arthroplasty construct stability in most cases in which it was used for intraoperative instability or postoperative dislocation.

Rice husk ash as a partial replacement of cement in high strength concrete containing micro silica: Evaluating durability and mechanical properties

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Seyed Alireza Zareei

2017-12-01

Full Text Available The preliminary and inevitable interest in the use of partial replacements or by – products as complementary pozzolanic materials was mostly induced by enforcement of air pollution control resulted from cement production industry. Rise husk is by- product taken from rice mill process, with approximately the ratio of 200 kg per one ton of rice, even in high temperature it reduces to 40 kg. This paper presents benefits resulted from various ratios of rice husk ash(RHA on concrete indicators through 5 mixture plans with proportions of 5, 10, 15, 20 and 25% RHA by weight of cement in addition to 10% micro- silica (MS to be compared with a reference mixture with 100% Portland cement. Tests results indicated the positive relationship between 15% replacement of RHA with increase in compressive strengths by about 20%. The optimum level of strength and durability properties generally gain with addition up to 20%, beyond that is associated with slight decrease in strength parameters by about 4.5%. The same results obtained for water absorption ratios likely to be unfavourable. Chloride ions penetration increased with increase in cement replacement by about 25% relative to the initial values (about less than one fifth.

Compressive strength of concrete by partial replacement of cement with metakaolin

Science.gov (United States)

Ganesh, Y. S. V.; Durgaiyya, P.; Shivanarayana, Ch.; Prasad, D. S. V.

2017-07-01

Metakaolin or calcined kaolin, other type of pozzolan, produced by calcination has the capability to replace silica fume as an alternative material. Supplementary cementitious materials have been widely used all over the world in concrete due to their economic and environmental benefits; hence, they have drawn much attention in recent years. Mineral admixtures such as fly ash, rice husk ash, silica fume etc. are more commonly used SCMs. They help in obtaining both higher performance and economy. Metakaolin is also one of such non - conventional material, which can be utilized beneficially in the construction industry. This paper presents the results of an experimental investigations carried out to find the suitability of metakaolin in production of concrete. In the present work, the results of a study carried out to investigate the effects of Metakaolin on compressive strength of concrete are presented. The referral concrete M30 was made using 43 grade OPC and the other mixes were prepared by replacing part of OPC with Metakaolin. The replacement levels were 5%, 10%, 15% and 20%(by weight) for Metakaolin. The various results, which indicate the effect of replacement of cement by metakalion on concrete, are presented in this paper to draw useful conclusions.

Single-stage Acetabular Revision During Two-stage THA Revision for Infection is Effective in Selected Patients.

Science.gov (United States)

Fink, Bernd; Schlumberger, Michael; Oremek, Damian

2017-08-01

The treatment of periprosthetic infections of hip arthroplasties typically involves use of either a single- or two-stage (with implantation of a temporary spacer) revision surgery. In patients with severe acetabular bone deficiencies, either already present or after component removal, spacers cannot be safely implanted. In such hips where it is impossible to use spacers and yet a two-stage revision of the prosthetic stem is recommended, we have combined a two-stage revision of the stem with a single revision of the cup. To our knowledge, this approach has not been reported before. (1) What proportion of patients treated with single-stage acetabular reconstruction as part of a two-stage revision for an infected THA remain free from infection at 2 or more years? (2) What are the Harris hip scores after the first stage and at 2 years or more after the definitive reimplantation? Between June 2009 and June 2014, we treated all patients undergoing surgical treatment for an infected THA using a single-stage acetabular revision as part of a two-stage THA exchange if the acetabular defect classification was Paprosky Types 2B, 2C, 3A, 3B, or pelvic discontinuity and a two-stage procedure was preferred for the femur. The procedure included removal of all components, joint débridement, definitive acetabular reconstruction (with a cage to bridge the defect, and a cemented socket), and a temporary cemented femoral component at the first stage; the second stage consisted of repeat joint and femoral débridement and exchange of the femoral component to a cementless device. During the period noted, 35 patients met those definitions and were treated with this approach. No patients were lost to followup before 2 years; mean followup was 42 months (range, 24-84 months). The clinical evaluation was performed with the Harris hip scores and resolution of infection was assessed by the absence of clinical signs of infection and a C-reactive protein level less than 10 mg/L. All

Acetabular fractures: anatomic and clinical considerations.

Science.gov (United States)

Lawrence, David A; Menn, Kirsten; Baumgaertner, Michael; Haims, Andrew H

2013-09-01

Classifying acetabular fractures can be an intimidating topic. However, it is helpful to remember that there are only three basic types of acetabular fractures: column fractures, transverse fractures, and wall fractures. Within this framework, acetabular fractures are classified into two broad categories: elementary or associated fractures. We will review the osseous anatomy of the pelvis and provide systematic approaches for reviewing both radiographs and CT scans to effectively evaluate the acetabulum. Although acetabular fracture classification may seem intimidating, the descriptions and distinctions discussed and shown in this article hopefully make the topic simpler to understand. Approach the task by recalling that there are only three basic types of acetabular fractures: column fractures (coronally oriented on CT images), transverse fractures (sagittally oriented on CT images), and wall fractures (obliquely oriented on CT images). We have provided systematic approaches for reviewing both conventional radiographs and CT scans to effectively assess the acetabulum. The clinical implications of the different fracture patterns have also been reviewed because it is critically important to include pertinent information for our clinical colleagues to provide the most efficient and timely clinical care.

The mechanical effect of the existing cement mantle on the in-cement femoral revision.

LENUS (Irish Health Repository)

Keeling, Parnell

2012-08-01

Cement-in-cement revision hip arthroplasty is an increasingly popular technique to replace a loose femoral stem which retains much of the original cement mantle. However, some concern exists regarding the retention of the existing fatigued and aged cement in such cement-in-cement revisions. This study investigates whether leaving an existing fatigued and aged cement mantle degrades the mechanical performance of a cement-in-cement revision construct.

CT of the acetabular fracture

International Nuclear Information System (INIS)

Magu, N.K.; Moda, S.K.; Magu, Sarita; Airon, R.K.

1993-01-01

Nine patients with 10 injured hips, in whom acetabular fractures with posterior dislocation of the femoral heads were demonstrated on initial radiography, underwent CT. CT was found superior in detecting the presence of intra-articular bony fragments in Group A patients (40%), where conventional radiography exhibited congruous manipulative reduction of the joint surfaces. The spatial position of the intra-articular fragments could not be ascertained on conventional radiography in 40% of the patients in Group B, in whom congruous manipulative reduction could not be achieved and subluxation of the femoral heads was observed. On conventional radiography, it was also difficult to appreciate the presence of intra-articular fragments in 60% of the patients in Group B, in whom either the dislocation could not be reduced (40%) or the femoral head redislocated after close manipulative reduction (20%). CT proved its superiority in detecting the extent of the fractures of the acetabular roof, posterior and anterior acetabular margins, the quadrilateral plate along with rotation of the acetabular columns and displacements of the major fractured fragments. Associated fractures of the sacrum (20%), and traumatic lesions of the sacro-iliac joint (20%), not apparent on conventional radiography were well demonstrated by CT. As a result of CT, the treatment was changed in 60% of the patients in Group A, and 40% in Group B. In addition, CT permitted a better choice of surgical technique in the management of acetabular fractures. (author). 9 refs., 3 figs., 2 tabs

Palm Oil Fuel Ash (POFA and Eggshell Powder (ESP as Partial Replacement for Cement in Concrete

Directory of Open Access Journals (Sweden)

Mohamad Mazizah Ezdiani

2018-01-01

Full Text Available This study is an attempt to partially replace Ordinary Portland cement (OPC in concrete with palm oil fuel ash (POFA and eggshell powder (ESP. The mix proportions of POFA and ESP were varied at 10% of cement replacement and compared with OPC concrete as control specimen. The fineness of POFA is characterized by passing through 300 μm sieve and ESP by passing through 75 μm sieve. Compressive strength testing was conducted on concrete specimens to determine the optimum mix proportion of POFA and ESP. Generally the compressive strength of OPC concrete is higher compared to POFA-ESP concrete. Based on the results of POFA-ESP concrete overall, it shows that the optimum mix proportion of concrete is 6%POFA:4% ESP achieved compressive strength of 38.60 N/mm2 at 28 days. The compressive strength of OPC concrete for the same period was 42.37 N/mm2. Higher water demand in concrete is needed due to low fineness of POFA that contributing to low compressive strength of POFA-ESP concrete. However, the compressive strength and workability of the POFA-ESP concrete were within the ranges typically encountered in regular concrete mixtures indicating the viability of this replacement procedure for structural and non-structural applications.

Palm Oil Fuel Ash (POFA) and Eggshell Powder (ESP) as Partial Replacement for Cement in Concrete

Science.gov (United States)

Ezdiani Mohamad, Mazizah; Mahmood, Ali A.; Min, Alicia Yik Yee; Nur Nadhira A., R.

2018-03-01

This study is an attempt to partially replace Ordinary Portland cement (OPC) in concrete with palm oil fuel ash (POFA) and eggshell powder (ESP). The mix proportions of POFA and ESP were varied at 10% of cement replacement and compared with OPC concrete as control specimen. The fineness of POFA is characterized by passing through 300 μm sieve and ESP by passing through 75 μm sieve. Compressive strength testing was conducted on concrete specimens to determine the optimum mix proportion of POFA and ESP. Generally the compressive strength of OPC concrete is higher compared to POFA-ESP concrete. Based on the results of POFA-ESP concrete overall, it shows that the optimum mix proportion of concrete is 6%POFA:4% ESP achieved compressive strength of 38.60 N/mm2 at 28 days. The compressive strength of OPC concrete for the same period was 42.37 N/mm2. Higher water demand in concrete is needed due to low fineness of POFA that contributing to low compressive strength of POFA-ESP concrete. However, the compressive strength and workability of the POFA-ESP concrete were within the ranges typically encountered in regular concrete mixtures indicating the viability of this replacement procedure for structural and non-structural applications.

CUSTOMIZED ACETABULAR COMPONENTS IN REVISION HIP ARTHROPLASTY

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G. M. Kavalersky

2016-01-01

Full Text Available In recent years, there is a trend of increasing demand for revision hip arthroplasty. Among these patients there are many with complex acetabular defects, including patients with pelvic discontinuity. To ensure stability for revised acetabular components in such cases becomes a challenging or unachievable task. Such defects give indications for printing customized tri-flange acetabular component. The authors analysed own experience of creating and applying custom made acetabular components in 3 patients with complex acetabular defects. Material and methods. Among the patients there were 2 women and 1 man. Average age was 60,3±19,4 years (38 to 78 years. Two patients had III B defects with pelvic discontinuity and one patient had III A defect by Paprosky classification. As the first step, the authors in collaboration with engineers printed a plaster full size pelvic 3D model, as the second step a customized tri-flange acetabular component was designed and printed. Harris Hip Score was evaluated preoperatively and 3 months postoperatively. Results. Average follow-up period was 5,3±2,5 months (3 to 8 months. The authors observed no cases of implant loosening, dislocation or deep periprosthetic infection. Average Harris Hip Score before surgery was 27,13 and after surgery – 74,1 indicating a significant improvement in 3 months postoperatively. Conclusion. Indications for use of individual acetabular components in reported patients correspond to indications formulated by Berasi et al. The authors obtained encouraging early follow-up outcomes that correspond to data of other authors. In one patient certain difficulties were reported due to insufficient pelvic distraction. Component’s flanges prevented achieving adequate pelvic distraction. Nevertheless, good primary stability was achieved. Modern software and 3D metal printers can significantly reduce the production cost of customized acetabular components. Application of this technology can be

Posterior trochanteric osteotomy in acetabular fractures for 32 cases.

Science.gov (United States)

Niu, Yunfei; An, Xiaofei; Xu, Shuogui; Wu, Dajiang; Zhang, Chuncai; Li, Ming

2014-11-01

The aim of this study is to explore the method and clinical outcome of posterior trochanteric osteotomy in acetabular fractures. From January 2000 to January 2008, 32 cases of acetabular fractures involving the dome of acetabulum underwent posterior trochanteric osteotomy for a better exposure and internal fixation with acetabular tridimensional memory fixation system. 28 cases (16 men and 12 women, mean age 39.9 years, range 16-73 years) were followed up with an average of 48.9 months (range of 19-95 months) and four were lost during follow up. Of 28 cases, 19 were fresh fractures and 9 were old fractures. The reduction was evaluated with Matta criteria. Clinical evaluation was based on modified Merle d'Aubigne and Postel scoring. Motor strength of the abductors was evaluated according to the Medical Research Council grading system. Ectopic ossification was classified according to Brooker criteria. Anatomical reduction was achieved in 17 cases and satisfied reduction in 10 patients. Poor reduction happened in an old fracture. All acetabular fractures got a direct bone union and no displacement and deep infection occurred. All osteotomies healed within 3.5 months without any nonunion, proximal migration of the greater trochanter, loosing or broken of instrumentation, and deep infection. Two superficial infections were healed with a regular dressing. Two patients underwent removal of implants from greater trochanter because of irritation. The strength of the abductors was of Grade 3/5 in two patients, Grade 4/5 in five patients, and normal in the rest. Clinical scoring was excellent to good in 84 %. Ectopic ossification occurred in five patients, grade 1 in two patients, grade 2 in two, and grade 3 in one. But function of hip joint was not seriously affected. Posterior trochanteric osteotomy can provide an adequate exposure of the dome of acetabulum without the associated complications like nonunion, proximal replacement, and weak of the abductors which often occur

Radiological evaluation of painful total hip replacement

International Nuclear Information System (INIS)

Tehranzadeh, J.; Schneider, R.; Freiberger, R.H.

1981-01-01

Ninety-four cases of clinically failed, cemented, total hip prostheses requiring surgery were reviewed to determine the accuracy of preoperative plain radiography, culture of aspirated fluid, arthrography, and bone scanning. When radiopaque cement had been used to embed the prosthesis, plain radiography was highly accurate in detecting a loose femoral component, less so in detecting a loose acetabular component. Culture of aspirated fluid was accurate in diagnosing infection. A positive arthrogram identified loosening with good accuracy; however, a negative arthrogram did not reliably exclude loosening. 99 mTc bone scans frequently differentiated loosening from loosening with infection. The suggested sequence of diagnostic tests is plain radiography followed by bone scanning. If the bone scan shows diffuse augmented uptake, culture of aspirated fluid followed by arthrography is indicated

21 CFR 888.3353 - Hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis.

Science.gov (United States)

2010-04-01

... linkage across-the-joint. The two-part femoral component consists of a femoral stem made of alloys to be... ceramic (aluminium oxide, A1203) head of the femoral component. The acetabular component is made of ultra... nonporous metal alloys, and used with or without bone cement. (b) Classification. Class II. [54 FR 48239...

Mechanical Properties of Lightweight Concrete Using Recycled Cement-Sand Brick as Coarse Aggregates Replacement

Science.gov (United States)

Joohari, Ilya; Farhani Ishak, Nor; Amin, Norliyati Mohd

2018-03-01

This paper presents the result of replacing natural course aggregate with recycled cement-sand brick (CSB) towards the mechanical properties of concrete. Natural aggregates were used in this study as a control sample to compare with recycled coarse aggregates. This study was also carried to determine the optimum proportion of coarse aggregates replacement to produce lightweight concrete. Besides, this study was conducted to observe the crack and its behaviour development during the mechanical testing. Through this study, four types of concrete mixed were prepared, which were the control sample, 25%, 50% and 75% replacement of CSB. The test conducted to determine the effectiveness of recycled CSB as coarse aggregates replacement in this study were slump test, density measurement, compression test, and flexural test and. The strength of concrete was tested at 7 days and 28 days of curing. From the results obtained, the optimum proportion which produced the highest strength is 25% replacement of recycled CSB. The compressive and flexural strength has decreased by 10%-12% and 4%-34% respectively compared to the control sample. The presence of recycled coarse aggregates in sample has decreased the density of concrete by 0.8%-3% compared to the control sample.

CT-based quantification of bone stock in large head metal-on-metal unilateral total hip replacements

NARCIS (Netherlands)

Boomsma, Martijn F.; Slouwerhof, Inge; van Lingen, Christiaan; Pakvis, Dean F. M.; van Dalen, Jorn A.; Edens, Mireille A.; Ettema, Harmen B.; Verheyen, Cees C. P. M.; Maas, Mario

2016-01-01

To explore ipsilateral and contralateral acetabular roof bone stock density in unilateral large head MoM THA whether there is a significant lower acetabular bone stock in the hip with a metal-on-metal (MoM) total hip replacement compared to the contralateral side. Second part of this study is to

Cemented versus uncemented fixation in total hip replacement: a systematic review and meta-analysis of randomized controlled trials

Directory of Open Access Journals (Sweden)

Ali Abdulkarim

2013-03-01

Full Text Available The optimal method of fixation for primary total hip replacements (THR, particularly fixation with or without the use of cement is still controversial. In a systematic review and metaanalysis of all randomized controlled trials comparing cemented versus uncemented THRS available in the published literature, we found that there is no significant difference between cemented and uncemented THRs in terms of implant survival as measured by the revision rate. Better short-term clinical outcome, particularly an improved pain score can be obtained with cemented fixation. However, the results are unclear for the long-term clinical and functional outcome between the two groups. No difference was evident in the mortality and the post operative complication rate. On the other hand, the radiographic findings were variable and do not seem to correlate with clinical findings as differences in the surgical technique and prosthesis design might be associated with the incidence of osteolysis. We concluded in our review that cemented THR is similar if not superior to uncemented THR, and provides better short term clinical outcomes. Further research, improved methodology and longer follow up are necessary to better define specific subgroups of patients in whom the relative benefits of cemented and uncemented implant fixation can be clearly demonstrated.

Cemented versus uncemented fixation in total hip replacement: a systematic review and meta-analysis of randomized controlled trials.

LENUS (Irish Health Repository)

Abdulkarim, Ali

2013-02-22

The optimal method of fixation for primary total hip replacements (THR), particularly fixation with or without the use of cement is still controversial. In a systematic review and metaanalysis of all randomized controlled trials comparing cemented versus uncemented THRS available in the published literature, we found that there is no significant difference between cemented and uncemented THRs in terms of implant survival as measured by the revision rate. Better short-term clinical outcome, particularly an improved pain score can be obtained with cemented fixation. However, the results are unclear for the long-term clinical and functional outcome between the two groups. No difference was evident in the mortality and the post operative complication rate. On the other hand, the radiographic findings were variable and do not seem to correlate with clinical findings as differences in the surgical technique and prosthesis design might be associated with the incidence of osteolysis. We concluded in our review that cemented THR is similar if not superior to uncemented THR, and provides better short term clinical outcomes. Further research, improved methodology and longer follow up are necessary to better define specific subgroups of patients in whom the relative benefits of cemented and uncemented implant fixation can be clearly demonstrated.

Long-term results of uncemented alumina acetabular implants.

Science.gov (United States)

Boehler, M; Knahr, K; Plenk, H; Walter, A; Salzer, M; Schreiber, V

1994-01-01

We report the clinical and tribological performance of 67 ceramic acetabular prostheses implanted between 1976 and 1979 without bone cement. They articulated with ceramic femoral heads mounted on mental femoral stems. After a mean elapsed period of 144 months, 59 sockets were radiographically stable but two showed early signs and six showed late signs of loosening. Four of the loose sockets have been revised. Histological analysis of the retrieved tissue showed a fibrous membrane around all the implants, with fibrocartilage in some. There was no bone ingrowth, and the fibrous membrane was up to 6 mm thick and infiltrated with lymphocytes, plasma cells, and macrophages. Intra- and extracellular birefringent wear particles were seen. Tribological analysis showed total wear rates in two retrieved alumina-on-alumina joints of 2.6 microns per year in a stable implant and 68 microns in a loose implant. Survival analysis showed a revision rate of 12.4% at 136 months.

Cement replacement by sugar cane bagasse ash: CO2 emissions reduction and potential for carbon credits.

Science.gov (United States)

Fairbairn, Eduardo M R; Americano, Branca B; Cordeiro, Guilherme C; Paula, Thiago P; Toledo Filho, Romildo D; Silvoso, Marcos M

2010-09-01

This paper presents a study of cement replacement by sugar cane bagasse ash (SCBA) in industrial scale aiming to reduce the CO(2) emissions into the atmosphere. SCBA is a by-product of the sugar/ethanol agro-industry abundantly available in some regions of the world and has cementitious properties indicating that it can be used together with cement. Recent comprehensive research developed at the Federal University of Rio de Janeiro/Brazil has demonstrated that SCBA maintains, or even improves, the mechanical and durability properties of cement-based materials such as mortars and concretes. Brazil is the world's largest sugar cane producer and being a developing country can claim carbon credits. A simulation was carried out to estimate the potential of CO(2) emission reductions and the viability to issue certified emission reduction (CER) credits. The simulation was developed within the framework of the methodology established by the United Nations Framework Convention on Climate Change (UNFCCC) for the Clean Development Mechanism (CDM). The State of São Paulo (Brazil) was chosen for this case study because it concentrates about 60% of the national sugar cane and ash production together with an important concentration of cement factories. Since one of the key variables to estimate the CO(2) emissions is the average distance between sugar cane/ethanol factories and the cement plants, a genetic algorithm was developed to solve this optimization problem. The results indicated that SCBA blended cement reduces CO(2) emissions, which qualifies this product for CDM projects. 2010 Elsevier Ltd. All rights reserved.

Revision hip replacement for recurrent Hydatid disease of the pelvis: a case report and review of the literature

Directory of Open Access Journals (Sweden)

Chandrasekar Coonoor R

2010-03-01

Full Text Available Abstract A case of a large recurrent hydatid cyst involving the right ilium and right hip treated with excision of the cyst, Total hip replacement and revision of the acetabular component with a Tripolar articulation for cyst recurrence and acetabular component loosening is presented along with a review of the relevant literature. To our knowledge there is no reported case of Total Hip replacement and revision for hydatid disease involving the bony pelvis.

Acetabular Dysplasia and Surgical Approaches Other Than Direct Anterior Increases Risk for Malpositioning of the Acetabular Component in Total Hip Arthroplasty

DEFF Research Database (Denmark)

Gromov, Kirill; Greene, Meridith E; Huddleston, James I

2016-01-01

BACKGROUND: Persistent acetabular dysplasia (AD) after periacetabular osteotomy has been hypothesized to increase the risk for malpositioning of the acetabular component. In this study, we investigate whether AD is an independent risk factor for cup malpositioning during primary total hip...... arthroplasty (THA). METHODS: Patient demographics, surgical approach, presence of AD assessed using the lateral center-edge angle, and acetabular cup positioning determined using Martell Hip Analysis Suite were investigated in 836 primary THA patients enrolled in a prospective multicenter study. RESULTS: We...

High complication rate in reconstruction of Paprosky type IIIa acetabular defects using an oblong implant with modular side plates and a hook.

Science.gov (United States)

Babis, G C; Sakellariou, V I; Chatziantoniou, A N; Soucacos, P N; Megas, P

2011-12-01

We report the results of 62 hips in 62 patients (17 males, 45 females) with mean age of 62.4 years (37 to 81), who underwent revision of the acetabular component of a total hip replacement due to aseptic loosening between May 2003 and November 2007. All hips had a Paprosky type IIIa acetabular defect. Acetabular revision was undertaken using a Procotyl E cementless oblong implant with modular side plates and a hook combined with impaction allografting. At a mean follow-up of 60.5 months (36 to 94) with no patients lost to follow-up and one died due to unrelated illness, the complication rate was 38.7%. Complications included aseptic loosening (19 hips), deep infection (3 hips), broken hook and side plate (one hip) and a femoral nerve palsy (one hip). Further revision of the acetabular component was required in 18 hips (29.0%) and a further four hips (6.4%) are currently loose and awaiting revision. We observed unacceptably high rates of complication and failure in our group of patients and cannot recommend this implant or technique.

Performance of Cement Containing Laterite as Supplementary Cementing Material

Directory of Open Access Journals (Sweden)

Abbas Bukhari, Z. S.

2013-03-01

Full Text Available The utilization of different industrial waste, by-products or other materials such as ground granulated blast furnace slag, silica fume, fly ash, limestone, and kiln dust, etc. as supplemen- tary cementing materials has received considerable attention in recent years. A study has been conducted to look into the performance of laterite as Supplementary Cementing Materials (SCM. The study focuses on compressive strength performance of blended cement containing different percentage of laterite. The cement is replaced accordingly with percentage of 2 %, 5 %, 7 % and 10 % by weight. In addition, the effect of use of three chemically different laterites have been studied on physical performance of cement as in setting time, Le-Chatlier expansion, loss on ignition, insoluble residue, free lime and specifically compressive strength of cement cubes tested at the age of 3, 7, and 28 days. The results show that the strength of cement blended with laterite as SCM is enhanced. Key words: Portland cement, supplementary cementing materials (SCM, laterite, compressive strength KUI – 6/2013 Received January 4, 2012 Accepted February 11, 2013

[Quantification of acetabular coverage in normal adult].

Science.gov (United States)

Lin, R M; Yang, C Y; Yu, C Y; Yang, C R; Chang, G L; Chou, Y L

1991-03-01

Quantification of acetabular coverage is important and can be expressed by superimposition of cartilage tracings on the maximum cross-sectional area of the femoral head. A practical Autolisp program on PC AutoCAD has been developed by us to quantify the acetabular coverage through numerical expression of the images of computed tomography. Thirty adults (60 hips) with normal center-edge angle and acetabular index in plain X ray were randomly selected for serial drops. These slices were prepared with a fixed coordination and in continuous sections of 5 mm in thickness. The contours of the cartilage of each section were digitized into a PC computer and processed by AutoCAD programs to quantify and characterize the acetabular coverage of normal and dysplastic adult hips. We found that a total coverage ratio of greater than 80%, an anterior coverage ratio of greater than 75% and a posterior coverage ratio of greater than 80% can be categorized in a normal group. Polar edge distance is a good indicator for the evaluation of preoperative and postoperative coverage conditions. For standardization and evaluation of acetabular coverage, the most suitable parameters are the total coverage ratio, anterior coverage ratio, posterior coverage ratio and polar edge distance. However, medial coverage and lateral coverage ratios are indispensable in cases of dysplastic hip because variations between them are so great that acetabuloplasty may be impossible. This program can also be used to classify precisely the type of dysplastic hip.

Bipolar hip arthroplasty as salvage treatment for loosening of the acetabular cup with significant bone defects

Directory of Open Access Journals (Sweden)

Ghanem, Mohamed

2016-04-01

Full Text Available Introduction: Revision arthroplasty of the hip is becoming increasingly important in recent years. Early primary arthroplasty and longer life expectancy of the patients increases the number of revision surgery. Revision surgery of hip arthroplasty is major surgery for the patients, especially the elderly, with significant risks concerning the general condition of the patient. The aim of this work is to evaluate the outcome of bipolar hip arthroplasty as a salvage procedure for treatment of loosening of the acetabular cup with significant acetabular bone defects after total hip replacement (THR in multi-morbid patients.Patients and methods: During the period from January 1 2007 to December 31 2011 19 revision hip surgeries were performed in , in which the loosened acetabular cup was replaced by a bipolar head. The examined patient group consisted exclusively of female patients with an average of 75 years. The predominant diagnosis was “aseptic loosening” (84.2%. All patients in our study were multi-morbid. We decided to resort to bipolar hip arthroplasty due to the compromised general condition of patients and the major acetabular bone defects, which were confirmed intraoperatively. The postoperative follow-up ranged from 0.5 to 67 months (average 19.1 months. Results: Evaluation of the modified Harris Hip Score showed an overall improvement of the function of the hip joint after surgery of approximately 45%.Surgery was less time consuming and thus adequate for patients with significantly poor general health condition. We noticed different complications in a significant amount of patients (68.4%. The most common complication encountered was the proximal migration of the bipolar head.The rate of revision following the use of bipolar hip arthroplasty in revision surgery of the hip in our patients was high (21%. Despite the high number of complications reported in our study, we have noticed significant improvement of hip joint function as well

Using Cementitious Materials Such as Fly Ash to Replace a Part of Cement in Producing High Strength Concrete in Hot Weather

Science.gov (United States)

Turuallo, Gidion; Mallisa, Harun

2018-03-01

The use of waste materials in concrete gave many advantages to prove the properties of concrete such as its workability, strength and durability; as well to support sustaianable development programs. Fly ash was a waste material produced from coal combustion. This research was conducted to find out the effect of fly ash as a part replacement of cement to produce high strength concrete. The fly ash, which was used in this research, was taken from PLTU Mpanau Palu, Central Sulawesi. The water-binder ratio used in this research was 0.3 selected from trial mixes done before. The results of this research showed that the strength of fly ash concretes were higher than concrete with PCC only. The replacement of cement with fly ash concrete could be up to 20% to produce high strength concrete.

Sand Cement Brick Containing Recycled Concrete Aggregate as Fine-Aggregate Replacement

Directory of Open Access Journals (Sweden)

Sheikh Khalid Faisal

2017-01-01

Full Text Available Nowadays, the usage amount of the concrete is increasing drastically. The construction industry is a huge consumer of natural consumer. It is also producing the huge wastage products. The usage of concrete has been charged to be not environmentally friendly due to depletion of reserve natural resources, high energy consumption and disposal issues. The conservation of natural resources and reduction of disposal site by reuse and recycling waste material was interest possibilites. The aim of this study is to determine the physical and mechanical properties of sand cement brick containing recycled concrete aggregate and to determine the optimum mix ratio containing recycled concrete aggregate. An experiment done by comparing the result of control specimen using 100% natural sand with recycled concrete aggregate replacement specimen by weight for 55%, 65%, and 75%. The sample was tested under density, compressive strength, flexural strength and water absorption to study the effect of using recycled concrete aggregate on the physical and mechanical properties of bricks. The result shows that the replacement of natural sand by recycled concrete aggregate at the level of 55% provide the highest compressive and flexural strength compared to other percentage and control specimen. However, if the replacement higher than 55%, the strength of brick was decreased for compressive and flexural strength, respectively. The relationship of compressive-flexural strength is determined from statistical analysis and the predicted result can be obtained by using equation ff,RCA = 0.5375 (fc0.3272.

[Contact characteristics research of acetabular weight-bearing area with different internal fixation methods after compression fracture of acetabular dome].

Science.gov (United States)

Xu, Bowen; Zhang, Qingsong; An, Siqi; Pei, Baorui; Wu, Xiaobo

2017-08-01

To establish the model of compression fracture of acetabular dome, and to measure the contact characteristics of acetabular weight-bearing area of acetabulum after 3 kinds of internal fixation. Sixteen fresh adult half pelvis specimens were randomly divided into 4 groups, 4 specimens each group. Group D was the complete acetabulum (control group), and the remaining 3 groups were prepared acetabular dome compression fracture model. The fractures were fixed with reconstruction plate in group A, antegrade raft screws in group B, and retrograde raft screws in group C. The pressure sensitive films were attached to the femoral head, and the axial compression test was carried out on the inverted single leg standing position. The weight-bearing area, average stress, and peak stress were measured in each group. Under the loading of 500 N, the acetabular weight-bearing area was significantly higher in group D than in other 3 groups ( P area were significantly higher in group B and group C than in group A, and the average stress and peak stress were significantly lower than in group A ( P 0.05). For the compression fracture of the acetabular dome, the contact characteristics of the weight-bearing area can not restore to the normal level, even if the anatomical reduction and rigid internal fixation were performed; compared with the reconstruction plate fixation, antegrade and retrograde raft screws fixations can increase the weight-bearing area, reduce the average stress and peak stress, and reduce the incidence of traumatic arthritis.

CEMENT KILN DUST AS A MATERIAL FOR BUILDING BLOCKS ...

African Journals Online (AJOL)

This paper presents the results of a study on the properties of hollow sandcrete blocks with cement kiln dust (CKD) as an additive and as a replacement for ordinary portland cement (OPC). When CKD was used as a replacement for cement, the compressive strength and density of blocks generally decreased with higher ...

MR imaging findings of acetabular dysplasia in adults

Energy Technology Data Exchange (ETDEWEB)

James, Steven; Connell, David [The Royal National Orthopaedic Hospital, Radiology Department, London, Middlesex (United Kingdom); Miocevic, Miranda; Malara, Frank; Pike, Jonathan [Victoria House Hospital, Radiology Department, Melbourne (Australia); Young, David [Melbourne Orthopaedic Group, Orthopaedic Surgery, Melbourne (Australia)

2006-06-15

To evaluate the diagnostic accuracy of MR imaging in the identification of labral and articular cartilage lesions in patients with acetabular dysplasia. Pre-operative MR imaging was performed on 27 hips in 25 consecutive patients (16 males, 9 females, age range 19-52 years, mean age 31.2 years) with radiographic evidence of acetabular dysplasia (centre-edge angle of Wiberg <20 degrees). The average duration of symptoms was 16.2 months. Two musculoskeletal radiologists assessed MR images in consensus for the presence of abnormality involving the acetabular labrum and adjacent acetabular articular cartilage. A high resolution, non-arthrographic technique was used to assess the labrum and labral chondral transitional zone. Surgical correlation was obtained in all cases by a single surgeon experienced in hip arthroscopy and ten patients with normal hip MRI were included to provide a control group. The acetabular labra in the dysplastic hips demonstrated abnormal signal intensity, and had an elongated appearance when compared with the control group (mean length 10.9 mm vs 6.4 mm). Morphological appearances in the labra included surface irregularity, fissures and cleft formation. MR imaging correctly identified the severity of chondral abnormality in 24 of 27 hips (89%) when compared with arthroscopic findings. MR imaging demonstrates an elongated labrum, focal intra-substance signal change and irregularity and fissuring of the margins in patients with acetabular dysplasia. Abnormality is also identified at the labral chondral transitional zone, where fissuring, focal clefts, chondral deficiency and subchondral cyst formation may be apparent. A high-resolution, non-arthrographic technique can provide an accurate preoperative assessment and evaluate the presence of premature osteoarthritis. (orig.)

MR imaging findings of acetabular dysplasia in adults

International Nuclear Information System (INIS)

James, Steven; Connell, David; Miocevic, Miranda; Malara, Frank; Pike, Jonathan; Young, David

2006-01-01

To evaluate the diagnostic accuracy of MR imaging in the identification of labral and articular cartilage lesions in patients with acetabular dysplasia. Pre-operative MR imaging was performed on 27 hips in 25 consecutive patients (16 males, 9 females, age range 19-52 years, mean age 31.2 years) with radiographic evidence of acetabular dysplasia (centre-edge angle of Wiberg <20 degrees). The average duration of symptoms was 16.2 months. Two musculoskeletal radiologists assessed MR images in consensus for the presence of abnormality involving the acetabular labrum and adjacent acetabular articular cartilage. A high resolution, non-arthrographic technique was used to assess the labrum and labral chondral transitional zone. Surgical correlation was obtained in all cases by a single surgeon experienced in hip arthroscopy and ten patients with normal hip MRI were included to provide a control group. The acetabular labra in the dysplastic hips demonstrated abnormal signal intensity, and had an elongated appearance when compared with the control group (mean length 10.9 mm vs 6.4 mm). Morphological appearances in the labra included surface irregularity, fissures and cleft formation. MR imaging correctly identified the severity of chondral abnormality in 24 of 27 hips (89%) when compared with arthroscopic findings. MR imaging demonstrates an elongated labrum, focal intra-substance signal change and irregularity and fissuring of the margins in patients with acetabular dysplasia. Abnormality is also identified at the labral chondral transitional zone, where fissuring, focal clefts, chondral deficiency and subchondral cyst formation may be apparent. A high-resolution, non-arthrographic technique can provide an accurate preoperative assessment and evaluate the presence of premature osteoarthritis. (orig.)

Image research on acetabular teardrop shadow by X-ray plain-film and CT

International Nuclear Information System (INIS)

Wang Xiaoxuan; Zhai Yuejie; Yu Hongguang; Yang Yijun; Zhang Daiwei; Chen Aili; Song Quanjun

2001-01-01

Objective: To evaluate the anatomical structure of bone in the formation of acetabular teardrop shadow. Methods: The acetabular teardrop shadow of the X-ray plain-film in 100 children and 300 adults, and of CT in 43 cases were analysed, measured and compared. Results: In children, teardrop shadow appeared 'U' in 80.00%, 14.00% in teardrop, 6.00% in line. In adult teardrop shadow appeared 'U' in 41.33%, 53.33% in teardrop, 5.34% in line. There were significant differences between children and adult in the frequency of 'U' and teardrop (x 2 = 43.34, P 2 = 45.62, P < 0.01). In children, inpeduncle of teardrop shadow was formed of middle 1/3 substantia-line of acetabular concavity inside of pelvis; outpeduncle was formed of middle 1/3 substantia-line of bottom of acetabular. In adult, inpeduncle was formed of middle 1/3 or back 1/3 substantia line of acetabular concavity inside of pelvis; outpeduncle was formed of middle 1/3 or back 1/3 substantia-line of bottom of acetabular. Conclusion: In children, acetabular teardrop shadow was mainly formed of middle 1/3 bone of acetabular concavity. In adult, middle 1/3 or back 1/3 bone of acetabular concavity contribute to the shadow. The ahead 1/3 bone of acetabular concavity is not involved

Natural cement as the precursor of Portland cement: Methodology for its identification

International Nuclear Information System (INIS)

Varas, M.J.; Alvarez de Buergo, M.; Fort, R.

2005-01-01

When cements appeared in the 19th century, they took the place of traditional binding materials (lime, gypsum, and hydraulic lime) which had been used until that time. Early cements can be divided into two groups, natural and artificial (Portland) cements. Natural cements were introduced first, but their widespread usage was short-lived as they were quickly replaced by artificial cements (Portland), still the most important and predominant today. The main differences between natural and artificial cements arise during the manufacturing process. The final properties of the cements are greatly influenced by differences in the raw materials and burning temperatures employed. The aim of this paper is to assess the efficiency of traditional analytical techniques (petrographic microscopy, X-ray diffraction (XRD), scanning electron microscopy (SEM), and Fourier transform infrared spectroscopy (FTIR)) used to differentiate natural and artificial cements

Reducing cement's CO2 footprint

Science.gov (United States)

van Oss, Hendrik G.

2011-01-01

The manufacturing process for Portland cement causes high levels of greenhouse gas emissions. However, environmental impacts can be reduced by using more energy-efficient kilns and replacing fossil energy with alternative fuels. Although carbon capture and new cements with less CO2 emission are still in the experimental phase, all these innovations can help develop a cleaner cement industry.

Effect of copolymer latexes on physicomechanical properties of mortar containing high volume fly ash as a replacement material of cement.

Science.gov (United States)

Negim, El-Sayed; Kozhamzharova, Latipa; Gulzhakhan, Yeligbayeva; Khatib, Jamal; Bekbayeva, Lyazzat; Williams, Craig

2014-01-01

This paper investigates the physicomechanical properties of mortar containing high volume of fly ash (FA) as partial replacement of cement in presence of copolymer latexes. Portland cement (PC) was partially replaced with 0, 10, 20, 30 50, and 60% FA. Copolymer latexes were used based on 2-hydroxyethyl acrylate (2-HEA) and 2-hydroxymethylacrylate (2-HEMA). Testing included workability, setting time, absorption, chemically combined water content, compressive strength, and scanning electron microscopy (SEM). The addition of FA to mortar as replacement of PC affected the physicomechanical properties of mortar. As the content of FA in the concrete increased, the setting times (initial and final) were elongated. The results obtained at 28 days of curing indicate that the maximum properties of mortar occur at around 30% FA. Beyond 30% FA the properties of mortar reduce and at 60% FA the properties of mortar are lower than those of the reference mortar without FA. However, the addition of polymer latexes into mortar containing FA improved most of the physicomechanical properties of mortar at all curing times. Compressive strength, combined water, and workability of mortar containing FA premixed with latexes are higher than those of mortar containing FA without latexes.

Revision of cemented hip arthroplasty using a hydroxyapatite-ceramic-coated femoral component.

Science.gov (United States)

Raman, R; Kamath, R P; Parikh, A; Angus, P D

2005-08-01

We report the clinical and radiological outcome of 86 revisions of cemented hip arthroplasties using JRI-Furlong hydroxyapatite-ceramic-coated acetabular and femoral components. The acetabular component was revised in 62 hips and the femoral component in all hips. The mean follow-up was 12.6 years and no patient was lost to follow-up. The mean age of the patients was 71.2 years. The mean Harris hip and Oxford scores were 82 (59 to 96) and 23.4 (14 to 40), respectively. The mean Charnley modification of the Merle d'Aubigné and Postel score was 5 (3 to 6) for pain, 4.9 (3 to 6) for movement and 4.4 (3 to 6) for mobility. Migration of the acetabular component was seen in two hips and the mean acetabular inclination was 42.6 degrees. The mean linear polyethylene wear was 0.05 mm/year. The mean subsidence of the femoral component was 1.9 mm and stress shielding was seen in 23 (28%) with bony ingrowth in 76 (94%). Heterotopic ossification was seen in 12 hips (15%). There were three re-revisions, two for deep sepsis and one for recurrent dislocation and there were no re-revisions for aseptic loosening. The mean EuroQol EQ-5D description scores and health thermometer scores were 0.69 (0.51 to 0.89) and 79 (54 to 95), respectively. With an end-point of definite or probable loosening, the probability of survival at 12 years was 93.9% and 95.6% for the acetabular and femoral components, respectively. Overall survival at 12 years, with removal or further revision of either component for any reason as the end-point, was 92.3%. Our study supports the continued use of this arthroplasty and documents the durability of hydroxyapatite-ceramic-coated components.

The long-term in vivo behavior of polymethyl methacrylate bone cement in total hip arthroplasty.

Science.gov (United States)

Oonishi, Hiroyuki; Akiyama, Haruhiko; Takemoto, Mitsuru; Kawai, Toshiyuki; Yamamoto, Koji; Yamamuro, Takao; Oonishi, Hironobu; Nakamura, Takashi

2011-10-01

The long-term success of cemented total hip arthroplasty (THA) has been well established. Improved outcomes, both radiographically and clinically, have resulted mainly from advances in stem design and improvements in operating techniques. However, there is concern about the durability of bone cement in vivo. We evaluated the physical and chemical properties of CMW1 bone cements retrieved from patients undergoing revision THA. CMW1 cements were retrieved from 14 patients who underwent acetabular revision because of aseptic loosening. The time in vivo before revision was 7-30 years. The bending properties of the retrieved bone cement were assessed using the three-point bending method. The molecular weight and chemical structure were analyzed by gel permeation chromatography and Fourier-transform infrared spectroscopy. The porosity of the bone cements was evaluated by 3-D microcomputer tomography. The bending strength decreased with increasing time in vivo and depended on the density of the bone cement, which we assume to be determined by the porosity. There was no correlation between molecular weight and time in vivo. The infrared spectra were similar in the retrieved cements and in the control CMW1 cements. Our results indicate that polymer chain scission and significant hydrolysis do not occur in CMW1 cement after implantation in vivo, even in the long term. CMW1 cement was stable through long-term implantation and functional loading.

Superior dislocation hip with anterior column acetabular fracture ...

African Journals Online (AJOL)

Superior variety of anterior dislocation of the hip is a rare injury. Its occurrence with acetabular fractures has been documented infrequently. We report a case of superior dislocation of the hip with anterior column acetabular fracture. Open reduction of the hip and internal fixation of the fracture was carried out using a twin ...

High-volume natural volcanic pozzolan and limestone powder as partial replacements for portland cement in self-compacting and sustainable concrete

KAUST Repository

Celik, Kemal; Jackson, Marie D.; Mancio, Mauricio; Meral, Cagla; Emwas, Abdul-Hamid M.; Mehta, P. Kumar; Monteiro, Paulo José Meleragno

2014-01-01

A laboratory study demonstrates that high volume, 45% by mass replacement of portland cement (OPC) with 30% finely-ground basaltic ash from Saudi Arabia (NP) and 15% limestone powder (LS) produces concrete with good workability, high 28-day compressive strength (39 MPa), excellent one year strength (57 MPa), and very high resistance to chloride penetration. Conventional OPC is produced by intergrinding 95% portland clinker and 5% gypsum, and its clinker factor (CF) thus equals 0.95. With 30% NP and 15% LS portland clinker replacement, the CF of the blended ternary PC equals 0.52 so that 48% CO2 emissions could be avoided, while enhancing strength development and durability in the resulting self-compacting concrete (SCC). Petrographic and scanning electron microscopy (SEM) investigations of the crushed NP and finely-ground NP in the concretes provide new insights into the heterogeneous fine-scale cementitious hydration products associated with basaltic ash-portland cement reactions. © 2013 Published by Elsevier Ltd.

Ultrafine portland cement performance

Directory of Open Access Journals (Sweden)

C. Argiz

2018-04-01

Full Text Available By mixing several binder materials and additions with different degrees of fineness, the packing density of the final product may be improved. In this work, ultrafine cement and silica fume mixes were studied to optimize the properties of cement-based materials. This research was performed in mortars made of two types of cement (ultrafine Portland cement and common Portland cement and two types of silica fume with different particle-size distributions. Two Portland cement replacement ratios of 4% and 10% of silica fume were selected and added by means of a mechanical blending method. The results revealed that the effect of the finer silica fume mixed with the coarse cement enhances the mechanical properties and pore structure refinement at a later age. This improvement is somewhat lower in the case of ultrafine cement with silica fume.

A Review of Partial Replacement of Cement with some Agro Wastes

African Journals Online (AJOL)

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INTRODUCTION. The high cost of cement, ... Research on alternative to cement, has so far centred on the partial ... MATERIALS AND METHODS .... 2 : Compound Composition of Acha Husk Ash (AHA) Mixed with Cement(C). Using. Bogue's ...

The transformation of waste Bakelite to replace natural fine aggregate in cement mortar

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Nopagon Usahanunth

2017-06-01

Full Text Available Bakelite material has been used to produce the various components for cars and consumer goods industry in Thailand. The growth of Bakelite consumption increases Bakelite waste. Bakelite waste is prohibited from disposing of direct landfilling and open burning because of the improper disposal and emission reasons. A large amount of this waste needs the large safe space of warehouse area for keeping which becomes a waste management problem. Size reduction by milling machine is helpful for waste handling and storing, however, the post-milling waste Bakelite plastic utilization shall be studied to maintain the waste storing capacity. There are some studies of the milling machine used for waste plastic size reduction. However, the particular study of milling machine application for waste size reduction and its milling waste utilization is still insufficient in Thailand. The purpose of this research is the use of waste Bakelite aggregate milling machine for Bakelite waste size reduction and use of the post-milling waste Bakelite as a fine aggregate to replace natural sand material in cement mortar. The waste Bakelite fine aggregate (WBFA was mixed in cement mortar mixture with the proportion 0% 20% 40% 60% 80% and 100% by volume for cement mortar sample preparation. The mortar sample was tested for compressive strength follow ASTM standard. The compressive test result of mortar samples will be compared between conventional mortar (0% WBFA and waste Bakelite mortar (WBM as well as comparing with the mortar standard. From an analysis of the sample test data found that the WBFA content in cement mortar mixture can predict the strength of WBM. The compressive strength of WBM at 28 days age with the fraction of WBFA is not exceeded 11.03%, and 23.08% respectively can be met the mortar standard according to the equation. The utilization of WBM to develop mortar non-structural mortar product can be usable from a technical point of view.

Results of cemented bipolar hemiarthroplasty for fracture of the femoral neck - 10 year study

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Maini P

2006-01-01

Full Text Available Background : One of the most common treatments of displaced fracture of femoral neck in elderly is bipolar hemiarthroplasty. Method : Two hundred and seventy patients of displaced fracture of femoral neck were treated by bipolar hemiarthroplasty. The Mean age of the patients at the time of surgery was 69.80 years. Results : Follow up ranged between 12 months and 120 months. There were 8 cases each of acetabular erosion and protrusion with 10 cases of femoral stem loosening. Eight cases had post operative dislocation requiring open reduction. Eighteen patients got revision surgery to total hip replacement. The overall incidence of DVT/PE was 9.9% which declined after regular use of low molecular weight heparin. Eleven patients had post operative infection. There were 54.2 % excellent results, 21.0 % good results, 10.7 % fair and 3.7% poor results. Conclusion : Elderly patients with displaced fracture of neck femur are able to ambulate early after Cemented bipolar hemi arthroplasty. The complication rate is low, the component survival long and pre injury functional status is restored in majority of patients.

Does cement mantle thickness really matter?

OpenAIRE

Caruana, J.

2008-01-01

The thickness of the cement mantle around the femoral component of total hip replacements is a contributing factor to aseptic loosening and revision. Nevertheless, various designs of stems and surgical tooling lead to cement mantles of differing thicknesses. This thesis is concerned with variability in cement thickness around the Stanmore Hip, due to surgical approach, broach size and stem orientation, and its effects on stress and cracking in the cement. The extent to which cement mantle thi...

Acetabular labral tears in patients with sports injury.

Science.gov (United States)

Kang, Chan; Hwang, Deuk-Soo; Cha, Soo-Min

2009-12-01

We wanted to investigate acetabular labral tears and their correlation with femoroacetabular impingement in patients with sports injury. Among 111 patients who were diagnosed with the acetabular labral tears after arthroscopic treatment from January 2004 to December 2007, we selected 41 patients with sports injury. There were 12 cases of Taekwondo injury, 5 of golf injury, 4 of soccer injury, 3 of gymnastics injury, 2 of Hapkido injury, 2 of aerobics injury, 2 of rock-climbing injury, 2 of fitness training injury and 9 of other sports injuries. We checked the subtypes of acetabular labral tears and the accompanying femoroacetabular impingement. For the cases with accompanying femoroacetabular impingement, we investigated the subtypes according to the types of sports, gender and age. At last follow-up, we checked the Harris Hip Score (HHS), the Hip Outcome Score (HOS) sports scale and the percentage of patients who returned to their sports activity. The average age of symptomatic onset was 26 years (range, 12 to 65 years). The ratio of males to females was 29 : 12. An average duration of the hip pain was 17 months (range, 1 to 60 months). The degenerative type of acetabular labral tears was the most prevalent with 32 cases (78%), and there were 9 cases (22%) of the partial tear type. Thirty cases (73%) were accompanied by femoroacetabular impingement. The average age of the 23 cases (56%) of the cam-type was 23 years (range, 12 to 48 years), and it was more likely to occur in men (87%) and for people practicing martial arts such as Taekwondo or Hapkido. An average age of the 5 cases (12%) of the pincer-type was 26 (range, 16 to 43 years), it usually occurred in women (60%) and for non-martial arts such as golf and gymnastics. There were 2 cases of the mixed type (cam + pincer-type). At 27 months follow-up, the HHS was 61 to 92 points, the HOS sports scale increased 43 to 75%, and the rate of returning to sports was 71%. In spite of the early expression of symptoms

Plain film analysis of acetabular fracture

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Kim, Chang Soo; Han, Sang Suk; Yoon, Eu Giene; Cha, Seong Sook; Eun, Tchoong Kie; Chung, Duck Hwan [Inje Medical College Paik Hospital, Pusan (Korea, Republic of)

1986-02-15

Acetabular fracture can result in severe limitation of the motion of the hip joint, which supports total weight of human body. Because of different methods of surgical approach according to fracture type, precise interpretation of X-ray films of acetabular fracture is required. We reviewed 38 cases of simple X-ray films showing acetabular fracture. The results were as follows: 1. Almost 60% of the cases-were in their 2nd and 3rd decades. 2. Twenty cases were male, and 18 cases were female. 3. The most common cause of the injury was traffic accident (33 cases, 86.8%), followed by fall down (4 cases, 10.5%), and slip down (1 case, 2.7%). 4. Elementary fractures were 21 cases (55.3%), and associated fractures were 17 cases (44.7%). 5. Among elementary fractures, posterior wall fractures were 9 cases (23.7%), followed by anterior column fractures (8 cases, 21.1%), anterior wall fractures (4 cases, 10.5%). 6. Among associated fractures, T-shaped fractures were 8 cases (21.1%), followed by both column fractures (6 cases, 15.8%), anterior and hemitransverse fractures (3 cases, 7.8%). 7. Other pelvic bone fractures associated with the acetabular fracture were as follows: fractures of contralateral pubic rami (6 cases, 15.8%) contralateral iliac bone (1 case, 2.6%) and ipsilateral iliac bone (1 case, 2.6%). 8. Injuries of other organs adjacent to the acetabulum were as follows: rupture of the bladder (3 cases, 7.9%), urethra (2 cases, 5.3%) and uterus (1 cases, 2.6%)

Plain film analysis of acetabular fracture

International Nuclear Information System (INIS)

Kim, Chang Soo; Han, Sang Suk; Yoon, Eu Giene; Cha, Seong Sook; Eun, Tchoong Kie; Chung, Duck Hwan

1986-01-01

Acetabular fracture can result in severe limitation of the motion of the hip joint, which supports total weight of human body. Because of different methods of surgical approach according to fracture type, precise interpretation of X-ray films of acetabular fracture is required. We reviewed 38 cases of simple X-ray films showing acetabular fracture. The results were as follows: 1. Almost 60% of the cases-were in their 2nd and 3rd decades. 2. Twenty cases were male, and 18 cases were female. 3. The most common cause of the injury was traffic accident (33 cases, 86.8%), followed by fall down (4 cases, 10.5%), and slip down (1 case, 2.7%). 4. Elementary fractures were 21 cases (55.3%), and associated fractures were 17 cases (44.7%). 5. Among elementary fractures, posterior wall fractures were 9 cases (23.7%), followed by anterior column fractures (8 cases, 21.1%), anterior wall fractures (4 cases, 10.5%). 6. Among associated fractures, T-shaped fractures were 8 cases (21.1%), followed by both column fractures (6 cases, 15.8%), anterior and hemitransverse fractures (3 cases, 7.8%). 7. Other pelvic bone fractures associated with the acetabular fracture were as follows: fractures of contralateral pubic rami (6 cases, 15.8%) contralateral iliac bone (1 case, 2.6%) and ipsilateral iliac bone (1 case, 2.6%). 8. Injuries of other organs adjacent to the acetabulum were as follows: rupture of the bladder (3 cases, 7.9%), urethra (2 cases, 5.3%) and uterus (1 cases, 2.6%).

Effect of Copolymer Latexes on Physicomechanical Properties of Mortar Containing High Volume Fly Ash as a Replacement Material of Cement

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El-Sayed Negim

2014-01-01

Full Text Available This paper investigates the physicomechanical properties of mortar containing high volume of fly ash (FA as partial replacement of cement in presence of copolymer latexes. Portland cement (PC was partially replaced with 0, 10, 20, 30 50, and 60% FA. Copolymer latexes were used based on 2-hydroxyethyl acrylate (2-HEA and 2-hydroxymethylacrylate (2-HEMA. Testing included workability, setting time, absorption, chemically combined water content, compressive strength, and scanning electron microscopy (SEM. The addition of FA to mortar as replacement of PC affected the physicomechanical properties of mortar. As the content of FA in the concrete increased, the setting times (initial and final were elongated. The results obtained at 28 days of curing indicate that the maximum properties of mortar occur at around 30% FA. Beyond 30% FA the properties of mortar reduce and at 60% FA the properties of mortar are lower than those of the reference mortar without FA. However, the addition of polymer latexes into mortar containing FA improved most of the physicomechanical properties of mortar at all curing times. Compressive strength, combined water, and workability of mortar containing FA premixed with latexes are higher than those of mortar containing FA without latexes.

The effects of cement-based and cement-ash-based mortar slabs on indoor air quality

DEFF Research Database (Denmark)

Krejcirikova, Barbora; Kolarik, Jakub; Wargocki, Pawel

2018-01-01

The effects of emissions from cement-based and cement-ash-based mortar slabs were studied. In the latter, 30% of the cement content had been replaced by sewage sludge ash. They were tested singly and together with either carpet or linoleum. The air exhausted from the chambers was assessed by means...... of odour intensity and chemical characterization of emissions. Odour intensity increased with the increased exposed area of the slabs. It did not differ significantly between cement-based or cement-ash-based mortar and neither did the chemical composition of the exhaust air. A significant sink effect...

Mechanical properties of Self-Consolidating Concrete incorporating Cement Kiln Dust

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Mostafa Abd El-Mohsen

2015-04-01

Full Text Available Self-Consolidating Concrete (SCC has been widely used in both practical and laboratory applications. Selection of its components and their ratios depends, mainly, on the target mechanical and physical properties recommended by the project consultant. Partial replacement of cement in SCC with cheap available industrial by-product could produce environmentally durable concrete with similar properties of normal concrete. In the current research, SCC was produced by blending Cement Kiln Dust (CKD with cement in different ratios. Four mixes incorporating cement kiln dust with partial cement replacement of 10%, 20%, 30%, and 40% were produced and compared with a control mix of Normally Vibrated Concrete (NVC. Superplasticizer was used to increase the flow-ability of SCC mixes. The fresh and hardened mechanical properties of all mixes were determined and evaluated. Moreover, time-dependent behavior was investigated for all mixes in terms of drying shrinkage test. The shrinkage strain was measured for all specimens for a period of 120 days. Based on the experimental results, it was found that SCC mixture containing 20% cement replacement of CKD exhibited the highest mechanical strength compared to other SCC mixes and NVC mix as well. It was observed that the volumetric changes of specimens were directly proportional to the increase of the cement replacement ratio.

Does using a polyethylene RM press-fit cup modify the preparation of the acetabulum and acetabular offset in primary hip arthroplasty?

Science.gov (United States)

Erivan, R; Aubret, S; Villatte, G; Mulliez, A; Descamps, S; Boisgard, S

2017-09-01

When performing total hip arthroplasty (THA), it is important to maintain the femoral and acetabular offsets to ensure good joint stability and to restore the function of the hip abductor muscles. In our practice, we mainly use a lateralized stem and hollow out the acetabulum to the quadrilateral plate to accommodate a press-fit polyethylene cup. However, the repercussions of this preparation method, which is driven by the cup's design, are not known. We carried out a retrospective study to assess: (1) the changes in the femoral and acetabular offset; (2) the height of the center of rotation; and (3) the repercussions on wear. We hypothesized there would be no significant differences between the preoperative and postoperative femoral and acetabular offsets. We reviewed 88 primary THA cases performed with the RM Pressfit™ cup that had a minimum of 5 years' follow-up. A lateralized self-locking Muller-type cemented femoral stem was used in 92.0% of cases and a standard stem in 8.0%. Measurements were done on plain radiographs with MHP™ and Mesurim Pro™ software. The average follow-up was 6.5 years (5-8). On average, the acetabular offset was reduced by 2.75mm±5.9 mm (range: -17.5 to +10.6 mm) (Pcup in subchondral bone without contacting the quadrilateral plate. This preserves bone stock, which may be useful later on if the cup is revised, particularly in younger patients. Conversely, the femoral offset did not change significantly, despite the use of lateralized stems in 92.0% of cases. We measured an annual wear rate of 0.068mm per year, which is lower than in other published studies, possibly because our patient population was older. IV, retrospective study. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

The nerve endings of the acetabular labrum.

Science.gov (United States)

Kim, Y T; Azuma, H

1995-11-01

The nerve endings of the human acetabular labrum were investigated. Twenty-three acetabular labra were obtained from 24 fresh human cadavers, stained with Suzuki's silver impregnation and an immunohistochemical technique for neurogenic specific protein S-100, and examined by light and electron microscopy. Ramified free nerve endings were seen in all specimens by silver staining, and also were observed by the immunohistochemical technique for S-100 protein. Sensory nerve end organs, such as a Vater-Pacini corpuscle, Golgi-Mazzoni corpuscle, Ruffini corpuscle, and articular corpuscle (Krause corpuscle), were observed by silver staining. Collagen fibers were scattered sparsely in the superficial layer of the labrum, and nerve endings were observed mostly in this region. Collagen fibers were sparse, and nerve endings also were observed in some regions among the collagen fiber bundles in the inner layer. Innervation of the acetabular labrum was confirmed in this study, suggesting that nerve endings in the labrum may be involved in nociceptive and proprioceptive mechanisms.

Some Mechanical Properties of Concrete by using Manufactured Blended Cement with Grinded Local Rocks

Directory of Open Access Journals (Sweden)

Zena K. Abbas Al-Anbori

2016-03-01

Full Text Available he use of blended cement in concrete provides economic, energy savings, and ecological benefits, and also provides. Improvement in the properties of materials incorporating blended cements. The major aim of this investigation is to develop blended cement technology using grinded local rocks . The research includes information on constituent materials, manufacturing processes and performance characteristics of blended cements made with replacement (10 and 20 % of grinded local rocks (limestone, quartzite and porcelinite from cement. The main conclusion of this study was that all types of manufactured blended cement conformed to the specification according to ASTM C595-12 (chemical and physical requirements. The percentage of the compressive strength for blended cement with 10% replacement are (20, 11 and 5 % , (2 , 12 and, 13 % and (18, 15 and 16 % for limestone , quartzite and porcelinite respectively at (7,28 and 90days for each compare to the reference mix, while blended cement with 20% replacement are (-3, -5 and -11 ,(6, -4% and -5 and (6, 4 and 6 % for limestone , quartzite and porcelinite respectively at (7, 28 and 90days compare to the reference mix .The other mechanical properties (flexural tensile strength and splitting tensile strength are the same phenomena of increase and decrease in compressive strength. The results indicated that the manufacture Portland-limestone cement, Portland-quartzite cement and Portland-porcelinite cement with 10% replacement of cement with improvable mechanical properties while the manufacture Portland-porcelinite cement with 20% replacement of cement with slight improvable mechanical properties and more economical cost.

Use of Incineration Solid Waste Bottom Ash as Cement Mixture in Cement Production

Science.gov (United States)

Jun, N. H.; Abdullah, M. M. A. B.; Jin, T. S.; Kadir, A. A.; Tugui, C. A.; Sandu, A. V.

2017-06-01

Incineration solid waste bottom ash was use to examine the suitability as a substitution in cement production. This study enveloped an innovative technology option for designing new equivalent cement that contains incineration solid waste bottom ash. The compressive strength of the samples was determined at 7, 14, 28 and 90 days. The result was compared to control cement with cement mixture containing incineration waste bottom ash where the result proved that bottom ash cement mixture able achieve its equivalent performance compared to control cement which meeting the requirement of the standards according to EN 196-1. The pozzolanic activity index of bottom ash cement mixture reached 0.92 at 28 days and 0.95 at 90 and this values can be concluded as a pozzolanic material with positive pozzolanic activity. Calcium hydroxide in Portland cement decreasing with the increasing replacement of bottom ash where the reaction occur between Ca(OH)2 and active SiO2.

Validation of a new radiographic measurement of acetabular version: the transverse axis distance (TAD).

Science.gov (United States)

Nitschke, Ashley; Lambert, Jeffery R; Glueck, Deborah H; Jesse, Mary Kristen; Mei-Dan, Omer; Strickland, Colin; Petersen, Brian

2015-11-01

This study has three aims: (1) validate a new radiographic measure of acetabular version, the transverse axis distance (TAD) by showing equivalent TAD accuracy in predicting CT equatorial acetabular version when compared to a previously validated, but more cumbersome, radiographic measure, the p/a ratio; (2) establish predictive equations of CT acetabular version from TAD; (3) calculate a sensitive and specific cut point for predicting excessive CT acetabular anteversion using TAD. A 14-month retrospective review was performed of patients who had undergone a dedicated MSK CT pelvis study and who also had a technically adequate AP pelvis radiograph. Two trained observers measured the radiographic p/a ratio, TAD, and CT acetabular equatorial version for 110 hips on a PACS workstation. Mixed model analysis was used to find prediction equations, and ROC analysis was used to evaluate the diagnostic accuracy of p/a ratio and TAD. CT equatorial acetabular version can accurately be predicted from either p/a ratio (p TAD (p TAD are comparable (p =0.46). Patients whose TAD is higher than 17 mm may have excessive acetabular anteversion. For that cutpoint, the sensitivity of TAD is 0.73, with specificity of 0.82. TAD is an accurate radiographic predictor of CT acetabular anteversion and provides an easy-to-use and intuitive point-of-care assessment of acetabular version in patients with hip pain.

Comparative study of the properties of ordinary portland cement ...

African Journals Online (AJOL)

The study explored metakaolin as alternative material to cement. It compares the properties of Ordinary Portland Cement (OPC) concrete and binary concrete containing metakaolin as partial replacement of OPC. Two set of concrete samples; one with 10% Metakaolin (MK) replacing OPC by weight, and the other without ...

Reconstruction of the Shallow Acetabulum With a Combination of Autologous Bulk and Impaction Bone Grafting Fixed by Cement.

Science.gov (United States)

Maruyama, Masaaki; Wakabayashi, Shinji; Ota, Hiroshi; Tensho, Keiji

2017-02-01

Acetabular bone deficiency, especially proximal and lateral deficiency, is a difficult technical problem during primary total hip arthroplasty (THA) in developmental dysplasia of the hip (DDH). We report a new reconstruction method using a medial-reduced cemented socket and additional bulk bone in conjunction with impaction morselized bone grafting (additional bulk bone grafting method). In a population of patients with acetabular dysplasia undergoing THA using a medial-reduced cemented socket and additional bulk bone with impacted morselized bone grafting, we evaluated (1) the radiographic appearance of bone graft; (2) the proportion of cups that developed loosening and subsequent revision; and (3) clinical results (outcome scores and complications). Forty percent of 330 THAs for DDH performed at one center between 1999 and 2009 were defined as shallow dysplastic hips. The additional bulk bone grafting method was performed on 102 THAs with shallow acetabulum (31% for DDH) at one center between 1999 and 2009. We used this approach and technique for shallow acetabuli when a cup protruded from the lateral acetabular edge in preoperative templating. The other 132 dysplastic hips without bone grafting had THA performed at the same periods and served as a control. Acetabuli were defined as shallow when the depth was less than or equal to one-fifth of the pelvic height (cranial-caudal length on radiograph). The additional bulk bone grafting technique was as follows: the resected femoral head was sectioned at 1 to 2 cm thickness, and a suitable size of the bulk bone graft was placed on the lateral iliac cortex and fixed by poly-L-lactate absorbable screws. Autologous impaction morselized bone grafting, with or without hydroxyapatite granules, was performed along with the implantation of a medial-reduced cemented socket. We defined an "incorporated" graft as remodeling and trabeculation including rounding off of the protruding edge of a graft beyond the socket

Acetabular paralabral cyst causing compression of the sciatic nerve

Directory of Open Access Journals (Sweden)

Caoimhe Byrne, MB BCh BAO

2017-12-01

Full Text Available Acetabular paralabral cysts are common. They vary in their clinical presentation and may be asymptomatic or cause pain and restriction at the hip joint. In rare instances they may cause symptoms by compressing local neurovascular structures. We report a case of symptomatic compression of the sciatic nerve by a posteriorly displaced acetabular paralabral cyst.

Validation of a new radiographic measurement of acetabular version: the transverse axis distance (TAD)

Energy Technology Data Exchange (ETDEWEB)

Nitschke, Ashley [University of Colorado School of Medicine, University of Colorado Denver, Division of Musculoskeletal Radiology, Department of Radiology, Aurora, CO (United States); Lambert, Jeffery R. [University of Colorado, Department of Biostatistics and Informatics, Colorado School of Public Health, Aurora, CO (United States); Glueck, Deborah H. [University of Colorado, Department of Biostatistics and Informatics, Colorado School of Public Health, Aurora, CO (United States); University of Colorado School of Medicine, University of Colorado Denver, Department of Radiology, Aurora, CO (United States); Jesse, Mary Kristen; Strickland, Colin [University of Colorado School of Medicine, University of Colorado Denver, Division of Musculoskeletal Radiology, Department of Radiology and Orthopaedics, Aurora, CO (United States); Mei-Dan, Omer [University of Colorado School of Medicine, University of Colorado Denver, Division of Sports Medicine and Hip Preservation, Department of Orthopaedics, Aurora, CO (United States); Petersen, Brian [University of Colorado School of Medicine, University of Colorado Denver, Division of Musculoskeletal Radiology, Department of Radiology and Orthopaedics, Aurora, CO (United States); Inland Imaging, Division of Musculoskeletal Radiology, Spokane, WA (United States)

2015-11-15

This study has three aims: (1) validate a new radiographic measure of acetabular version, the transverse axis distance (TAD) by showing equivalent TAD accuracy in predicting CT equatorial acetabular version when compared to a previously validated, but more cumbersome, radiographic measure, the p/a ratio; (2) establish predictive equations of CT acetabular version from TAD; (3) calculate a sensitive and specific cut point for predicting excessive CT acetabular anteversion using TAD. A 14-month retrospective review was performed of patients who had undergone a dedicated MSK CT pelvis study and who also had a technically adequate AP pelvis radiograph. Two trained observers measured the radiographic p/a ratio, TAD, and CT acetabular equatorial version for 110 hips on a PACS workstation. Mixed model analysis was used to find prediction equations, and ROC analysis was used to evaluate the diagnostic accuracy of p/a ratio and TAD. CT equatorial acetabular version can accurately be predicted from either p/a ratio (p < 0.001) or TAD (p < 0.001). The diagnostic accuracies of p/a ratio and TAD are comparable (p =0.46). Patients whose TAD is higher than 17 mm may have excessive acetabular anteversion. For that cutpoint, the sensitivity of TAD is 0.73, with specificity of 0.82. TAD is an accurate radiographic predictor of CT acetabular anteversion and provides an easy-to-use and intuitive point-of-care assessment of acetabular version in patients with hip pain. (orig.)

Validation of a new radiographic measurement of acetabular version: the transverse axis distance (TAD)

International Nuclear Information System (INIS)

Nitschke, Ashley; Lambert, Jeffery R.; Glueck, Deborah H.; Jesse, Mary Kristen; Strickland, Colin; Mei-Dan, Omer; Petersen, Brian

2015-01-01

This study has three aims: (1) validate a new radiographic measure of acetabular version, the transverse axis distance (TAD) by showing equivalent TAD accuracy in predicting CT equatorial acetabular version when compared to a previously validated, but more cumbersome, radiographic measure, the p/a ratio; (2) establish predictive equations of CT acetabular version from TAD; (3) calculate a sensitive and specific cut point for predicting excessive CT acetabular anteversion using TAD. A 14-month retrospective review was performed of patients who had undergone a dedicated MSK CT pelvis study and who also had a technically adequate AP pelvis radiograph. Two trained observers measured the radiographic p/a ratio, TAD, and CT acetabular equatorial version for 110 hips on a PACS workstation. Mixed model analysis was used to find prediction equations, and ROC analysis was used to evaluate the diagnostic accuracy of p/a ratio and TAD. CT equatorial acetabular version can accurately be predicted from either p/a ratio (p < 0.001) or TAD (p < 0.001). The diagnostic accuracies of p/a ratio and TAD are comparable (p =0.46). Patients whose TAD is higher than 17 mm may have excessive acetabular anteversion. For that cutpoint, the sensitivity of TAD is 0.73, with specificity of 0.82. TAD is an accurate radiographic predictor of CT acetabular anteversion and provides an easy-to-use and intuitive point-of-care assessment of acetabular version in patients with hip pain. (orig.)

Three-dimensional finite analysis of acetabular contact pressure and contact area during normal walking.

Science.gov (United States)

Wang, Guangye; Huang, Wenjun; Song, Qi; Liang, Jinfeng

2017-11-01

This study aims to analyze the contact areas and pressure distributions between the femoral head and mortar during normal walking using a three-dimensional finite element model (3D-FEM). Computed tomography (CT) scanning technology and a computer image processing system were used to establish the 3D-FEM. The acetabular mortar model was used to simulate the pressures during 32 consecutive normal walking phases and the contact areas at different phases were calculated. The distribution of the pressure peak values during the 32 consecutive normal walking phases was bimodal, which reached the peak (4.2 Mpa) at the initial phase where the contact area was significantly higher than that at the stepping phase. The sites that always kept contact were concentrated on the acetabular top and leaned inwards, while the anterior and posterior acetabular horns had no pressure concentration. The pressure distributions of acetabular cartilage at different phases were significantly different, the zone of increased pressure at the support phase distributed at the acetabular top area, while that at the stepping phase distributed in the inside of acetabular cartilage. The zones of increased contact pressure and the distributions of acetabular contact areas had important significance towards clinical researches, and could indicate the inductive factors of acetabular osteoarthritis. Copyright © 2016. Published by Elsevier Taiwan.

Acetabular paralabral cyst: an uncommon cause of sciatica

Energy Technology Data Exchange (ETDEWEB)

Sherman, P.M.; Sanders, T.G. [Department of Radiology, Wilford Hall Medical Center, 2200 Bergquist Drive, Ste. 1, Lackland AFB, TX 78236 (United States); Matchette, M.W. [University of Texas Medical School, 7703 Floyd Curl Drive, San Antonio, TX 78229-3900 (United States); Parsons, T.W. [Department of Orthopedic Surgery, Wilford Hall Medical Center, 2200 Bergquist Drive, Ste. 1, Lackland AFB, TX 78236 (United States)

2003-02-01

The association between tears of the acetabular labrum and paralabral cysts has been well documented, and magnetic resonance imaging (MRI) has been shown to be the most accurate noninvasive method of depicting not only the normal anatomic structures of the hip, but also the common pathologic processes such as labral tears and paralabral cysts. We present the case of an acetabular paralabral cyst that resulted in clinically symptomatic compression of the sciatic nerve. (orig.)

Acetabular paralabral cyst: an uncommon cause of sciatica

International Nuclear Information System (INIS)

Sherman, P.M.; Sanders, T.G.; Matchette, M.W.; Parsons, T.W.

2003-01-01

The association between tears of the acetabular labrum and paralabral cysts has been well documented, and magnetic resonance imaging (MRI) has been shown to be the most accurate noninvasive method of depicting not only the normal anatomic structures of the hip, but also the common pathologic processes such as labral tears and paralabral cysts. We present the case of an acetabular paralabral cyst that resulted in clinically symptomatic compression of the sciatic nerve. (orig.)

Potencialidades da metacaolinita e do tijolo queimado moído como substitutos parciais do cimento Portland Potentialities of metakaolin and crushed waste calcined clay brick as partial replacement of Portland cement

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João de Farias Filho

2000-12-01

Full Text Available Avalia-se, neste trabalho, a potencialidade do uso da metacaolinita e dos resíduos de produção de tijolos cerâmicos queimados finamente moídos, como substitutos parciais do cimento Portland. Os materiais foram caracterizados física, química e mineralogicamente, além de determinado o índice de atividade pozolânica com cimento Portland. A evolução da resistência a compressão e a flexão das argamassas foi avaliada até as idades de, respectivamente, 365 e 208 dias. As porcentagens de substituição do cimento Portland, em peso, pelos materiais pozolânicos, variaram de 20 a 50%, enquanto o fator água/cimento variou de 0,37 a 0,45. Os resultados obtidos indicaram que a metacaolinita e o tijolo moído queimado possuem elevada atividade pozolânica e que a resistência a compressão, aos 28 dias, das argamassas mistas, foi superior à das argamassas de cimento Portland para os níveis de substituição e fatores água/cimento estudados. Um modelo matemático para predição da resistência à compressão das argamassas mistas é proposto com base em um desenho fatorial de experimentos.This paper evaluates the potentiality of metakaolin and crushed waste fired clay brick as cement replacement materials. They were characterised physically, chemically and mineralogically and their activity with Portland cement determined. The influence of the partial replacement of Portland cement on the development of compressive and flexural strength was evaluated until the age of, respectively, 365 and 208 days. The percentage of cement replacement, in weight, ranged from 20 to 50%, whereas the water/cement ratio ranged from 0.37 to 0.45. The results obtained show that the metakaolin and crushed calcined clay brick presented a good pozolanic activity and that the compressive strength of the blended mortars after 28 days of cure was higher than that observed for the reference Portland cement for all levels of cement replacement and water/cement ratio. A

Physical and chemical characterization of 50 pulverized coal ashes with respect to partial cement replacement in concrete

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Van der Sloot, H A; Weijers, E G

1986-04-01

Physical and chemical characterization of 50 pulverized coal ashes from Dutch, Belgian and German installations has been carried out to identify the parameters that have to be kept under control, when pulverized coal ashes are to be used as partial cement replacement in concrete. For a good workability of fly ash/cement mortars the particle size and the carbon content are important. By performing a mortar flow test (Heagermann) upon delivery exterme ashes can be easily eliminated. The compressive strength is largely determined by the fineness of the ash (weight fraction below 20 micron). A direct effect of carbon content on strength development is not observed, but a reduction in mortar slow due to carbon leads to loss in strength, while the workability has to be adjusted. Size distribution measurement by optical methods is recommended as the relevant part of the ash size distribution cannot be properly assessed by sieve methods. The net contribution of fly ash to the compressive strength of a fly ash/cement (20/80) mortar exhibits a minimum at 14 days curing, which is common to all 50 ashes studied. Improvements in ash quality as obtained from pulverized-coal fired installations can be achieved by improvements in coal milling and optimizing ash collection. 6 figs., 4 tabs., 19 refs.

Resistência à compressão do solo-cimento com substituição parcial do cimento Portland por resíduo cerâmico moído Compressive strength of soil-cement with partial replacement of the Portland cement by crushed ceramic waste

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Rivanildo Dallacort

2002-12-01

Full Text Available Neste trabalho, apresenta-se o estudo experimental da resistência à compressão do solo-cimento, com substituição parcial do cimento Portland por resíduo cerâmico moído. Para tanto, foram ensaiados 81 espécimenes cilíndricos desse material à compressão, em que parte do cimento foi substituída por material cerâmico moído. Realizou-se uma programação fatorial, na qual três variáveis foram selecionadas para estudo: o teor de material ligante (cimento + resíduo cerâmico, a umidade do solo e o teor de resíduo cerâmico adicionado. É apresentado um estudo estatístico através de análise de variância da massa específica do material e da resistência a compressão. Tal estudo permitiu concluir-se que substituições de 25 e 57% do teor de cimento por material cerâmico podem produzir blocos de solo-cimento com resistências superiores a 2 MPa, com teor de material ligante de 6 e 8%, respectivamente.In this paper, an experimental study of the compressive strength of soil-cement with partial replacement of the Portland cement by crushed ceramic waste is presented and discussed. For this, eighty-one cylindrical specimens of soil-cement were tested, where part of cement percentage was replaced by crushed ceramic waste. The experiment was conducted in factorial design and three variables were selected and studied: the binding material content (cement + ceramic waste, soil moisture content and the ratio of ceramic waste. A statistical study using variance analysis of the specific mass and compressive strength of the material is presented. This study concluded that replacement ratios of 25 and 57% of the Portland cement by crushed ceramic material can be used to fabricate soil-cement bricks with strength higher than 2 MPa, for a binding material content of 6 and 8% respectively.

Three-dimensional computed tomography analysis of non-osteoarthritic adult acetabular dysplasia

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Ito, Hiroshi; Matsuno, Takeo; Hirayama, Teruhisa; Tanino, Hiromasa; Yamanaka, Yasuhiro [Asahikawa Medical College, Department of Orthopaedic Surgery, Asahikawa (Japan); Minami, Akio [Hokkaido University School of Medicine, Department of Orthopaedic Surgery, Sapporo (Japan)

2009-02-15

Little data exists on the original morphology of acetabular dysplasia obtained from patients without radiographic advanced osteoarthritic changes. The aim of this study was to investigate the distribution and degree of acetabular dysplasia in a large number of patients showing no advanced degenerative changes using three-dimensional computed tomography (3DCT). Eighty-four dysplastic hips in 55 consecutive patients were studied. All 84 hips were in pre- or early osteoarthritis without radiographic evidence of joint space narrowing, formation of osteophytes or cysts, or deformity of femoral heads. The mean age at the time of CT scan was 35 years (range 15-64 years). 3D images were reconstructed and analyzed using recent computer imaging software (INTAGE Realia and Volume Player). Deficiency types and degrees of acetabular dysplasia were precisely evaluated using these computer software. The average Harris hip score at CT scans was 82 points. Twenty-two hips (26%) were classified as anterior deficiency, 17 hips (20%) as posterior deficiency, and 45 hips (54%) as lateral deficiency. No significant difference was found in the Harris hip score among these groups. The analysis of various measurements indicated wide variations. There was a significant correlation between the Harris hip score and the acetabular coverage (p < 0.001). Our results indicated wide variety of deficiency type and degree of acetabular dysplasia. Hips with greater acetabular coverage tended to have a higher Harris hip score. (orig.)

Three-dimensional computed tomography analysis of non-osteoarthritic adult acetabular dysplasia

International Nuclear Information System (INIS)

Ito, Hiroshi; Matsuno, Takeo; Hirayama, Teruhisa; Tanino, Hiromasa; Yamanaka, Yasuhiro; Minami, Akio

2009-01-01

Little data exists on the original morphology of acetabular dysplasia obtained from patients without radiographic advanced osteoarthritic changes. The aim of this study was to investigate the distribution and degree of acetabular dysplasia in a large number of patients showing no advanced degenerative changes using three-dimensional computed tomography (3DCT). Eighty-four dysplastic hips in 55 consecutive patients were studied. All 84 hips were in pre- or early osteoarthritis without radiographic evidence of joint space narrowing, formation of osteophytes or cysts, or deformity of femoral heads. The mean age at the time of CT scan was 35 years (range 15-64 years). 3D images were reconstructed and analyzed using recent computer imaging software (INTAGE Realia and Volume Player). Deficiency types and degrees of acetabular dysplasia were precisely evaluated using these computer software. The average Harris hip score at CT scans was 82 points. Twenty-two hips (26%) were classified as anterior deficiency, 17 hips (20%) as posterior deficiency, and 45 hips (54%) as lateral deficiency. No significant difference was found in the Harris hip score among these groups. The analysis of various measurements indicated wide variations. There was a significant correlation between the Harris hip score and the acetabular coverage (p < 0.001). Our results indicated wide variety of deficiency type and degree of acetabular dysplasia. Hips with greater acetabular coverage tended to have a higher Harris hip score. (orig.)

Rice husk ash (RHA) as a partial cement replacement in modifying peat soil properties

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Daud, Nik Norsyahariati Nik; Daud, Mohd Nazrin Mohd; Muhammed, Abubakar Sadiq

2018-02-01

This paper describes the effect of rice husk ash (RHA) and ordinary Portland cement (OPC) as a potential binder for modifying the properties of peat soil. The amounts RHA and OPC added to the peat soil sample, as percentage of the dry soil mass were in the range of 10-15% and 15%, respectively. Observations were made for the changes in the properties of the soil such as maximum dry density (MDD), optimum moisture content (OMC) and shear strength. Scanning Electron Micrograph-Energy Dispersive X-Ray (SEM-EDX) test were also conducted to observe the microstructure of treated and untreated peat soil. The results show that the modified soil of MDD and OMC values are increased due to the increment amount of binder material. Shear strength values of modified peat showing a good result by assuming that it is relative to the formation of major reaction products such as calcium silicate hydrate (C-S-H). The presence of C-S-H formation is indicated by the results produced from microstructural analysis of peat before and after modification process. This depicts the potential usage of RHA as a partial cement replacement in peat soil which is also improving its engineering properties.

Sulfate resistance of nanosilica contained Portland cement mortars

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Batilov, Iani B.

Soils, sea water and ground water high in sulfates are commonly encountered hostile environments that can attack the structure of concrete via chemical and physical mechanisms which can lead to costly repairs or replacement. Sulfate attack is a slow acting deteriorative phenomenon that can result in cracking, spalling, expansion, increased permeability, paste-to-aggregate bond loss, paste softening, strength loss, and ultimately, progressive failure of concrete. In the presented research study, Portland cement (PC) mortars containing 1.5% to 6.0% nanosilica (nS) cement replacement by weight were tested for sulfate resistance through full submersion in sodium sulfate to simulate external sulfate attack. Mortars with comparable levels of cement replacement were also prepared with microsilica (mS). Three cement types were chosen to explore nS' effectiveness to reduce sulfate expansion, when paired with cements of varying tricalcium aluminate (C3A) content and Blaine fineness, and compare it to that of mS. Mortars were also made with combined cement replacement of equal parts nS and mS to identify if they were mutually compatible and beneficial towards sulfate resistance. Besides sulfate attack expansion of mortar bars, the testing program included investigations into transport and microstructure properties via water absorption, sulfate ion permeability, porosimetry, SEM with EDS, laser diffraction, compressive strength, and heat of hydration. Expansion measurements indicated that mS replacement mortars outperformed both powder form nS, and nS/mS combined replacement mixtures. A negative effect of the dry nS powder replacement attributed to agglomeration of its nanoparticles during mixing negated the expected superior filler, paste densification, and pozzolanic activity of the nanomaterial. Agglomerated nS was identified as the root cause behind poor performance of nS in comparison to mS for all cement types, and the control when paired with a low C3A sulfate resistant

A small punch test technique for characterizing the elastic modulus and fracture behavior of PMMA bone cement used in total joint replacement.

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Giddings, V L; Kurtz, S M; Jewett, C W; Foulds, J R; Edidin, A A

2001-07-01

Polymethylmethacrylate (PMMA) bone cement is used in total joint replacements to anchor implants to the underlying bone. Establishing and maintaining the integrity of bone cement is thus of critical importance to the long-term outcome of joint replacement surgery. The goal of the present study was to evaluate the suitability of a novel testing technique, the small punch or miniaturized disk bend test, to characterize the elastic modulus and fracture behavior of PMMA. We investigated the hypothesis that the crack initiation behavior of PMMA during the small punch test was sensitive to the test temperature. Miniature disk-shaped specimens, 0.5 mm thick and 6.4 mm in diameter, were prepared from PMMA and Simplex-P bone cement according to manufacturers' instructions. Testing was conducted at ambient and body temperatures, and the effect of test temperature on the elastic modulus and fracture behavior was statistically evaluated using analysis of variance. For both PMMA materials, the test temperature had a significant effect on elastic modulus and crack initiation behavior. At body temperature, the specimens exhibited "ductile" crack initiation, whereas at room temperature "brittle" crack initiation was observed. The small punch test was found to be a sensitive and repeatable test method for evaluating the mechanical behavior of PMMA. In light of the results of this study, future small punch testing should be conducted at body temperature.

Biological and mechanical properties of an experimental glass-ionomer cement modified by partial replacement of CaO with MgO or ZnO

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Dong-Ae KIM

2015-08-01

Full Text Available AbstractSome weaknesses of conventional glass ionomer cement (GIC as dental materials, for instance the lack of bioactive potential and poor mechanical properties, remain unsolved.Objective The purpose of this study was to investigate the effects of the partial replacement of CaO with MgO or ZnO on the mechanical and biological properties of the experimental glass ionomer cements.Material and Methods Calcium fluoro-alumino-silicate glass was prepared for an experimental glass ionomer cement by melt quenching technique. The glass composition was modified by partial replacement (10 mol% of CaO with MgO or ZnO. Net setting time, compressive and flexural properties, and in vitrorat dental pulp stem cells (rDPSCs viability were examined for the prepared GICs and compared to a commercial GIC.Results The experimental GICs set more slowly than the commercial product, but their extended setting times are still within the maximum limit (8 min specified in ISO 9917-1. Compressive strength of the experimental GIC was not increased by the partial substitution of CaO with either MgO or ZnO, but was comparable to the commercial control. For flexural properties, although there was no significance between the base and the modified glass, all prepared GICs marked a statistically higher flexural strength (p<0.05 and comparable modulus to control. The modified cements showed increased cell viability for rDPSCs.Conclusions The experimental GICs modified with MgO or ZnO can be considered bioactive dental materials.

Biological and mechanical properties of an experimental glass-ionomer cement modified by partial replacement of CaO with MgO or ZnO

Science.gov (United States)

Dong-Ae, KIM; Hany, ABO-MOSALLAM; Hye-Young, LEE; Jung-Hwan, LEE; Hae-Won, KIM; Hae-Hyoung, LEE

2015-01-01

Some weaknesses of conventional glass ionomer cement (GIC) as dental materials, for instance the lack of bioactive potential and poor mechanical properties, remain unsolved. Objective The purpose of this study was to investigate the effects of the partial replacement of CaO with MgO or ZnO on the mechanical and biological properties of the experimental glass ionomer cements. Material and Methods Calcium fluoro-alumino-silicate glass was prepared for an experimental glass ionomer cement by melt quenching technique. The glass composition was modified by partial replacement (10 mol%) of CaO with MgO or ZnO. Net setting time, compressive and flexural properties, and in vitro rat dental pulp stem cells (rDPSCs) viability were examined for the prepared GICs and compared to a commercial GIC. Results The experimental GICs set more slowly than the commercial product, but their extended setting times are still within the maximum limit (8 min) specified in ISO 9917-1. Compressive strength of the experimental GIC was not increased by the partial substitution of CaO with either MgO or ZnO, but was comparable to the commercial control. For flexural properties, although there was no significance between the base and the modified glass, all prepared GICs marked a statistically higher flexural strength (p<0.05) and comparable modulus to control. The modified cements showed increased cell viability for rDPSCs. Conclusions The experimental GICs modified with MgO or ZnO can be considered bioactive dental materials. PMID:26398508

Influence of increasing amount of recycled concrete powder on mechanical properties of cement paste

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Topič, Jaroslav; Prošek, Zdeněk; Plachý, Tomáš

2017-09-01

This paper deals with using fine recycled concrete powder in cement composites as micro-filler and partial cement replacement. Binder properties of recycled concrete powder are given by exposed non-hydrated cement grains, which can hydrate again and in small amount replace cement or improve some mechanical properties. Concrete powder used in the experiments was obtained from old railway sleepers. Infrastructure offer more sources of old concrete and they can be recycled directly on building site and used again. Experimental part of this paper focuses on influence of increasing amount of concrete powder on mechanical properties of cement paste. Bulk density, shrinkage, dynamic Young’s modulus, compression and flexural strength are observed during research. This will help to determine limiting amount of concrete powder when decrease of mechanical properties outweighs the benefits of cement replacement. The shrinkage, dynamic Young’s modulus and flexural strength of samples with 20 to 30 wt. % of concrete powder are comparable with reference cement paste or even better. Negative effect of concrete powder mainly influenced the compression strength. Only a 10 % cement replacement reduced compression strength by about 25 % and further decrease was almost linear.

Acetabular fractures: what radiologists should know and how 3D CT can aid classification.

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Scheinfeld, Meir H; Dym, Akiva A; Spektor, Michael; Avery, Laura L; Dym, R Joshua; Amanatullah, Derek F

2015-01-01

Correct recognition, description, and classification of acetabular fractures is essential for efficient patient triage and treatment. Acetabular fractures may result from high-energy trauma or low-energy trauma in the elderly. The most widely used acetabular fracture classification system among radiologists and orthopedic surgeons is the system of Judet and Letournel, which includes five elementary (or elemental) and five associated fractures. The elementary fractures are anterior wall, posterior wall, anterior column, posterior column, and transverse. The associated fractures are all combinations or partial combinations of the elementary fractures and include transverse with posterior wall, T-shaped, associated both column, anterior column or wall with posterior hemitransverse, and posterior column with posterior wall. The most unique fracture is the associated both column fracture, which completely dissociates the acetabular articular surface from the sciatic buttress. Accurate categorization of acetabular fractures is challenging because of the complex three-dimensional (3D) anatomy of the pelvis, the rarity of certain acetabular fracture variants, and confusing nomenclature. Comparing a 3D image of the fractured acetabulum with a standard diagram containing the 10 Judet and Letournel categories of acetabular fracture and using a flowchart algorithm are effective ways of arriving at the correct fracture classification. Online supplemental material is available for this article. (©)RSNA, 2015.

Heat of hydration measurements on cemented radioactive wastes. Part 1: cement-water pastes

International Nuclear Information System (INIS)

Lee, D.J.

1983-12-01

This report describes the hydration of cement pastes in terms of chemical and kinetic models. A calorimetric technique was used to measure the heat of hydration to develop these models. The effects of temperature, water/cement ratio and cement replacements, ground granulated blast furnace slag (BFS) and pulverised fuel ash (PFA) on the hydration of ordinary Portland cement (OPC) is reported. The incorporation of BFS or PFA has a marked effect on the hydration reaction. The effect of temperature is also important but changing the water/cement ratio has little effect. Results from cement pastes containing only water and cement yield total heats of reaction of 400, 200 and 100 kJ/kg for OPC, BFS and PFA respectively. Using the results from the models which have been developed, the effect of major salts present in radioactive waste streams can be assessed. Values of the total heat of reaction, the time to complete 50 percent reaction, and the energy of activation, can be compared for different waste systems. (U.K.)

Posterior column acetabular fracture fixation using a W-shaped angular plate: A biomechanical analysis.

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Ke Su

Full Text Available The purpose of this study was to compare the stability and feasibility of four fixation constructs in a posterior column acetabular fracture: one reconstruction plate, one reconstruction plate and lag screw, two reconstruction plates, and a W-shaped acetabular angular plate.Twenty embalmed cadaveric pelvises with a posterior column acetabular fractures were allocated to one of four groups: 1 a reconstruction plate, 2 a reconstruction plate with a posterior column lag screw, 3 double reconstruction plates, and 4 a W-shaped acetabular angular plate. These constructs were mechanically loaded on a testing machine, and construct stiffness values were measured. Strain gauges were utilized to measure the mechanical behavior in the condition of compressive force.Final stiffness was not different between the two reconstruction plates (445.81±98.30 N/mm and the W-shaped acetabular angular plate (447.43±98.45 N/mm, p = 0.524, both of which were superior to a single reconstruction plate (248.90±61.95 N/mm and a combined plate and lag screw (326.41±94.34 N/mm. Following the fixation of the W-shaped acetabular angular plate, the strain distribution was similar to the intact condition around the acetabulum. The parameters of the W-shaped acetabular angular plate that were observed at the superior region of the acetabulum were less than those of a single reconstruction plate (p<0.05, a single reconstruction plate with lag screw (p<0.05, and two reconstruction plates (p<0.05.The novel W-shaped acetabular angular plate fixation technique was able to provide the biomechanically stiffest construct for stabilization of a posterior column acetabular fracture; it also resulted in a partial restoration of joint loading parameters toward the intact state.

The mechanical effect of the existing cement mantle on the in-cement femoral revision.

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Keeling, Parnell; Lennon, Alexander B; Kenny, Patrick J; O'Reilly, Peter; Prendergast, Patrick J

2012-08-01

Cement-in-cement revision hip arthroplasty is an increasingly popular technique to replace a loose femoral stem which retains much of the original cement mantle. However, some concern exists regarding the retention of the existing fatigued and aged cement in such cement-in-cement revisions. This study investigates whether leaving an existing fatigued and aged cement mantle degrades the mechanical performance of a cement-in-cement revision construct. Primary cement mantles were formed by cementing a polished stem into sections of tubular steel. If in the test group, the mantle underwent conditioning in saline to simulate ageing and was subject to a fatigue of 1 million cycles. If in the control group no such conditioning or fatigue was carried out. The cement-in-cement procedure was then undertaken. Both groups underwent a fatigue of 1 million cycles subsequent to the revision procedure. Application of a Mann-Whitney test on the recorded subsidence (means: 0.51, 0.46, n=10+10, P=0.496) and inducible displacement (means: 0.38, 0.36, P=0.96) revealed that there was no statistical difference between the groups. This study represents further biomechanical investigation of the mechanical behaviour of cement-in-cement revision constructs. Results suggest that pre-revision fatigue and ageing of the cement may not be deleterious to the mechanical performance of the revision construct. Thus, this study provides biomechanical evidence to back-up recent successes with this useful revision technique. Copyright © 2012 Elsevier Ltd. All rights reserved.

Optimization of technique for insertion of implants at the supra-acetabular corridor in pelvis and acetabular surgery.

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Tosounidis, Theodoros H; Mauffrey, Cyril; Giannoudis, Peter V

2018-01-01

The technique for application of implants at the sciatic buttress has been well described in the pelvic and acetabular fracture reconstruction literature. We described a new use of the inlet-obturator oblique view for the identification of the anterior inferior iliac spine, which is the entry point of implants, and we provide a detailed fluoroscopic and radiographic description of this view. A small series of 15 patients who underwent an application of an anterior inferior pelvic external (supra-acetabular) fixator via this technique is presented. We consider the use of the obturator oblique for the identification of the entry point unnecessary, and we advocate for the use of only the inlet-obturator oblique and iliac oblique views when implants are applied to the sciatic buttress.

Computer assisted surgery in preoperative planning of acetabular fracture surgery: state of the art.

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Boudissa, Mehdi; Courvoisier, Aurélien; Chabanas, Matthieu; Tonetti, Jérôme

2018-01-01

The development of imaging modalities and computer technology provides a new approach in acetabular surgery. Areas covered: This review describes the role of computer-assisted surgery (CAS) in understanding of the fracture patterns, in the virtual preoperative planning of the surgery and in the use of custom-made plates in acetabular fractures with or without 3D printing technologies. A Pubmed internet research of the English literature of the last 20 years was carried out about studies concerning computer-assisted surgery in acetabular fractures. The several steps for CAS in acetabular fracture surgery are presented and commented by the main author regarding to his personal experience. Expert commentary: Computer-assisted surgery in acetabular fractures is still initial experiences with promising results. Patient-specific biomechanical models considering soft tissues should be developed to allow a more realistic planning.

Evaluation of a new methodology to simulate damage and wear of polyethylene hip replacements subjected to edge loading in hip simulator testing.

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Partridge, Susan; Tipper, Joanne L; Al-Hajjar, Mazen; Isaac, Graham H; Fisher, John; Williams, Sophie

2018-05-01

Wear and fatigue of polyethylene acetabular cups have been reported to play a role in the failure of total hip replacements. Hip simulator testing under a wide range of clinically relevant loading conditions is important. Edge loading of hip replacements can occur following impingement under extreme activities and can also occur during normal gait, where there is an offset deficiency and/or joint laxity. This study evaluated a hip simulator method that assessed wear and damage in polyethylene acetabular liners that were subjected to edge loading. The liners tested to evaluate the method were a currently manufactured crosslinked polyethylene acetabular liner and an aged conventional polyethylene acetabular liner. The acetabular liners were tested for 5 million standard walking cycles and following this 5 million walking cycles with edge loading. Edge loading conditions represented a separation of the centers of rotation of the femoral head and the acetabular liner during the swing phase, leading to loading of the liner rim on heel strike. Rim damage and cracking was observed in the aged conventional polyethylene liner. Steady-state wear rates assessed gravimetrically were lower under edge loading compared to standard loading. This study supports previous clinical findings that edge loading may cause rim cracking in liners, where component positioning is suboptimal or where material degradation is present. The simulation method developed has the potential to be used in the future to test the effect of aging and different levels of severity of edge loading on a range of cross-linked polyethylene materials. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 1456-1462, 2018. © 2017 Wiley Periodicals, Inc.

Decreased Lumbar Lordosis and Deficient Acetabular Coverage Are Risk Factors for Subchondral Insufficiency Fracture.

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Jo, Woo Lam; Lee, Woo Suk; Chae, Dong Sik; Yang, Ick Hwan; Lee, Kyoung Min; Koo, Kyung Hoi

2016-10-01

Subchondral insufficiency fracture (SIF) of the femoral head occurs in the elderly and recipients of organ transplantation. Osteoporosis and deficient lateral coverage of the acetabulum are known risk factors for SIF. There has been no study about relation between spinopelvic alignment and anterior acetabular coverage with SIF. We therefore asked whether a decrease of lumbar lordosis and a deficiency in the anterior acetabular coverage are risk factors. We investigated 37 patients with SIF. There were 33 women and 4 men, and their mean age was 71.5 years (59-85 years). These 37 patients were matched with 37 controls for gender, age, height, weight, body mass index and bone mineral density. We compared the lumbar lordosis, pelvic incidence, pelvic tilt, sacral slope, acetabular index, acetabular roof angle, acetabular head index, anterior center-edge angle and lateral center-edge angle. Lumbar lordosis, pelvic tilt, sacral slope, lateral center edge angle, anterior center edge angle, acetabular index and acetabular head index were significantly different between SIF group and control group. Lumbar lordosis (OR = 1.11), lateral center edge angle (OR = 1.30) and anterior center edge angle (OR = 1.27) had significant associations in multivariate analysis. Decreased lumbar lordosis and deficient anterior coverage of the acetabulum are risk factors for SIF as well as decreased lateral coverage of the acetabulum.

Intraoperative CT in the assessment of posterior wall acetabular fracture stability.

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Cunningham, Brian; Jackson, Kelly; Ortega, Gil

2014-04-01

Posterior wall acetabular fractures that involve 10% to 40% of the posterior wall may or may not require an open reduction and internal fixation. Dynamic stress examination of the acetabular fracture under fluoroscopy has been used as an intraoperative method to assess joint stability. The aim of this study was to demonstrate the value of intraoperative ISO computed tomography (CT) examination using the Siemens ISO-C imaging system (Siemens Corp, Malvern, Pennsylvania) in the assessment of posterior wall acetabular fracture stability during stress examination under anesthesia. In 5 posterior wall acetabular fractures, standard fluoroscopic images (including anteroposterior pelvis and Judet radiographs) with dynamic stress examinations were compared with the ISO-C CT imaging system to assess posterior wall fracture stability during stress examination. After review of standard intraoperative fluoroscopic images under dynamic stress examination, all 5 cases appeared to demonstrate posterior wall stability; however, when the intraoperative images from the ISO-C CT imaging system demonstrated that 1 case showed fracture instability of the posterior wall segment during stress examination, open reduction and internal fixation was performed. The use of intraoperative ISO CT imaging has shown an initial improvement in the surgeon's ability to assess the intraoperative stability of posterior wall acetabular fractures during stress examination when compared with standard fluoroscopic images. Copyright 2014, SLACK Incorporated.

Validation of an optical system to measure acetabular shell deformation in cadavers.

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Dold, Philipp; Bone, Martin C; Flohr, Markus; Preuss, Roman; Joyce, Tom J; Deehan, David; Holland, James

2014-08-01

Deformation of the acetabular shell at the time of surgery can result in poor performance and early failure of the hip replacement. The study aim was to validate an ATOS III Triple Scan optical measurement system against a co-ordinate measuring machine using in vitro testing and to check repeatability under cadaver laboratory conditions. Two sizes of custom-made acetabular shells were deformed using a uniaxial/two-point loading frame and measured at different loads. Roundness measurements were performed using both the ATOS III Triple Scan optical system and a co-ordinate measuring machine and then compared. The repeatability was also tested by measuring shells pre- and post-insertion in a cadaver laboratory multiple times. The in vitro comparison with the co-ordinate measuring machine demonstrated a maximum difference of 5 µm at the rim and 9 µm at the measurement closest to the pole of the shell. Maximum repeatability was below 1 µm for the co-ordinate measuring machine and 3 µm for the ATOS III Triple Scan optical system. Repeatability was comparable between the pre-insertion (below 2 µm) and post-insertion (below 3 µm) measurements in the cadaver laboratory. This study supports the view that the ATOS III Triple Scan optical system fulfils the necessary requirements to accurately measure shell deformation in cadavers. © IMechE 2014.

Absorption Characteristics of Cement Combination Concrete Containing Portland Cement, fly ash, and Metakaolin

Directory of Open Access Journals (Sweden)

Folagbade S.O.

2016-03-01

Full Text Available The resistance to water penetration of cement combination concretes containing Portland cement (PC, fly ash (FA, and metakaolin (MK have been investigated at different water/cement (w/c ratios, 28-day strengths, and depths of water penetration using their material costs and embodied carbon-dioxide (eCO2 contents. Results revealed that, at equal w/c ratio, eCO2 content reduced with increasing content of FA and MK. MK contributed to the 28-day strengths more than FA. Compared with PC, FA reduced cost and increased the depth of water penetration, MK increased cost and reduced the depth of water penetration, and their ternary combinations become beneficial. At equal strengths and levels of resistance to water penetration, most of the cement combination concretes are more environmentally compatible and costlier than PC concrete. Only MK binary cement concretes with 10%MK content or more and ternary cement concretes at a total replacement level of 55% with 10%MK content or more have higher resistance to water penetration than PC concrete.

Delayed cementless total hip arthroplasty for neglected dislocation of hip combined with complex acetabular fracture and deficient bone stock

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Gavaskar Ashok S

2012-12-01

Full Text Available 【Abstract】Total hip arthroplasty (THA for an un-treated acetabular fracture is technically challenging and the long-term result is not so favorable. A 45-year-old fe-male patient with untreated column and comminuted poste-rior wall fracture of the acetabulum was treated in our insti-tution by reconstruction of the posterior wall using iliac strut autograft and plate stabilization of the posterior col-umn with cancellous grafting and cementless THA in a single stage. At 3 years’ follow-up, the patient was independently mobile without limb length discrepancy. Radiological evalu-ation showed well integrated components and bone grafts. No evidence of aseptic loosening or osteolysis was found. This report aims to emphasize that bony acetabular recon-struction allows the use of primary hip components, which improves prosthesis longevity and preserves bone stock for a future revision. Key words: Acetabulum; Fractures, bone; Hip dislocation; Arthroplasty, replacement, hip

Polymer-Cement Mortar with Quarry Waste as Sand Replacement

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D. N. Gómez-Balbuena

2018-01-01

Full Text Available The activities of carved Quarry extraction generate problems of landscape pollution such is the case of solid waste discharged into open land dumps in central Mexico. This article presents the technological application of this solid waste in a new polymeric material with properties similar to those of a traditional mortar. It is concluded that the polymeric material uses low amounts of cement with respect to the traditional mortar, and it is elaborated with the recycled quarry as they are presented in its granulometry. The polymer used favored a low water/cement ratio (0.3 which did not allow to decrease resistance due to the fine nature of the materials (residues and cement in addition to maintaining the workability of the material. The quarry residue was classified as silt with low plasticity and was characterized by X-ray diffraction and Fluorescence to identify 76% of SiO2, which is why it was used as a stone aggregate even though the fines content was approximately 93%. The maximum compression resistance obtained at 28 days were 8 Mpa with the polymer/solid ratios of 0.10, water/solids of 0.30, and quarry/solids of 0.67. Linear equations were analyzed for more representative values with R squared adjustment.

Sustainable Blended Cements-Influences of Packing Density on Cement Paste Chemical Efficiency.

Science.gov (United States)

Knop, Yaniv; Peled, Alva

2018-04-18

This paper addresses the development of blended cements with reduced clinker amount by partial replacement of the clinker with more environmentally-friendly material (e.g., limestone powders). This development can lead to more sustainable cements with reduced greenhouse gas emission and energy consumption during their production. The reduced clicker content was based on improved particle packing density and surface area of the cement powder by using three different limestone particle diameters: smaller (7 µm, 3 µm) or larger (70 µm, 53 µm) than the clinker particles, or having a similar size (23 µm). The effects of the different limestone particle sizes on the chemical reactivity of the blended cement were studied by X-ray diffraction (XRD), thermogravimetry and differential thermogravimetry (TG/DTG), loss on ignition (LOI), isothermal calorimetry, and the water demand for reaching normal consistency. It was found that by blending the original cement with limestone, the hydration process and the reactivity of the limestone itself were increased by the increased surface area of the limestone particles. However, the carbonation reaction was decreased with the increased packing density of the blended cement with limestone, having various sizes.

Sacroiliac joint dysfunction as a reason for the development of acetabular retroversion: a new theory.

Science.gov (United States)

Cibulka, Michael T

2014-05-01

Acetabular retroversion has been recently implicated as an important factor in the development of femoral acetabular impingement and hip osteoarthritis. The proper function of the hip joint requires that the anatomic features of the acetabulum and femoral head complement one another. In acetabular retroversion, the alignment of the acetabulum is altered where it opens in a posterolaterally instead of anterior direction. Changes in acetabular orientation can occur with alterations in pelvic tilt (anterior/posterior), and pelvic rotation (left/right). An overlooked problem that alters pelvic tilt and rotation, often seen by physical therapists, is sacroiliac joint dysfunction. A unique feature that develops in patients with sacroiliac joint dysfunction (SIJD) is asymmetry between the left and right innominate bones that can alter pelvic tilt and rotation. This article puts forth a theory suggesting that acetabular retroversion may be produced by sacroiliac joint dysfunction.

Comparison of acetabular reamings during hip resurfacing versus uncemented total hip arthroplasty.

LENUS (Irish Health Repository)

Brennan, S A

2009-04-01

PURPOSE: To compare the quantity of bone removed from the acetabulum during resurfacing hip arthroplasty versus uncemented total hip arthroplasty (THA). METHODS: 62 consecutive patients with osteoarthritis of the hip were prospectively studied. 24 men and 7 women aged 40 to 86 (mean, 59) years underwent Birmingham hip resurfacing. 13 men and 18 women aged 34 to 88 (mean, 61) years underwent uncemented THA using the trident acetabular cup. Obese elderly women at risk of femoral neck fracture and patients with large subchondral pseudocysts or a history of avascular necrosis of the femoral head were assigned to uncemented THA. Acetabular reamings were collected; marginal osteophytes were not included. The reamings were dehydrated, defatted, and weighed. RESULTS: The mean weight of acetabular reamings was not significantly different between patients undergoing hip resurfacing and uncemented THA (p=0.57). CONCLUSION: In hip resurfacing, the use of an appropriately small femoral component avoids oversizing the acetabular component and removal of excessive bone stock.

MRI morphometric hip comparison analysis of anterior acetabular labral tears

International Nuclear Information System (INIS)

Aly, Abdel Rahman; Rajasekaran, Sathish; Obaid, Haron

2013-01-01

Anterior (3 o'clock) acetabular labral tears (AALTs) have been reported to be associated with iliopsoas impingement (IPI). However, no study has examined the association between anatomical bony variables of the hip joint and AALTs. The purpose of this study was to evaluate the association between AALTs, femoroacetabular impingement (FAI) and other bony variables of the hip. Seventy-six out of 274 hip MRI records met the inclusion criteria. Two independent blinded investigators evaluated the location of acetabular labral tears (ALTs), edema at the musculotendinous junction of the iliopsoas insertion, femoral neck anteversion angle, femoral neck shaft angle, acetabular anteversion angle, alpha angle, lateral central edge angle (LCEA), acetabular index, and acetabular depth. Comparison analyses between groups were performed. Twenty-two patients had no ALTs (controls), 19 patients had AALTs, and 35 patients had ALTs not isolated at the 3 o'clock position (25 with cam-bony deformities [FAI-cam] and 10 with pincer-bony deformities [FAI-pincer]). The alpha angle mean was significantly higher (p < 0.001) in the FAI-cam group (62.7 , 95 % confidence interval [CI]: 56.2-69.2 ) compared with the AALTs group (46.9 , 95 % CI: 40.1-53.7 ). The LCEA mean was significantly higher (p < 0.001) in FAI-pincer group (41.9 , 95 % CI: 39.3 -44.5 ) compared to AALTs group (29.4 , 95 % CI: 24.2 -34.6 ). There was no statistically significant difference in any of the bony variables between the controls and the AALTs group. Our study demonstrated that AALTs are pathologically distinct and not associated with FAI or other bony abnormalities. This supports the previous studies, which proposed that AALTs are associated with IPI. (orig.)

Potential of Hollow Glass Microsphere as Cement Replacement for Lightweight Foam Concrete on Thermal Insulation Performance

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Shahidan Shahiron

2017-01-01

Full Text Available Global warming can be defined as a gradual increase in the overall temperature of the earth’s atmosphere. A lot of research work has been carried out to reduce that heat inside the residence such as the used of low density products which can reduce the self-weight, foundation size and construction costs. Foamed concrete it possesses high flow ability, low self-weight, minimal consumption of aggregate, controlled low strength and excellent thermal insulation properties. This study investigate the characteristics of lightweight foamed concrete where Portland cement (OPC was replaced by hollow glass microsphere (HGMs at 0%, 3%, 6%, 9% by weight. The density of wet concrete is 1000 kg/m3 were tested with a ratio of 0.55 for all water binder mixture. Lightweight foamed concrete hollow glass microsphere (HGMs produced were cured by air curing and water curing in tank for 7, 14 and 28 days. A total of 52 concrete cubes of size 100mm × 100mm × 100mm and 215mm × 102.5mm × 65mm were produced. Furthermore, Scanning Electron Microscope (SEM and X-ray fluorescence (XRF were carried out to study the chemical composition and physical properties of crystalline materials in hollow glass microspheres. The experiments involved in this study are compression strength, water absorption test, density and thermal insulation test. The results show that the compressive strength of foamed concrete has reached the highest in 3% of hollow glass microsphere with less water absorption and less of thermal insulation. As a conclusion, the quantity of hollow glass microsphere plays an important role in determining the strength and water absorption and also thermal insulation in foamed concrete and 3% hollow glass microspheres as a replacement for Portland cement (OPC showed an optimum value in this study as it presents a significant effect than other percentage.

ECO-EFFICIENCY ANALYSIS OF LOW-CARBON CEMENT PRODUCTION BY REPLACING CLINKER

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Yanay Ruíz Rosa

2017-04-01

Full Text Available This work carries out the environmental evaluation of the cement production in Siguaney Factory as well as the calculation of the Eco-efficiency indicators according to the ISO 14045 norms; the Recipe methodology was used including 18 impact categories and the SimaPro 8.1 software was also used. In order to evaluate the eco-efficiency indicators according to the ISO 14045 norm, the results of the impact categories are related to the monetary value indicators, allowing the evaluation of the current situation as well as the consequences of the suggested modifications. As a result, the environmental profiles of P-35 cement (base case were obtained as well as those of the low carbon ones (LC3-35 y LC3-50 resulting from the clinker substitution by kaolinitic clay after some studies carried out by CIDEM researchers; and the eco-efficiency profiles. The comparison made between P-35 cement and the low-carbon cements showed positive results in eight weather impact categories, however, toxicity-related ones rise due to the increase in electricity consumption connected to the grinding of materials to obtain burnt clay bringing about a greater amount of emissions of volatile organic compounds to the air. An improvement in the eco-efficiency of 6 out of 8 calculated indicators is observed due to a simultaneous decrease in the production costs and the environmental impacts. LC3-50 cement shows the best results. The methodology used permits to evaluate alternatives related to the material substitution in the construction sector.

Influence of Rice Husk Ash and Clay in Stabilization of Silty Soils Using Cement

OpenAIRE

Widjajakusuma Jack; Winata Hendo

2017-01-01

Soil stabilization is needed to enhance the strength of the soil. One popular method of soil stabilization is using cement. Due to the environmental issue, it is a need to reduce the application of cement and/or to replace partially the cement with other environmental-friendly compounds. One of these compounds is rice husk ash (RSA), which is agricultural wastes. The objective of this paper is to study the influence of RSA and clay as partial replacement to cement in soil stabilization of sil...

Hydration rate and strength development of low-heat type portland cement mortar mixed with pozzolanic materials

International Nuclear Information System (INIS)

Matsui, Jun

1998-01-01

Recently, low-heat type Portland cement was specified in Japan Industrial Standards (JIS). Its hydration proceeds slowly. The results of the research so far obtained indicate that slow hydration of cement and mixing of pozzolanic materials with cement make micro-structure of harded cement paste dense and durable. In this study, a blended cement using low-heat type Portland cement and some of pozzolanic materials has been newly developed and its strength property and hydration ratio were checked. The followings are conclusion. (1) Hydration rate of cement paste varies with the replacement ratio of pozzolanic materials. (2) A good liner relationship between strength and total hydration rate of cement paste was observed. (3) A proper replacement ratio of both base-cement and pozzolanic material for manufacturing a blended cement is 50%. (author)

MRI morphometric hip comparison analysis of anterior acetabular labral tears

Energy Technology Data Exchange (ETDEWEB)

Aly, Abdel Rahman [University of Saskatchewan, Department of Physical Medicine and Rehabilitation, Saskatoon, SK (Canada); Saskatoon City Hospital, Saskatoon, SK (Canada); Rajasekaran, Sathish [HealthPointe, Pain, Spine and Sport Medicine, Alberta (Canada); Obaid, Haron [Royal University Hospital, University of Saskatchewan, Department of Medical Imaging, Saskatoon, SK (Canada)

2013-09-15

Anterior (3 o'clock) acetabular labral tears (AALTs) have been reported to be associated with iliopsoas impingement (IPI). However, no study has examined the association between anatomical bony variables of the hip joint and AALTs. The purpose of this study was to evaluate the association between AALTs, femoroacetabular impingement (FAI) and other bony variables of the hip. Seventy-six out of 274 hip MRI records met the inclusion criteria. Two independent blinded investigators evaluated the location of acetabular labral tears (ALTs), edema at the musculotendinous junction of the iliopsoas insertion, femoral neck anteversion angle, femoral neck shaft angle, acetabular anteversion angle, alpha angle, lateral central edge angle (LCEA), acetabular index, and acetabular depth. Comparison analyses between groups were performed. Twenty-two patients had no ALTs (controls), 19 patients had AALTs, and 35 patients had ALTs not isolated at the 3 o'clock position (25 with cam-bony deformities [FAI-cam] and 10 with pincer-bony deformities [FAI-pincer]). The alpha angle mean was significantly higher (p < 0.001) in the FAI-cam group (62.7 , 95 % confidence interval [CI]: 56.2-69.2 ) compared with the AALTs group (46.9 , 95 % CI: 40.1-53.7 ). The LCEA mean was significantly higher (p < 0.001) in FAI-pincer group (41.9 , 95 % CI: 39.3 -44.5 ) compared to AALTs group (29.4 , 95 % CI: 24.2 -34.6 ). There was no statistically significant difference in any of the bony variables between the controls and the AALTs group. Our study demonstrated that AALTs are pathologically distinct and not associated with FAI or other bony abnormalities. This supports the previous studies, which proposed that AALTs are associated with IPI. (orig.)

Acetabular roof stress fracture: a rare cause of hip pain in children ...

African Journals Online (AJOL)

Stress fracture of acetabular roof is an unusual cause of hip pain. It is considered as an underdiagnosed entity. People who are more susceptible to experience this fracture are athletes, soldiers and dancers. We present the case of an 11 year old girl with a roof acetabular stress fracture for which the diagnosis and ...

Pelvic Incidence: A Predictive Factor for Three-Dimensional Acetabular Orientation—A Preliminary Study

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Christophe Boulay

2014-01-01

Full Text Available Acetabular cup orientation (inclination and anteversion is a fundamental topic in orthopaedics and depends on pelvis tilt (positional parameter emphasising the notion of a safe range of pelvis tilt. The hypothesis was that pelvic incidence (morphologic parameter could yield a more accurate and reliable assessment than pelvis tilt. The aim was to find out a predictive equation of acetabular 3D orientation parameters which were determined by pelvic incidence to include in the model. The second aim was to consider the asymmetry between the right and left acetabulae. Twelve pelvic anatomic specimens were measured with an electromagnetic Fastrak system (Polhemus Society providing 3D position of anatomical landmarks to allow measurement of acetabular and pelvic parameters. Acetabulum and pelvis data were correlated by a Spearman matrix. A robust linear regression analysis provided prediction of acetabulum axes. The orientation of each acetabulum could be predicted by the incidence. The incidence is correlated with the morphology of acetabula. The asymmetry of the acetabular roof was correlated with pelvic incidence. This study allowed analysis of relationships of acetabular orientation and pelvic incidence. Pelvic incidence (morphologic parameter could determine the safe range of pelvis tilt (positional parameter for an individual and not a group.

Engineering and sustainability aspect of palm oil shell powder in cement

Science.gov (United States)

Karim, Mohammad Razaul; Hossain, Md. Moktar; Yusoff, Sumiani Binti

2017-06-01

Palm oil shell (POS) is a waste material which significantly produced in palm oil mills. In current practice, this waste is dumped in open land or landfill sites or is used as fuel to run a steam turbine of a boiler, which leads to environmental pollutions. The characterization, engineering and sustainability aspect of this waste for using in cement-based applications lead to reduce the emission of carbon dioxide and cost, save natural resources for cement production and also sustainable usage of waste material. The characterization was carried out using particle size analyzer, XRF, SEM and total organic carbon analyzer. ASTM standard methods were used to observe the setting time and water for normal consistency. The compressive strength of palm oil shell powder (POSP) blended cement was explored with the water to cement and cement to sand ratio of 0.40 and 0.50, respectively up to 40% replacement levels of OPC. Result found that the setting time and water demand were increased, but compressive strength was decreased to replacement levels. However, the incorporation of POSP in cement was reduced 9.6% of CO2 emission, 25 % of the cost and save natural resource, i.e. limestone, clay, iron ore, silica shale and gypsum of 35.1%, 4.95%, 0.9%, 4.05 % and 1.2 %, respectively at 30% replacement level of OPC. The results of this extensive study on POSP characterization, effect on basic cement properties and sustainability aspect provide the guidance for using the POSP at industrial scale for cement production.

Influence of Rice Husk Ash and Clay in Stabilization of Silty Soils Using Cement

Directory of Open Access Journals (Sweden)

Widjajakusuma Jack

2017-01-01

Full Text Available Soil stabilization is needed to enhance the strength of the soil. One popular method of soil stabilization is using cement. Due to the environmental issue, it is a need to reduce the application of cement and/or to replace partially the cement with other environmental-friendly compounds. One of these compounds is rice husk ash (RSA, which is agricultural wastes. The objective of this paper is to study the influence of RSA and clay as partial replacement to cement in soil stabilization of silt soil with high plasticity (MH using cement. The cement used was ordinary Portland cement, while the RHA was obtained by burning rice husk at temperature of 250°C. The MH soil is stabilized with 4% cement, 4% cement and 3% rice husk ash and 4% cement, 3 % RHA and 3 % clay. The various tests were conducted on the pure and stabilized soils. Results have indicated that application of 4% cement, 3 % RHA and 3 % clay as silt soil stabilization is more favorable in increasing soil strength and reducing brittle behaviour of soil.

Effect of olive waste (Husk on behavior of cement paste

Directory of Open Access Journals (Sweden)

Sharaf Alkheder

2016-12-01

Full Text Available Jordan is a famous country in terms of olive trees agriculture that resulted in a mass production of olive oil products. The huge amounts of olive waste (husk that resulted from olives processing to produce olive oil represent an environmental challenge in the country. The idea in this paper comes to use olive waste as a partial replacement for Portland cement in cement paste to conserve the environment, reduce cement consumption and increase cost efficiency. The wastes were burned properly in an oven and maintained for 6 h until it was fully transformed into ashes. Then, the oven was turned off and ashes were allowed to cool. After cooling, the material passed sieve #200 were used. The sieved ashes were used in the cement mix as a partial cement replacement for making the mortar and cement paste. Normal consistency and setting time were determined as well as soundness, compressive strength. Results indicated that normal consistency of the cement pastes containing different percentage of olive waste is somehow lower than that of the ordinary cement paste and slightly decreases with increasing the percentage. The results also indicated that the compressive strength of hardened blended cement paste containing different percentages of olive waste slightly decrease with olive waste content at 3, 7, and 28 days.

Sustainable Nanopozzolan Modified Cement: Characterizations and Morphology of Calcium Silicate Hydrate during Hydration

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N. Mohamed Sutan

2015-01-01

Full Text Available There are environmental and sustainable benefits of partially replacing cement with industrial by-products or synthetic materials in cement based products. Since microstructural behaviours of cement based products are the crucial parameters that govern their sustainability and durability, this study investigates the microstructural comparison between two different types of cement replacements as nanopozzolan modified cement (NPMC in cement based product by focusing on the evidence of pozzolanic reactivity in corroboration with physical and mechanical properties. Characterization and morphology techniques using X-ray diffraction (XRD, Fourier transform infrared spectroscopy (FTIR, energy-dispersive X-ray spectroscopy (EDS, and scanning electron microscopy (SEM were carried out to assess the pozzolanic reactivity of cement paste modified with the combination of nano- and micro silica as NPMC in comparison to unmodified cement paste (UCP of 0.5 water to cement ratio (w/c. Results were then substantiated with compressive strength (CS results as mechanical property. Results of this study showed clear evidence of pozzolanicity for all samples with varying reactivity with NPMC being the most reactive.

Evaluation of red mud as pozzolanic material in replacement of cement for production of mortars; Avaliacao da lama vermelha como material pozolanico em substituicao ao cimento para producao de argamassas

Energy Technology Data Exchange (ETDEWEB)

Manfroi, E.P.; Cheriaf, M.; Rocha, J.C., E-mail: elizmanfroi@yahoo.com.b, E-mail: malik@valores.ufsc.b [Universidade Federal de Santa Catarina (UFSC), Florianopolis, SC (Brazil). Dept. de Engenharia Civil

2010-07-01

Red mud is a by-product of the alkaline extraction of aluminum from the bauxite and represents a renewed environmental problem due the significant annual throughput by the plants. In the present work, the pozzolanic properties of Brazilian red mud fired at 600, 700, 800 and 900 deg C were investigated by monitoring lime consumption using DTA analysis and Brazilian standard methodology NBR 5772 (1992). Products and kinetics of hydration were determined in cement pastes produced with 5 and 15% red mud using x-ray diffraction and DTA analysis. Compressive strength and capillary absorption tests were realized on mortars constituted by 5, 10 and 15% red mud in replacement of cement. When calcined at 600 deg C, the red mud develops good pozzolanic properties, and the compressive strength of mortars produced with this waste meet values in accordance with regulatory standard. These results shown than red mud can be used, in partial replacement of cement, as new construction material to produce sustainable mortars with low environmental impact. (author)

Study on the Utilization of Paper Mill Sludge as Partial Cement Replacement in Concrete

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Nazar A.M. Md

2014-03-01

Full Text Available A major problem arising from the widespread use of forestry biomass and processed timber waste as fuel is related to the production of significant quantities of ash as a by-product from the incineration of such biomasses. A major portion (approximately 70% of the wood waste ash produced is land-filled as a common method of disposal. If the current trend continues with waste products, such as paper mill sludge landfills, a large amount of space would be required by 2020. A revenue study was conducted as a result of investigations into the use of paper mill sludge as recycled materials and additives in concrete mixes for use in construction projects. The study had to provide the assurance that the concrete produced had the correct mechanical strength. Concrete mixes containing paper mill sludge were prepared, and their basic strength characteristics such as the compressive strength, flexural strength, ultra pulse velocity and dynamic modulus elasticity were tested. Four concrete mixes, i.e. a control mix, and a 10%, 20%, and 30% mix of paper mill sludge as cement replacement for concrete were prepared with a DoE mix design by calculating the weight of cement, sand and aggregate. The performance of each concrete specimen was compared with the strength of the control mix. As a result, when the percentage of paper mill sludge in the concrete increased, the strength decreased. Overall, a high correlation was observed between density and strength of the concrete containing paper mill sludge.

Normal microscopic architecture of acetabular labrum of hip joint: a qualitative original study with clinical aspects.

Science.gov (United States)

Kapetanakis, Stylianos; Gkantsinikoudis, Nikolaos; Dermon, Antonios; Kommata, Vassiliki; Papathanasiou, Jannis; Soukakos, Panagiotis; Dermon, Caterina

2017-01-01

Normal histologic architecture of acetabular labrum, regarding presence of Free Nerve Endings (FNEs) and Nerve End Organs (NEOs) has been four times described. Nevertheless, elderly cadaveric specimens and individuals were recruited, leading to considerably high unreliability probability due to microscopic degenerative alterations. Aim of this paper is to analyze distribution pattern of FNEs and NEOs in acetabular labra of healthy middle-aged individuals, configuring thus more reliably acetabular labrum microscopic profile. Six patients with middle age 52 ± 2.5 years were enrolled in this study. Injury of acetabular labrum and normal hip radiograph were present in all cases. Patients were all subjected to successful hip hemi-arthroplasty and derived acetabular labra were subsequently histologically processed and observed under a compound microscope. FNEs and NEOs were detected in all specimens. All types of NEOs were identified, including Paccini, Golgi-Mazzoni, Ruffini and Krause corpuscles. FNEs and NEOs were both in ventral part and in chondral side of labrum predominantly detected. FNEs and NEOs presence was greater in ventral side of labrum, being thus in partial agreement with previous studies results. Further study is required, in order to elucidate the exact acetabular labrum normal microscopic anatomy. IV.

Influence of carbonation on the acid neutralization capacity of cements and cement-solidified/stabilized electroplating sludge.

Science.gov (United States)

Chen, Quanyuan; Zhang, Lina; Ke, Yujuan; Hills, Colin; Kang, Yanming

2009-02-01

Portland cement (PC) and blended cements containing pulverized fuel ash (PFA) or granulated blast-furnace slag (GGBS) were used to solidify/stabilize an electroplating sludge in this work. The acid neutralization capacity (ANC) of the hydrated pastes increased in the order of PC > PC/GGBS > PC/PFA. The GGBS or PFA replacement (80 wt%) reduced the ANC of the hydrated pastes by 30-50%. The ANC of the blended cement-solidified electroplating sludge (cement/sludge 1:2) was 20-30% higher than that of the hydrated blended cement pastes. Upon carbonation, there was little difference in the ANC of the three cement pastes, but the presence of electroplating sludge (cement/sludge 1:2) increased the ANC by 20%. Blended cements were more effective binders for immobilization of Ni, Cr and Cu, compared with PC, whereas Zn was encapsulated more effectively in the latter. Accelerated carbonation improved the immobilization of Cr, Cu and Zn, but not Ni. The geochemical code PHREEQC, with the edited database from EQ3/6 and HATCHES, was used to calculate the saturation index and solubility of likely heavy metal precipitates in cement-based solidification/stabilization systems. The release of heavy metals could be related to the disruption of cement matrices and the remarkable variation of solubility of heavy metal precipitates at different pH values.

The AFm phase in Portland cement

International Nuclear Information System (INIS)

Matschei, T.; Lothenbach, B.; Glasser, F.P.

2007-01-01

The AFm phase of Portland cements refers to a family of hydrated calcium aluminates based on the hydrocalumite-like structure of 4CaO.Al 2 O 3 .13-19 H 2 O. However OH - may be replaced by SO 4 2- and CO 3 2- . Except for limited replacement (50 mol%, maximum) of sulfate by hydroxide, these compositions do not form solid solutions and, from the mineralogical standpoint, behave as separate phases. Therefore many hydrated cements will contain mixtures of AFm phases. AFm phases have been made from precursors and experimentally-determined phase relationships are depicted at 25 deg. C. Solubility data are reported and thermodynamic data are derived. The 25 deg. C stability of AFm phases is much affected by the nature of the anion: carbonate stabilises AFm and displaces OH and SO 4 at species activities commonly encountered in cement systems. However in the presence of portlandite, and as carbonate displaces sulfate in AFm, the reaction results in changes in the amount of both portlandite and ettringite: specimen calculations are presented to quantify these changes. The scheme of phase balances enables calculation of the mineralogical balances of a hydrated cement paste with greater accuracy than hitherto practicable

The incorporation of wood waste ash as a partial cement replacement material for making structural grade concrete: An overview

Directory of Open Access Journals (Sweden)

Swaptik Chowdhury

2015-06-01

Full Text Available With increasing industrialization, the industrial byproducts (wastes are being accumulated to a large extent, leading to environmental and economic concerns related to their disposal (land filling. Wood ash is the residue produced from the incineration of wood and its products (chips, saw dust, bark for power generation or other uses. Cement is an energy extensive industrial commodity and leads to the emission of a vast amount of greenhouse gases, forcing researchers to look for an alternative, such as a sustainable building practice. This paper presents an overview of the work and studies done on the incorporation of wood ash as partial replacement of cement in concrete from the year 1991 to 2012. The aspects of wood ash such as its physical, chemical, mineralogical and elemental characteristics as well as the influence of wood ash on properties such as workability, water absorption, compressive strength, flexural rigidity test, split tensile test, bulk density, chloride permeability, freeze thaw and acid resistance of concrete have been discussed in detail.

Characterization of composite materials based on cement-ceramic powder blended binder

Science.gov (United States)

Kulovaná, Tereza; Pavlík, Zbyšek

2016-06-01

Characterization of newly developed composite mortars with incorporated ceramic powder coming from precise brick cutting as partial Portland cement replacement up to 40 mass% is presented in the paper. Fine ceramic powder belongs to the pozzolanic materials. Utilization of pozzolanic materials is accompanied by lower request on energy needed for Portland clinker production which generally results in lower production costs of blended binder and lower CO2 emission. In this paper, the ceramic powder is used in cement based mortar composition in amount of 8, 16, 24, 32, and 40 mass% of cement. Chemical composition of ceramic powder is analyzed by X-Ray Fluorescence and X-Ray Diffraction. The particle size distribution of ceramics is accessed on laser diffraction principle. For 28 days cured mortar samples, basic physical and mechanical properties are experimentally determined. The obtained results demonstrate that ceramic powder has potential to replace a part of Portland cement in composition of cement based composites and to reduce negative environmental impact of their production.

Ultrasound versus Magnetic Resonance Arthrography in Acetabular Labral Tear Diagnostics: A Prospective Comparison in 20 Dysplastic Hips

Energy Technology Data Exchange (ETDEWEB)

Troelsen, A.; Jacobsen, S.; Bolvig, L.; Gelineck, J.; Roemer, L.; Soeballe, K. [Orthopedic Research Unit and Dept. of Radiology, Univ. Hospital of Aarhus, A arhus (Denmark)

2007-11-15

Background: Acetabular labral tears are highly associated with hip dysplasia. Magnetic resonance arthrography (MR arthrography) is the expensive and time-consuming contemporary gold-standard method in the radiological assessment of acetabular labral tears. Purpose: To assess the diagnostic ability of noninvasive ultrasound (US) examination compared to MR arthrography in diagnosing acetabular labral tears in dysplastic hip joints. Material and Methods: The study compared US examination and MR arthrography diagnosis of labral tears in 20 consecutively referred dysplastic hip joints. Results: The ability to diagnose acetabular labral tears upon US examination was calculated: sensitivity 44%, specificity 75%, positive predictive value 88%, and negative predictive value 25%. Conclusion: The ability of US examination in diagnosing acetabular labral tears is not yet good enough. The technique is still to be developed, and more experience, especially with the interpretation of US examinations, is needed.

Arthroscopic treatment of femoral nerve paresthesia caused by an acetabular paralabral cyst.

Science.gov (United States)

Kanauchi, Taira; Suganuma, Jun; Mochizuki, Ryuta; Uchikawa, Shinichi

2014-05-01

This report describes a rare case of femoral nerve paresthesia caused by an acetabular paralabral cyst of the hip joint. A 68-year-old woman presented with a 6-month history of right hip pain and paresthesia along the anterior thigh and radiating down to the anterior aspect of the knee. Radiography showed osteoarthritis with a narrowed joint space in the right hip joint. Magnetic resonance imaging showed a cyst with low T1- and high T2-weighted signal intensity arising from a labral tear at the anterior aspect of the acetabulum. The cyst was connected to the joint space and displaced the femoral nerve to the anteromedial side. The lesion was diagnosed as an acetabular paralabral cyst causing femoral neuropathy. Because the main symptom was femoral nerve paresthesia and the patient desired a less invasive procedure, arthroscopic labral repair was performed to stop synovial fluid flow to the paralabral cyst that was causing the femoral nerve paresthesia. After surgery, the cyst and femoral nerve paresthesia disappeared. At the 18-month follow-up, the patient had no recurrence. There have been several reports of neurovascular compression caused by the cyst around the hip joint. To the authors' knowledge, only 3 cases of acetabular paralabral cysts causing sciatica have been reported. The current patient appears to represent a rare case of an acetabular paralabral cyst causing femoral nerve paresthesia. The authors suggest that arthroscopic labral repair for an acetabular paralabral cyst causing neuropathy can be an option for patients who desire a less invasive procedure. Copyright 2014, SLACK Incorporated.

Properties of Non-Structural Concrete Made with Mixed Recycled Aggregates and Low Cement Content.

Science.gov (United States)

López-Uceda, Antonio; Ayuso, Jesús; López, Martin; Jimenez, José Ramón; Agrela, Francisco; Sierra, María José

2016-01-26

In spite of not being legally accepted in most countries, mixed recycled aggregates (MRA) could be a suitable raw material for concrete manufacturing. The aims of this research were as follows: (i) to analyze the effect of the replacement ratio of natural coarse aggregates with MRA, the amount of ceramic particles in MRA, and the amount of cement, on the mechanical and physical properties of a non-structural concrete made with a low cement content; and (ii) to verify if it is possible to achieve a low-strength concrete that replaces a greater amount of natural aggregate with MRA and that has a low cement content. Two series of concrete mixes were manufactured using 180 and 200 kg/m³ of CEM II/A-V 42.5 R type Portland cement. Each series included seven concrete mixes: one with natural aggregates; two MRA with different ceramic particle contents; and one for each coarse aggregate replacement ratio (20%, 40%, and 100%). To study their properties, compressive and splitting tensile strength, modulus of elasticity, density, porosity, water penetration, and sorptivity, tests were performed. The results confirmed that the main factors affecting the properties analyzed in this research are the amount of cement and the replacement ratio; the two MRAs used in this work presented a similar influence on the properties. A non-structural, low-strength concrete (15 MPa) with an MRA replacement ratio of up to 100% for 200 kg/m³ of cement was obtained. This type of concrete could be applied in the construction of ditches, sidewalks, and other similar civil works.

[Effects of Surgically Treated Pelvic Ring and Acetabular Fractures on Postural Control].

Science.gov (United States)

Lang, P; Schnegelberger, A; Riesner, H-J; Stuby, F; Friemert, B; Palm, H-G

2016-04-01

The aim of surgical treatment of pelvic ring and acetabular fractures is to allow rapid mobilisation of patients in order to restore stance and gait stability (postural control), as this significantly correlates with a positive outcome. The regulation of postural stability is mainly controlled by transmission of proprioceptive stimuli. In addition, the pelvis serves as a connection between the legs and the spine and thus is also of great importance for mechanical stabilisation. It remains unclear whether surgical treatment of pelvic ring and acetabular fractures affects the regulation of postural control. Therefore, the aim of this study was to examine the impact of surgically treated pelvic ring and acetabular fractures on postural stability by means of computerised dynamic posturography (CDP) after a mean of 35 months and to compare the results with a healthy control group. A retrospective case control study of 38 patients with surgically treated pelvic ring and acetabular fractures and 38 healthy volunteers was carried out using CDP. The average time of follow-up was 35 (12-78) months. The most important outcome parameter in this investigation was the overall stability index (OSI). Hip joint mobility, the health-related quality of life (SF-12) and pain were supplementary outcome parameters. It was found that surgically treated pelvic ring and acetabular fractures had no influence on postural stability. The OSI was 2.1 ° in the patient group and 1.9 ° in the control group. There was no significant difference between the groups in hip joint mobility. A total of 52 % of patients showed no or only mild pain. Mean health-related quality of life was the same as in the total population. Surgically treated pelvic ring and acetabular fractures do not lead to deterioration in postural control in the mid term. This is of high prognostic importance for rapid mobilisation of the patients. Therefore no increase in the risk of falling is expected after successfully

Measurement of acetabular morphology under three-dimensional reconstruction of CT and significance

International Nuclear Information System (INIS)

Han Yingying; Yang Qiwei; Lai Ying; Hao Shuang; Ma Hecheng; Xiao Chengshuang; Li Youqiong

2011-01-01

Objective: To measure the acetabular morphology of Chinese on CT three-dimensional (3D) reconstruction image, and provide the evidence on the prevention and treatment of hip disease. Methods: 96 cases (192 sides) of adult hip CT scans were reconstructed, the acetabular index (AA), center-edge (CE), ACE angle, anteversion angle (AVA), abduction angle (ABA), and vertical diameter (SID) were measured. Results: The total acetabular index was (8.78±5.34)°, of which male was (7.84±5.55)° and female was (9.60±5.06)°. The total CE was (33.59±5.91)°, of which male was (34.55±6.03)° and female was (32.78±5.70)°. The total ACE angle was (29.01±5.65)°, of which male was (28.02±5.94)° and female was (29.80±5.30)°. The total AVA was (20.92±5.55)°, of which male was (20.48±5.08)° and female was (21.25±5.89)°. The total ABA was (51.27±4.16)°, of which male was (51.71±4.37)° and female was (50.89±3.96)°. The total SID was (53.79±3.92) mm, of which male was (56.55±2.64) mm and female was (51.46±3.25) mm. Of the above data, there were statistical differences in the acetabular index, CE angle, ACE angle and acetabular diameter between men and women (P<0.05), Chinese and foreigners (P<0.05). While there was no statistical difference between the left and right sides (P>0.05). Conclusion: There are differences in acetabular morphology between men and women, Chinese and foreigners. Compared with simply using overseas data, it is better to study morphological parameters of native acetabula to instruct the preoperative preparation and operation of national total hip arthroplasty surgery. And it is meaningful to design national parameters. (authors)

Normal microscopic architecture of acetabular labrum of hip joint: a qualitative original study with clinical aspects

Science.gov (United States)

Kapetanakis, Stylianos; Gkantsinikoudis, Nikolaos; Dermon, Antonios; Kommata, Vassiliki; Papathanasiou, Jannis; Soukakos, Panagiotis; Dermon, Caterina

2017-01-01

Summary Background Normal histologic architecture of acetabular labrum, regarding presence of Free Nerve Endings (FNEs) and Nerve End Organs (NEOs) has been four times described. Nevertheless, elderly cadaveric specimens and individuals were recruited, leading to considerably high unreliability probability due to microscopic degenerative alterations. Aim of this paper is to analyze distribution pattern of FNEs and NEOs in acetabular labra of healthy middle-aged individuals, configuring thus more reliably acetabular labrum microscopic profile. Materials and methods Six patients with middle age 52 ± 2.5 years were enrolled in this study. Injury of acetabular labrum and normal hip radiograph were present in all cases. Patients were all subjected to successful hip hemi-arthroplasty and derived acetabular labra were subsequently histologically processed and observed under a compound microscope. Results FNEs and NEOs were detected in all specimens. All types of NEOs were identified, including Paccini, Golgi-Mazzoni, Ruffini and Krause corpuscles. FNEs and NEOs were both in ventral part and in chondral side of labrum predominantly detected. Conclusion FNEs and NEOs presence was greater in ventral side of labrum, being thus in partial agreement with previous studies results. Further study is required, in order to elucidate the exact acetabular labrum normal microscopic anatomy. Level of evidence IV. PMID:29264339

Digestive Fistula Due to Acetabular Protrusion: Case Report and Review of the Literature

Directory of Open Access Journals (Sweden)

Carlos Marqués

2017-12-01

Full Text Available Intrapelvic migration of the acetabular component after primary or revision hip arthroplasty is a rare complication. We present a case of an intrapelvic migration of the acetabular component after a revision hip arthroplasty which led to an enteric fistula to the hip joint as well as to a sigmoid colon perforation.

Partial replacement of Portland cement by red ceramic waste in mortars: study of pozzolanic activity; Substituicao parcial do cimento Portland por residuo de ceramica vermelha em argamassas: estudo da atividade pozolonica

Energy Technology Data Exchange (ETDEWEB)

Silva, A.R. da; Cabral, K.C.; Pinto, E.N. de M.G.l., E-mail: kleber.cabral@ufersa.edu.br [Universidade Federal Rural do Semi-Arido (UFERSA), Mossoro, RN (Brazil)

2016-07-01

The objective of this study is to analyze the pozzolanic activity of red ceramic residue on the partial replacement of Portland cement in mortars. The mortars were prepared by substituting 25% of the Portland cement for ground of ceramic residue with water cement’s factor of 0.48. The concrete used to construct the reference mortars and those with addiction was CPII-Z-32 (compound of Portland pozzolana cement). The chemical analysis and physical ceramic waste showed that this meets the requirements of NBR12653 (2014) for use as pozzolanic material. The pozzolanic activity index (IAP) obtained for the ceramic waste to twenty-eight days cure rate was 80.28%. (author)

Stair climbing is more detrimental to the cement in hip replacement than walking

NARCIS (Netherlands)

Stolk, J.; Verdonschot, N.J.J.; Huiskes, H.W.J.

2002-01-01

Stair climbing may be detrimental to cemented total hip arthroplasties, because it subjects the reconstruction to high torsional loads. The current study investigated how stair climbing contributes to damage accumulation in the cement around a femoral stem compared with walking, taking into account

Properties, sustainability and elevated temperature behavior of concrete containing Portland limestone cement

Science.gov (United States)

El-Hawary, Moetaz; Ahmed, Mahmoud

2017-09-01

The utilization of some type of cheap filler as partial cement replacement is an effective way of improving concrete sustainability. With the recent trends to reduce water to cement ratio and improve compaction, there is no enough space or water for complete hydration of cement. This means that actually, a portion of mixed cement acts as expensive filler. Replacing this portion with cheaper filler that requires less energy to produce is, therefore, beneficial. Crushed limestone is the most promising filler. This work is to investigate the effect of the amount of limestone fillers on the sustainability and the fresh and mechanical properties of the resulting concrete. A rich mix is designed with a low water/cement ratio of 0.4. Lime is introduced as a replacement percentage of cement. Ratios of 0, 10, 20 and 30% were used. Slump, compressive strength, specific gravity and water absorption are evaluated for every mix. In addition, the effect of the amount of lime on the residual strength of concrete subjected to elevated temperatures is also investigated. Samples are subjected to six different temperature stations of 20, 100, 200, 300, 500 and 700°C for six hours before being cooled and subsequently tested for compressive strength and specific gravity. Sustainability of the tested mixes is evaluated through reductions in the emitted carbon dioxide, energy and reduction in cost. Based on the annual use of concrete in Kuwait, the sustainability benefits resulting from the use of limestone filler in Kuwait are evaluated and assessed. The paper is concluded with the recommendation of the use of 15% limestone filler as partial cement replacement where the properties and the behavior under high temperature of the resulting concrete are almost the same as those of conventional concrete with considerable cost and sustainability benefits.

Surgical Site Infection Following Fixation of Acetabular Fractures.

Science.gov (United States)

Iqbal, Faizan; Younus, Sajid; Asmatullah; Zia, Osama Bin; Khan, Naveed

2017-09-01

Acetabular fractures are mainly caused by high energy trauma. Surgical fixation of these fractures requires extensive surgical exposure which increases the length of operation and blood loss as well. This may increase the risk of surgical site infection. Our aim is to evaluate the prevalence of surgical site infections and the risk factors associated with it so as to minimize its chances. A total of 261 patients who underwent acetabular fracture surgery were retrospectively reviewed. Patients were divided into 2 groups, with or without surgical site infection. Factors examined include patients' gender, age, body mass index (BMI), time between injury and surgery, operative time, estimated blood loss, number of packed red blood cell transfused, length of total intensive care unit (ICU) stay, fracture type, surgical approach, smoking status, patients' comorbids and associated injuries. Fourteen patients (5.4%) developed surgical site infection. Out of 14 infections, 4 were superficial and 10 were deep. The factors that were found to be associated with surgical site infection following acetabular fracture fixation were prolonged operation time, increased BMI, prolonged ICU stay, larger amount of packed red blood cell transfused and associated genitourinary and abdominal trauma. In our study, we conclude that measures should be undertaken to attenuate the chances of surgical site infection in this major surgery by considering the risk factors significantly associated with it.

Laboratory Investigation on Compressive Strength and Micro-structural Features of Foamed Concrete with Addition of Wood Ash and Silica Fume as a Cement Replacement

Directory of Open Access Journals (Sweden)

Othuman Mydin M.A.

2014-01-01

Full Text Available Wood Ash (WA and Silica Fume (SF exhibit good cementation properties and have great potential as supplementary binder materials for the concrete production industry. This study will focus on enhancing the micro-structural formation and compressive strength of foamed concrete with the addition of WA and SF. A total of 3 mixes were prepared with the addition of WA and SF at various cement replacement levels by total binder weight. For this particular study, the combination of WA (5%, 10%, and 15% by binder weight and SF (5%, 10%, and 15% by binder weight were utilized as supplementary binder materials to produce foamed concrete mixes. As was made evident from micrographs obtained in the study, the improvement observed in the compressive strength of the foamed concrete was due to a significant densification in the microstructure of the cement paste matrix in the presence of WA and SF hybrid supplementary binders. Experimental results indicated that the combination of 15% SF and 5% WA by binder weight had a more substantial influence on the compressive strength of foamed concrete compared to the control mix. Furthermore, the addition of WA and SF significantly prolonged the setting times of the blended cement paste of the foamed concrete.

Surgical Stabilization of Pelvic and Acetabular Fractures: A Review on the Determinants of Clinical Outcomes

Directory of Open Access Journals (Sweden)

SS Sathappan

2010-03-01

Full Text Available AIM: Pelvic and acetabular fractures are associated with high-energy trauma. The aim of this study was to identify factors that are associated with specific clinical outcomes following treatment for these fractures. METHODS: A consecutive series of 30 patients who had surgical intervention for either pelvic or acetabular fractures formed the sample for this study. Clinical variables reviewed were: age, associated injuries, number of surgical procedures, time to surgery and post-operative complications. Clinical outcomes were assessed using Matta’s grading of post- operative fracture reduction alignment, and functional outcomes were graded using D'Aubigne & Postel’s Hip scoring system. RESULTS: Study subjects included twelve pelvic fractures and eighteen acetabular fractures. Patients older than 50 years of age had poorer hip scores despite surgery. Earlier fracture fixation (within five days was associated with better hip scores. Patients with acetabular fractures generally had better functional outcomes than patients with pelvic fractures (mean hip score 15.0 vs. 13.5. Closer anatomical reduction of acetabular fractures was associated with better functional outcome. CONCLUSION: Improved clinical outcomes are associated with younger age, fewer concomitant injuries, shorter time interval to surgery and more closely approximated anatomical fracture reduction.

Facial skeletal augmentation using hydroxyapatite cement.

Science.gov (United States)

Shindo, M L; Costantino, P D; Friedman, C D; Chow, L C

1993-02-01

This study investigates the use of a new calcium phosphate cement, which sets to solid, microporous hydroxyapatite, for facial bone augmentation. In six dogs, the supraorbital ridges were augmented bilaterally with this hydroxyapatite cement. On one side, the hydroxyapatite cement was placed directly onto the bone within a subperiosteal pocket. On the opposite side, the cement was contained within a collagen membrane tubule and then inserted into a subperiosteal pocket. The use of collagen tubules facilitated easy, precise placement of the cement. All implants maintained their original augmented height throughout the duration of the study. They were well tolerated without extrusion or migration, and there was no significant sustained inflammatory response. Histologic studies, performed at 3, 6, and 9 months revealed that when the cement was placed directly onto bone, progressive replacement of the implant by bone (osseointegration of the hydroxyapatite with the underlying bone) without a loss of volume was observed. In contrast, when the cement-collagen tubule combination was inserted, primarily a fibrous union was noted. Despite such fibrous union, the hydroxyapatite-collagen implant solidly bonded to the underlying bone, and no implant resorption was observed. Hydroxyapatite cement can be used successfully for the experimental augmentation of the craniofacial skeleton and may be applicable for such uses in humans.

Dual mobility cup reduces dislocation rate after arthroplasty for femoral neck fracture

Directory of Open Access Journals (Sweden)

Robertsson Otto

2010-08-01

Full Text Available Abstract Background Hip dislocation after arthroplasty for femoral neck fractures remains a serious complication. The aim of our study was to investigate the dislocation rate in acute femoral neck fracture patients operated with a posterior approach with cemented conventional or dual articulation acetabular components. Methods We compared the dislocation rate in 56 consecutive patients operated with conventional (single mobility cemented acetabular components to that in 42 consecutive patients operated with dual articulation acetabular components. All the patients were operated via posterior approach and were followed up to one year postoperatively. Results There were 8 dislocations in the 56 patients having conventional components as compared to no dislocations in those 42 having dual articulation components (p = 0.01. The groups were similar with respect to age and gender distribution. Conclusions We conclude that the use of a cemented dual articulation acetabular component significantly reduces the dislocation rates in femoral neck fracture patients operated via posterior approach.

Assessment of trochanteric osteotomy fragment union after acetabular fracture surgery.

Science.gov (United States)

Dubina, Andrew G; Wickramaratne, Niluka; O'Toole, Robert V; Manson, Theodore T

2017-02-01

Trochanteric osteotomies are performed in conjunction with standard approaches to improve surgical exposure during open reduction and internal fixation (ORIF) of acetabular fractures. The literature on total hip arthroplasty reports nonunion rates as high as 30% associated with trochanteric osteotomies; however, few data exist regarding the outcomes of trochanteric osteotomies for acetabular fracture surgery. Our hypotheses were 1) patients receiving trochanteric osteotomies during ORIF of acetabular fractures have a low rate of nonunion of the osteotomy fragment, and 2) hip abduction precautions are not necessary with digastric type osteotomies. A retrospective review was conducted to identify patients with acetabular fractures between July 2002 and June 2010 (n=734 fractures) who required trochanteric osteotomies (n=64, 9% of fractures). Forty-seven met inclusion criteria of adequate follow-up (>56days). No excluded patient experienced a complication. Fractures were classified using the Letournel-Judet classification system. Only seven (20%) of 35 patients who received digastric osteotomies had hip abduction precautions applied during the postoperative period. All study patients were shown to have radiographic union at the trochanteric osteotomy site (100% union rate, n=47). Hip abduction precautions intended to protect the osteotomy site and reduce the risk of nonunion and fixation failure were infrequently applied to patients with digastric osteotomies (20%) in this cohort. Multiple protective factors against nonunion were present in this study population compared with previous arthroplasty studies from other institutions. Trochanteric osteotomies are not associated with a significant nonunion rate, and digastric osteotomies might be safely managed without hip abduction precautions. Copyright © 2016. Published by Elsevier Ltd.

3.0 T conventional hip MR and hip MR arthrography for the acetabular labral tears confirmed by arthroscopy

Energy Technology Data Exchange (ETDEWEB)

Tian, Chun-Yan [Department of Radiology, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing 100191 (China); Wang, Jian-Quan [Department of Sports Medicine, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing 100191,PR China (China); Zheng, Zhuo-Zhao, E-mail: zzhuozhao@aliyun.com [Department of Radiology, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing 100191 (China); Ren, A.-Hong [Department of Radiology, Beijing Daxing Hospital, 26 West Huangcun Road, Daxing District, Beijing 102600 (China)

2014-10-15

Highlights: • MR is the preferred imaging modality for diagnosing acetabular labral tears. • The diagnostic performance of MR arthrography are superior than conventional hip MR. • The hip MR arthrography is recommended for diagnosing acetabular labral lesions. - Abstract: Objective: To evaluate the value of hip MR for diagnosing acetabular labrum tears, and to further compare the diagnostic performances of conventional MR with MR arthrography in acetabular labrum tears. Methods: 90 patients undergoing both hip MR examination and subsequent hip arthroscopy were retrospectively evaluated. Of these patients, 34 accepted both conventional MR and MR arthrography; while the other 56 only underwent conventional MR examination. All hip MR images were independently reviewed by two radiologists, and further compared with the results of hip arthroscopy. Results: 59 of 90 patients were confirmed with acetabular labral tears by hip arthroscopy and 31 without tears. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of conventional MR for evaluating the acetabular labral tears were 61.0%, 77.4%, 83.7% and 51.1% (radiologist A), and 66.1%, 74.2%, 82.9% and 53.4% (radiologist B), respectively, with good consistency between the two observers (K = 0.645). The sensitivity, specificity, PPV and NPV of MR arthrography for assessing the acetabular labral tears were 90.5%, 84.6%, 90.5% and 84.6% (radiologist A), and 95.2%, 84.6%, 90.9% and 91.7% (radiologist B), respectively, with excellent good consistency between the two observers (K = 0.810). The sensitivity and NPV of MR arthrography for diagnosing the acetabular labral tears were significantly higher than those of conventional MR (both P < 0.05). Conclusion: Hip MR arthrography is a reliable evaluation modality for diagnosing the acetabular labral tears, and its diagnostic performance is superior to that of conventional MR at 3.0 T.

Properties of Non-Structural Concrete Made with Mixed Recycled Aggregates and Low Cement Content

Science.gov (United States)

López-Uceda, Antonio; Ayuso, Jesús; López, Martin; Jimenez, José Ramón; Agrela, Francisco; Sierra, María José

2016-01-01

In spite of not being legally accepted in most countries, mixed recycled aggregates (MRA) could be a suitable raw material for concrete manufacturing. The aims of this research were as follows: (i) to analyze the effect of the replacement ratio of natural coarse aggregates with MRA, the amount of ceramic particles in MRA, and the amount of cement, on the mechanical and physical properties of a non-structural concrete made with a low cement content; and (ii) to verify if it is possible to achieve a low-strength concrete that replaces a greater amount of natural aggregate with MRA and that has a low cement content. Two series of concrete mixes were manufactured using 180 and 200 kg/m3 of CEM II/A-V 42.5 R type Portland cement. Each series included seven concrete mixes: one with natural aggregates; two MRA with different ceramic particle contents; and one for each coarse aggregate replacement ratio (20%, 40%, and 100%). To study their properties, compressive and splitting tensile strength, modulus of elasticity, density, porosity, water penetration, and sorptivity, tests were performed. The results confirmed that the main factors affecting the properties analyzed in this research are the amount of cement and the replacement ratio; the two MRAs used in this work presented a similar influence on the properties. A non-structural, low-strength concrete (15 MPa) with an MRA replacement ratio of up to 100% for 200 kg/m3 of cement was obtained. This type of concrete could be applied in the construction of ditches, sidewalks, and other similar civil works. PMID:28787874

The use of Limestone Powder as an Alternative Cement Replacement

African Journals Online (AJOL)

user

focused on the effects of limestone on the cement ... construction materials in Ethiopia is increasing .... Findings of research works on the strength reveals ... This CEN standard sand is delivered ... control mix made without limestone fines.

Radiological landmarks for the safe extra-capsular placement of supra-acetabular half pins for external fixation.

Science.gov (United States)

Lidder, Surjit; Heidari, Nima; Gänsslen, Axel; Grechenig, Wolfgang

2013-03-01

Low anterior external fixators are constructed by placing half pins in the dense bone tunnel of the supra-acetabular region in an anterior to posterior direction. Although the placement of these pins is extra-articular, they may still breach the hip capsule on the anterior inferior iliac spine and thus be intra-capsular. We aim to provide radiological markers for the most superior fibres of the capsule to allow safe extra-capsular pin placement within the supra-acetabular bone tunnel. Thirteen cadaveric pelves were used for this study. The supra-acetabular bone tunnel was visualised with an image intensifier. The proximal most fibres of the hip joint capsule were marked with a K-wire so that their relation to the bone tunnel could be clearly seen on the images. Once all images were acquired they were calibrated and analysed to estimate the dimensions of the supra-acetabular bone tunnel and the reflection of the hip capsule. The median height of the bone tunnel was 23.6 mm (18.9-33.2) and maximum width was 11.4 mm (7.6-16.3). The inferior margin of the bone tunnel was 6.7 mm (1.1-14.5) superior to the acetabular dome, and the most proximal fibres of the capsule were 9.3 mm (4.7-6.1) superior to the acetabular dome. The inferior portion of the tunnel was 3.7 mm (0.3-8.9) within the joint. Half pins for the construction of a pelvic external fixator should be placed in the upper half of the supra-acetabular bone corridor to minimise the risk of intra-capsular placement.

Endoscopic resection of acetabular screw tip to decompress sciatic nerve following total hip arthroplasty.

Science.gov (United States)

Yoon, Sun-Jung; Park, Myung-Sik; Matsuda, Dean K; Choi, Yun Ho

2018-06-04

Sciatic nerve injuries following total hip arthroplasty are disabling complications. Although degrees of injury are variable from neuropraxia to neurotmesis, mechanical irritation of sciatic nerve might be occurred by protruding hardware. This case shows endoscopic decompression for protruded acetabular screw irritating sciatic nerve, the techniques described herein may permit broader arthroscopic/endoscopic applications for management of complications after reconstructive hip surgery. An 80-year-old man complained of severe pain and paresthesias following acetabular component revision surgery. Physical findings included right buttock pain with radiating pain to lower extremity. Radiographs and computed tomography imaging showed that the sharp end of protruded screw invaded greater sciatic foramen anterior to posterior and distal to proximal direction at sciatic notch level. A protruding tip of the acetabular screw at the sciatic notch was decompressed by use of techniques gained from experience performing endoscopic sciatic nerve decompression. The pre-operative pain and paresthesias resolved post-operatively after recovering from anesthesia. This case report describes the first documented endoscopic resection of the tip of the acetabular screw irritating sciatic nerve after total hip arthroplasty. If endoscopic resection of an offending acetabular screw can be performed in a safe and minimally invasive manner, one can envision a future expansion of the role of hip arthroscopic surgery in several complications management after total hip arthroplasty.

Minimum ten-year follow-up of acetabular fracture fixation from the Irish tertiary referral centre.

LENUS (Irish Health Repository)

Magill, Paul

2012-04-01

Successful outcome from acetabular fracture fixation is multi-factorial. Long-term results are not frequently reported. Pooling such data from high output centres will help progress acetabular fixation. This paper presents the first ten-year data from the Irish tertiary referral centre.

Fine natural aggregate replacement for sandy residue from itabirite exploitation in Portland cement mortar

International Nuclear Information System (INIS)

Melo, V.A.R.; Freire, C.B.; Pereira Junior, S.S.; Lameiras, F.S.; Tello, C.C.O.

2011-01-01

The fine natural aggregates are a material largely used by the civil construction for mortar and concrete production. Due to tightening legal restrictions imposed on their extraction, alternative materials are being considered. The use of sandy residue from BIF (banded iron formations) exploitation was investigated. It requires their grinding and flotation to concentrate iron oxides. Large amounts of sandy residue composed of quartz and iron oxides are generated in this process. The sandy residue was characterized relative to mineralogical composition, particle size distribution, presence of organic impurities, and particle shape. Mortar formulations were prepared by varying the type of cement, the cement to aggregate proportion and the water/cement ratio (a/c). The results of viscosity and density of fresh mortar, setting time, and compressive strength are presented. Compressive strength up to 19.5 MPa at 28 days were achieved with the use of cement CPV, a/c ratio of 0.80 and cement:aggregate proportion of 1:2. The results demonstrate the technical feasibility of using sandy residue as fine aggregate. (author)

Evaluation of sulfate resistance of cement mortars containing black rice husk ash.

Science.gov (United States)

Chatveera, B; Lertwattanaruk, P

2009-03-01

In this paper, black rice husk ashes (BRHAs), which are agrowastes from an electricity generating power plant and a rice mill, were ground and used as a partial cement replacement. The durability of mortars under sulfate attack including expansion and compressive strength loss were investigated. For parametric study, BRHA were used as a Portland cement Type 1 replacement at the levels of 0%, 10%, 30%, and 50% by weight of binder. The water-to-binder ratios were 0.55 and 0.65. For the durability of mortar exposed to sulfate attack, 5% sodium sulfate (Na2SO4) and magnesium sulfate (MgSO4) solutions were used. As a result, when increasing the percentage replacement of BRHA, the expansion and compressive strength loss of mortar decreased. At the replacement levels of 30% and 50% of BRHA, the expansion of the mortars was less than those mixed with sulfate-resistant cement. However, the expansion of the mortars exposed to Na2SO4 was more than those exposed to MgSO4. Increasing the replacement level of BRHA tends to reduce the compressive strength loss of mortars exposed to Na2SO4 attack. In contrary, under MgSO4 attack, when increasing the replacement level of BRHA, the compressive strength loss increases from 0% to 50% in comparison to Portland cement mortar. Results show that ground BRHA can be applied as a pozzolanic material to concrete and also improve resistance to sodium sulfate attack, but it can impair resistance to magnesium sulfate attack.

Preparation, physical-chemical characterisation and cytocompatibility of calcium carbonate cements.

Science.gov (United States)

Combes, C; Miao, Baoji; Bareille, Reine; Rey, Christian

2006-03-01

The feasibility of calcium carbonate cements involving the recrystallisation of metastable calcium carbonate varieties has been demonstrated. Calcium carbonate cement compositions presented in this paper can be prepared straightforwardly by simply mixing water (liquid phase) with two calcium carbonate phases (solid phase) which can be easily obtained by precipitation. An original cement composition was obtained by mixing amorphous calcium carbonate and vaterite with an aqueous medium. The cement set and hardened within 2h at 37 degrees C in an atmosphere saturated with water and the final composition of the cement consisted mostly of aragonite. The hardened cement was microporous and showed poor mechanical properties. Cytotoxicity tests revealed excellent cytocompatibility of calcium carbonate cement compositions. Calcium carbonates with a higher solubility than the apatite formed for most of the marketed calcium phosphate cements might be of interest to increase biomedical cement resorption rates and to favour its replacement by bone tissue.

Acetabular labrum of hip joint in osteoarthritis: A qualitative original study and short review of the literature.

Science.gov (United States)

Kapetanakis, S; Dermon, A; Gkantsinikoudis, N; Kommata, V; Soukakos, P; Dermon, C R

2017-01-01

Histological architecture of normal acetabular labrum regarding free nerve endings (FNEs) and mechanoreceptors (MRs) has been satisfactorily described in the literature. However, the presence of FNEs and MRs in acetabular labrum of hip joint has been analyzed only once in patients with osteoarthritis (OA). Aim of this article is to report histological distribution pattern of FNEs and MRs in acetabular labrum of patients with severe OA, at the same time conducting a comparison with normal acetabular labrum described in the literature. Seven patients with severe hip OA were enrolled in this study. Patient selection was assisted by the utilization of specific clinical scales delineated by the American College of Rheumatology. After successful total hip arthroplasty, tissue samples of acetabular labra of seven patients were histologically processed and stained with the gold standard chloride method, which was subsequently examined under a compound microscope. FNEs and MRs constituted the major histological structures. Identified MRs included Pacini corpuscles, Ruffini corpuscles, and Golgi-Mazzoni corpuscles. The presence of FNEs was predominant in the middle part of the acetabular labrum, featuring a remarkable decrease in peripheral parts. In contrast, MRs were detected basically in peripheral parts and less in the middle part. Differentiation of the distribution pattern of MRs and FNEs in acetabular labrum of hip joint is remarkable between normal patients and patients with severe OA. The abundance of FNEs in the middle part of the pathologic labrum is mainly responsible for the observed discrimination. A "conversion" of MRs to FNEs may occur during OA progression, modulating therefore this pattern as well as the upcoming clinical manifestations.

Percutaneous acetabuloplasty for metastatic acetabular lesions

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Logroscino Giandomenico

2008-05-01

Full Text Available Abstract Background Osteolytic metastases around the acetabulum are frequent in tumour patients, and may cause intense and drug-resistant pain of the hip. These lesions also cause structural weakening of the pelvis, limping, and poor quality of life. Percutaneous acetabuloplasty is a mini-invasive procedure for the management of metastatic lesions due to carcinoma of the acetabulum performed in patients who cannot tolerate major surgery, or in patients towards whom radiotherapy had already proved ineffective. Methods We report a retrospective study in 25 such patients (30 acetabuli who were evaluated before and after percutaneous acetabuloplasty, with regard to pain, mobility of the hip joint, use of analgesics, by means of evaluation forms: Visual Analog Scale, Harris Hip Score, Western Ontario and McMaster Universities Index of Osteoarthritis (WOMAC, Eastern Cooperative Oncology Group (ECOG. The results obtained were analysed using the χ2 Test and Fisher's exact test. Significance was sent at P Results Marked clinical improvement was observed in all patients during the first six post-operative months, with gradual a worsening thereafter from deterioration of their general condition. Complete pain relief was achieved in 15 of our 25 (59% of patients, and pain reduction was achieved in the remaining 10 (41% patients. The mean duration of pain relief was 7.3 months. Pain recurred in three patients (12% between 2 weeks to 3 months. No major complications occurred. There was transient local pain in most cases, and 2 cases of venous injection of cement without clinical consequences. Conclusion Percutaneous acetabuloplasty is effective in improving the quality of life of patients with osteolytic bone tumours, even though the improvement is observed during the first 6 months only. It can be an effective aid to chemo- and radiotherapy in the management of acetabular metastases.

Biochemical and Cellular Assessment of Acetabular Chondral Flaps Identified During Hip Arthroscopy.

Science.gov (United States)

Hariri, Sanaz; Truntzer, Jeremy; Smith, Robert Lane; Safran, Marc R

2015-06-01

To analyze chondral flaps debrided during hip arthroscopy to determine their biochemical and cellular composition. Thirty-one full-thickness acetabular chondral flaps were collected during hip arthroscopy. Biochemical analysis was undertaken in 21 flaps from 20 patients, and cellular viability was determined in 10 flaps from 10 patients. Biochemical analysis included concentrations of (1) DNA (an indicator of chondrocyte content), (2) hydroxyproline (an indicator of collagen content), and (3) glycosaminoglycan (an indicator of chondrocyte biosynthesis). Higher values for these parameters indicated more healthy tissue. The flaps were examined to determine the percentage of viable chondrocytes. The percentage of acetabular chondral flap specimens that had concentrations within 1 SD of the mean values reported in previous normal cartilage studies was 38% for DNA, 0% for glycosaminoglycan, and 43% for hydroxyproline. The average cellular viability of our acetabular chondral flap specimens was 39% (SD, 14%). Only 2 of the 10 specimens had more than half the cells still viable. There was no correlation between (1) the gross examination of the joint or knowledge of the patient's demographic characteristics and symptoms and (2) biochemical properties and cell viability of the flap, with one exception: a degenerative appearance of the surrounding cartilage correlated with a higher hydroxyproline concentration. Although full-thickness acetabular chondral flaps can appear normal grossly, the biochemical properties and percentage of live chondrocytes in full-thickness chondral flaps encountered in hip arthroscopy show that this tissue is not normal. There has been recent interest in repairing chondral flaps encountered during hip arthroscopy. These data suggest that acetabular chondral flaps are not biochemically and cellularly normal. Although these flaps may still be valuable mechanically and/or as a scaffold in some conductive or inductive capacity, further study is

Acetabular prosthesis: Proff of migration with ruler and pencil?

International Nuclear Information System (INIS)

Diederichs, C.G.; Fischer, U.; Vosshenrich, R.

1993-01-01

Conventional X-ray films were made with varying degrees of tilt of a pelvic phantom containing an acetabular prosthesis. The position of the prosthesis was then reconstructed graphically. The measurement errors were calculated and an estimate was made for the tilt. There is a linear correlation between the measurement error and the tilt of the prosthesis. Therefore a tilt dependent maximum error can be calculated. This error is very small for small degrees of tilt, so that acetabular migration can in this instance be evaluated with greater confidence than with other graphical methods. The error also correlates with the determination of the selected region of the acetabulum, but not with the position of the central focus spot or image magnification. (orig.) [de

Mechanical behaviour of a new acryclic radiopaque iodine-containing bone cement

NARCIS (Netherlands)

Hooy-Corstjens, van C.S.J.; Govaert, L.E.; Spoelstra, A.B.; Bulstra, S.K.; Wetzels, G.M.R.; Koole, L.H.

2004-01-01

In total hip replacement, fixation of a prosthesis is in most cases obtained by the application of methacrylic bone cements. Most of the commercially available bone cements contain barium sulphate or zirconium dioxide as radiopacifier. As is shown in the literature, the presence of these inorganic

The contemporary cement cycle of the United States

Science.gov (United States)

Kapur, A.; Van Oss, H. G.; Keoleian, G.; Kesler, S.E.; Kendall, A.

2009-01-01

A country-level stock and flow model for cement, an important construction material, was developed based on a material flow analysis framework. Using this model, the contemporary cement cycle of the United States was constructed by analyzing production, import, and export data for different stages of the cement cycle. The United States currently supplies approximately 80% of its cement consumption through domestic production and the rest is imported. The average annual net addition of in-use new cement stock over the period 2000-2004 was approximately 83 million metric tons and amounts to 2.3 tons per capita of concrete. Nonfuel carbon dioxide emissions (42 million metric tons per year) from the calcination phase of cement manufacture account for 62% of the total 68 million tons per year of cement production residues. The end-of-life cement discards are estimated to be 33 million metric tons per year, of which between 30% and 80% is recycled. A significant portion of the infrastructure in the United States is reaching the end of its useful life and will need to be replaced or rehabilitated; this could require far more cement than might be expected from economic forecasts of demand for cement. ?? 2009 Springer Japan.

Environmental and energy assessment of the use of Andesite in cement

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Hamidi Moussa

2018-01-01

Full Text Available The present study is a contribution to the research of new sources of supply of additions and raw materials in order to valorize local materials in the manufacture of cement. It consists in checking the environmental validity of the industrial use of andesite by evaluating the energy consumption of manufacturing andesitic cement. This evaluation was made on CEMI 52.5R type cement mortars whose basic constituent is clinker, with substitution rates of raw and calcined andesitic rock at 800 °C varying from 0-40%. and this through mechanical performance tests at several deadlines (2 days, 7 days, 28 days and 90 days. The results show that the analysis of the influence on the environment of this addition, in its raw state or calcined at 800 ° C, made it possible to say that globally the impact of andesite on the matrices seems positive to long term. The replacement of the cement by andesite systematically induces a reduction in the energy required to produce one ton of binder, due to the lower energy demand for grinding than that required for the thermal treatment of the clinker. Overall, the energy cost of andesite cement (in kWh per MPa compressive strength is lower than that of ordinary cement for low rates of clinker replacement and obtaining cements with moderate strengths.

Utilization of Iron Ore Tailings as Raw Material for Portland Cement Clinker Production

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Li Luo

2016-01-01

Full Text Available The cement industry has for some time been seeking alternative raw material for the Portland cement clinker production. The aim of this research was to investigate the possibility of utilizing iron ore tailings (IOT to replace clay as alumina-silicate raw material for the production of Portland cement clinker. For this purpose, two kinds of clinkers were prepared: one was prepared by IOT; the other was prepared by clay as a reference. The reactivity and burnability of raw meal, mineralogical composition and physical properties of clinker, and hydration characteristic of cement were studied by burnability analysis, differential thermal analysis, X-ray diffraction, and hydration analysis. The results showed that the raw meal containing IOT had higher reactivity and burnability than the raw meal containing clay, and the use of IOT did not affect the formation of characteristic mineralogical phases of Portland cement clinker. Furthermore, the physical and mechanical performance of two cement clinkers were similar. In addition, the use of IOT was found to improve the grindability of clinker and lower the hydration heat of Portland cement. These findings suggest that IOT can replace the clay as alumina-silicate raw material for the preparation of Portland cement clinker.

Evaluation of the strength and radiopacity of Portland cement with varying additions of bismuth oxide.

Science.gov (United States)

Saliba, E; Abbassi-Ghadi, S; Vowles, R; Camilleri, J; Hooper, S; Camilleri, J

2009-04-01

To study the effect of addition of various proportions of bismuth oxide on compressive strength and radiopacity of Portland cement. The compressive strength of white Portland cement and cement replaced with 10, 15, 20, 25 and 30% bismuth oxide was evaluated by testing cylinders 6 mm in diameter and 12 mm high. Twelve cylinders were tested for each material under study. The radiopacity of the cements tested was evaluated using an aluminium step-wedge and densitometer. The optical density was compared with the relevant thickness of aluminium (Al). Statistical analysis was performed using Analysis of Variance (ANOVA) with P = 0.05 and Tukey test to perform multiple comparison tests. Various additions of bismuth oxide had no significant effect on the strength of the material when compared with the unmodified Portland cement (P > 0.05). The radiopacity of the cements tested ranged from 2.02 mm Al for Portland cement to 9.79 mm Al for the highest bismuth replacement. Addition of bismuth oxide did not affect the compressive strength of Portland cement. All the bismuth oxide cement mixtures had radio-opacities higher than 3 mm thickness of aluminium.

Properies of binder systems containing cement, fly ash, and limestone powder

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Krittiya Kaewmanee

2014-10-01

Full Text Available Fly ash and limestone powder are two major widely available cement replacing materials in Thailand. However, the current utilization of these materials is still not optimized due to limited information on properties of multi-binder systems. This paper reports on the mechanical and durability properties of mixtures containing cement, fly ash, and limestone powder as single, binary, and ternary binder systems. The results showed that a single binder system consisting of only cement gave the best carbonation resistance. A binary binder system with fly ash exhibited superior performances in long-term compressive strength and many durability properties except carbonation and magnesium sulfate resistances, while early compressive strength of a binary binder system with limestone powder was excellent. The ternary binder system, taking the most benefit of selective cement replacing materials, yielded, though not the best, satisfactory performances in almost all properties. Thus, the optimization of binders can be achieved through a multi-binder system.

Structural degradation of acrylic bone cements due to in vivo and simulated aging.

Science.gov (United States)

Hughes, Kerry F; Ries, Michael D; Pruitt, Lisa A

2003-05-01

Acrylic bone cement is the primary load-bearing material used for the attachment of orthopedic devices to adjoining bone. Degradation of acrylic-based cements in vivo results in a loss of structural integrity of the bone-cement-prosthesis interface and limits the longevity of cemented orthopedic implants. The purpose of this study is to investigate the effect of in vivo aging on the structure of the acrylic bone cement and to develop an in vitro artificial aging protocol that mimics the observed degradation. Three sets of retrievals are examined in this study: Palacos brand cement retrieved from hip replacements, and Simplex brand cement retrieved from both hip and knee replacement surgeries. In vitro aging is performed using oxidative and acidic environments on three acrylic-based cements: Palacos, Simplex, and CORE. Gel permeation chromatography (GPC) and Fourier transform infrared spectroscopy (FTIR) are used to examine the evolution of molecular weight and chemical species within the acrylic cements due to both in vivo and simulated aging. GPC analysis indicates that molecular weight is degraded in the hip retrievals but not in the knee retrievals. Artificial aging in an oxidative environment best reproduces this degradation mechanism. FTIR analysis indicates that there exists a chemical evolution within the cement due to in vivo and in vitro aging. These findings are consistent with scission-based degradation schemes in the cement. Based on the results of this study, a pathway for structural degradation of acrylic bone cement is proposed. The findings from this investigation have broad applicability to acrylic-based cements and may provide guidance for the development of new bone cements that resist degradation in the body. Copyright 2003 Wiley Periodicals, Inc.

Total hip replacement with a superolateral bone graft for osteoarthritis secondary to dysplasia: a long-term follow-up

NARCIS (Netherlands)

de Jong, P. T.; Haverkamp, D.; van der Vis, H. M.; Marti, R. K.

2006-01-01

We evaluated the long-term results of 116 total hip replacements with a superolateral shelfplasty in 102 patients with osteoarthritis secondary to developmental dysplasia of the hip. After a mean follow-up of 19.5 years (11.5 to 26.0), 14 acetabular components (12%) had been revised. The cumulative

Tantalum acetabular augments in one-stage exchange of infected total hip arthroplasty: a case-control study.

Science.gov (United States)

Klatte, Till Orla; Kendoff, Daniel; Sabihi, Reza; Kamath, Atul F; Rueger, Johannes M; Gehrke, Thorsten

2014-07-01

During the one-stage exchange procedure for periprosthetic joint infection (PJI) after total hip arthroplasty (THA), acetabular defects challenge reconstructive options. Porous tantalum augments are an established tool for addressing acetabular destruction in aseptic cases, but their utility in septic exchange is unknown. This retrospective case-control study presents the initial results of tantalum augmentation during one-stage exchange for PJI. Primary endpoints were rates of re-infection and short-term complications associated with this technique. Study patients had no higher risk of re-infection with equivalent durability at early follow-up with a re-infection rate in both groups of 4%. In conclusion, tantalum augments are a viable option for addressing acetabular defects in one-stage exchange for septic THA. Further study is necessary to assess long-term durability when compared to traditional techniques for acetabular reconstruction. Copyright © 2014 Elsevier Inc. All rights reserved.

Suitability of Polyvinyl Waste Powder as Partial Replacement for ...

African Journals Online (AJOL)

B Up to 50% by weight of cement was replaced with PWP at interval of 10%. The parameters investigated are: the chemical composition of polyvinyl waste powder (PWP) and the setting times of cement-polyvinyl paste. Also investigated in concrete containing polyvinyl powder were: workability, density, compressive strength ...

Calcium Orthophosphate Cements and Concretes

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Sergey V. Dorozhkin

2009-03-01

Full Text Available In early 1980s, researchers discovered self-setting calcium orthophosphate cements, which are a bioactive and biodegradable grafting material in the form of a powder and a liquid. Both phases form after mixing a viscous paste that after being implanted, sets and hardens within the body as either a non-stoichiometric calcium deficient hydroxyapatite (CDHA or brushite, sometimes blended with unreacted particles and other phases. As both CDHA and brushite are remarkably biocompartible and bioresorbable (therefore, in vivo they can be replaced with newly forming bone, calcium orthophosphate cements represent a good correction technique for non-weight-bearing bone fractures or defects and appear to be very promising materials for bone grafting applications. Besides, these cements possess an excellent osteoconductivity, molding capabilities and easy manipulation. Furthermore, reinforced cement formulations are available, which in a certain sense might be described as calcium orthophosphate concretes. The concepts established by calcium orthophosphate cement pioneers in the early 1980s were used as a platform to initiate a new generation of bone substitute materials for commercialization. Since then, advances have been made in the composition, performance and manufacturing; several beneficial formulations have already been introduced as a result. Many other compositions are in experimental stages. In this review, an insight into calcium orthophosphate cements and concretes, as excellent biomaterials suitable for both dental and bone grafting application, has been provided.

Investigation of a Gas-Solid Separation Process for Cement Raw Meal

DEFF Research Database (Denmark)

Maarup, Claus; Hjuler, Klaus; Clement, Karsten

2015-01-01

The gas/solid heat exchanger (2D-HX), developed to replace the cyclone preheaters in cement plants is presented. This design aims at reducing construction height and operation costs. The separation process in the 2D-HX is experimentally investigated, and the results show that separation efficienc......The gas/solid heat exchanger (2D-HX), developed to replace the cyclone preheaters in cement plants is presented. This design aims at reducing construction height and operation costs. The separation process in the 2D-HX is experimentally investigated, and the results show that separation...

Results of Austin Moore replacement.

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Jadhav A

1996-04-01

Full Text Available Forty cases of Austin Moore Replacement done for transcervical fractures of the femur in patients were reviewed after a period of 12 to 48 months postoperatively (mean 26 mth. 30 cases (75% had mild to severe pain of non-infective origin, starting as early as 6 months postoperatively. This was irrespective of the make, size or position (varus/valgus of the prosthesis. Though the Aufranc and Sweet clinical scoring was satisfactory in 65% cases, radiological evidence of complications like sinking, protrusion, etc. were seen in majority of the cases. Calcar resorption was seen in 34 cases (85% as early as 4 months postoperatively. Results of THR and bipolar replacement done for transcervical fractures in recent literature show 85% pain-free cases at 5 years. We feel that Austin Moore Replacement should be reserved for patients more than 65 years of age and those who are less active or debilitated because of other factors, because of increased acetabular wear with time in the younger individual. This is corroborated by unsatisfactory results in patients less than 65 years of age (p < 0.05.

Does Increased Coefficient of Friction of Highly Porous Metal Increase Initial Stability at the Acetabular Interface?

Science.gov (United States)

Goldman, Ashton H; Armstrong, Lucas C; Owen, John R; Wayne, Jennifer S; Jiranek, William A

2016-03-01

Highly porous metal acetabular components illustrate a decreased rate of aseptic loosening in short-term follow-up compared with previous registry data. This study compared the effect of component surface roughness at the bone-implant interface and the quality of the bone on initial pressfit stability. The null hypothesis is that a standard porous coated acetabular cup would show no difference in initial stability as compared with a highly porous acetabular cup when subjected to a bending moment. Second, would bone mineral density (BMD) be a significant variable under these test conditions. In a cadaveric model, acetabular cup micromotion was measured during a 1-time cantilever bending moment applied to 2 generations of pressfit acetabular components. BMD data were also obtained from the femoral necks available for associated specimen. The mean bending moment at 150 μm was not found to be significantly different for Gription (24.6 ± 14.0 N m) cups vs Porocoat (25 ± 10.2 N m; P > .84). The peak bending moment tolerated by Gription cups (33.9 ± 20.3 N m) was not found to be significantly different from Porocoat (33.5 ± 12.2 N m; P > .92). No correlation between BMD and bending moment at 150 μm of displacement could be identified. The coefficient of friction provided by highly porous metal acetabular shells used in this study did not provide better resistance to migration under bending load when compared with a standard porous coated component. Copyright © 2016 Elsevier Inc. All rights reserved.

BIOMECHANICAL JUSTIFICATION OF THE THREADED ELEMENT’S FORM OF THE TOTAL HIP ENDOPROSTHESIS’ ACETABULAR COMPONENT

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PANCHENKO S. P.

2017-03-01

Full Text Available Abstract. Formulation of the problem. Total hip replacement (THR remains to be responsible for the markable clinical achievements of contemporal orthopaedic surgery [1; 2; 4]. It should be noted, that numerous efforts to create an “ideal” uncemented hip endoprosthesis’ construction were failed, but led into wide diversity of implants. Such a diversity allowes to individualize implant type selection and to improve implant’s survival and total THR’s clinical outcomes [1; 4]. Outcomes mentioned above determine successful application of total hip replacement as a treatment method. Consequently, development of new and improvement of existing hip endoprosthesis’ constructions seems to be of current interest for contemporal orthopaedic surgery. Purpose. To determine optimal parametres of threaded element’s geometry of total hip endoprosthesis’ threaded acetabular component. Conclusion. There were revealed that threaded element model with right-angled triangle transverse section shape seems to be the most effective considering hardness, while the triangle is leaned on the bone massive with its cathetus. At the same time, results of calculations represent pelvic bone stress-strain state during THR quantitavely and stipulate further research.

Posterosuperior Placement of a Standard-Sized Cup at the True Acetabulum in Acetabular Reconstruction of Developmental Dysplasia of the Hip With High Dislocation.

Science.gov (United States)

Xu, Jiawei; Xu, Chen; Mao, Yuanqing; Zhang, Jincheng; Li, Huiwu; Zhu, Zhenan

2016-06-01

We sought to evaluate posterosuperior placement of the acetabular component at the true acetabulum during acetabular reconstruction in patients with Crowe type-IV developmental dysplasia of the hip. Using pelvic computed tomography and image processing, we developed a two-dimensional mapping technique to demonstrate the distribution of preoperative three-dimensional cup coverage at the true acetabulum, determined the postoperative location of the acetabular cup, and calculated postoperative three-dimensional coverage for 16 Crowe type-IV dysplastic hips in 14 patients with a mean age of 52 years (33-78 years) who underwent total hip arthroplasty. Mean follow-up was 6.3 years (5.5-7.3 years). On preoperative mapping, the maximum three-dimensional coverage using a 44-mm cup was 87.31% (77.36%-98.14%). Mapping enabled the successful replacement of 16 hips using a mean cup size of 44.13 mm (42-46 mm) with posterosuperior placement of the cup. Early weight-bearing and no prosthesis revision or loosening during follow-up were achieved in all patients. The postoperative two-dimensional coverage on anteroposterior radiographs and three-dimensional coverage were 96.15% (89.49%-100%) and 83.42% (71.81%-98.50%), respectively. This technique may improve long-term implant survival in patients with Crowe-IV developmental dysplasia of the hip undergoing total hip arthroplasty by allowing the use of durable bearings, increasing host bone coverage, ensuring initial stability, and restoring the normal hip center. Copyright © 2015 Elsevier Inc. All rights reserved.

Acetabular stress fractures in military endurance athletes and recruits: incidence and MRI and scintigraphic findings

International Nuclear Information System (INIS)

Williams, T.R.; Puckett, M.L.; Shin, A.Y.; Gorman, J.D.; Denison, G.

2002-01-01

Objective: To evaluate the incidence and the MRI and scintigraphic appearance of acetabular stress (fatigue) fractures in military endurance athletes and recruits. Design and patients: One hundred and seventy-eight active duty military endurance trainees with a history of activity-related hip pain were evaluated by both MRI and bone scan over a 2-year period. Patients in the study ranged in age from 17 to 45 years. They had hip pain related to activity and had plain radiographs of the hip and pelvis that were interpreted as normal or equivocal. The study was originally designed to evaluate the MRI and scintigraphic appearance of femoral neck stress fractures. Patients had scintigraphy and a limited MRI examination (coronal imaging only) within 48 h of the bone scan. Twelve patients demonstrated imaging findings compatible with acetabular stress fractures. Results: Stress fractures are common in endurance athletes and in military populations; however, stress fracture of the acetabulum is uncommon. Twelve of 178 patients (6.7%) in our study had imaging findings consistent with acetabular stress fractures. Two patterns were identified. Seven of the 12 (58%) patients had acetabular roof stress fractures. In this group, two cases of bilateral acetabular roof stress fractures were identified, one with a synchronous tensile sided femoral neck stress fracture. The remaining five of 12 (42%) patients had anterior column stress fractures, rarely occurring in isolation, and almost always occurring with inferior pubic ramus stress fracture (4 of 5, or 80%). One case of bilateral anterior column stress fractures was identified without additional sites of injury. Conclusions: Stress fractures are commonplace in military populations, especially endurance trainees. Acetabular stress fractures are rare and therefore unrecognized, but do occur and may be a cause for activity-related hip pain in a small percentage of military endurance athletes and recruits. (orig.)

The influence of cyclic loading on gentamicin release from acrylic bone cements

NARCIS (Netherlands)

Hendriks, JGE; Neut, D; Hazenberg, JG; Verkerke, GJ; van Horn, [No Value; van der Mei, HC; Busscher, HJ

Antibiotic-loaded acrylic bone cement is widely used in total joint replacement to reduce infections. Walking results in cyclic loading, which has been suggested to stimulate antibiotic release. The goal of this study is to compare antibiotic release from cyclically loaded bone cement with the

Press fit shape femoral heads for acetabular reconstruction - 5 to 8 years results

International Nuclear Information System (INIS)

Obenous, C.; Girtler, R.; Schwoger, W.; Winkler, H.

1999-01-01

Filling of acetabular defects with allograft bone is a favourable method in revision-THR provided that primary stability and load bearing capability can be achieved. Since 1990 we perform structural allografting in the acetabular area using a special technique. Defects are prepared with hemispherical reamers (male) in order to obtain a smooth concave surface. Deep-frozen femoral heads are then prepared using female shapers of a diameter 0-4mm larger, thus obtaining a convex surface fitting precisely into the prepared bed. In ideal cases a press-fit can be obtained granting primary stability without additional implants, otherwise we secure the grafts against rotation with one or two traction screws in loading-direction. Implantation of the cup is performed like in primary THR, care is taken to place the implant exactly at the anatomically correct position. Weight bearing is performed as soon as after primary THR; due to the technique loads are distributed evenly over the entire contact area to host bone, pressing the graft firmly into its bed. From 1990 to 1993 this method has been used in 179 cases. 104 cases could be followed between 60 and 95 months (average 71,5 months). Mean age at operation was 66,5 years (39-87 vears). Defects were classified according to Gross as cavitary in 15, minor column in 50 and major column in 39 cases. 85x the cup has been cemented, 19x cementless. One uncemented and 7 cemented cups loosened, all within the first 2 years. 6 meanwhile have been revised a second time. Those usually were cases, where the cup was placed in a non-anatomical position and / or the graft was not secured against rotatory forces. In 17 cases we observed slight condensation of the grafts with consequent migration of the implants. Migration usually did not exceed 5mm and no other signs of implant loosening have been associated. Radiographs indicated a unifon-n pattern of rapid graft-incorporation. Remodelling seemed to be completed after the second year, from

Utilization of waste glass in ECO-cement: Strength properties and microstructural observations

International Nuclear Information System (INIS)

Sobolev, Konstantin; Tuerker, Pelin; Soboleva, Svetlana; Iscioglu, Gunsel

2007-01-01

Waste glass creates a serious environmental problem, mainly because of the inconsistency of the waste glass streams. The use of waste glass as a finely ground mineral additive (FGMA) in cement is a promising direction for recycling. Based on the method of mechano-chemical activation, a new group of ECO-cements was developed. In ECO-cement, relatively large amounts (up to 70%) of portland cement clinker can be replaced with waste glass. This report examines the effect of waste glass on the microstructure and strength of ECO-cement based materials. Scanning electron microscopy (SEM) investigations were used to observe the changes in the cement hydrates and interface between the cement matrix and waste glass particles. According to the research results, the developed ECO-cement with 50% of waste glass possessed compressive strength properties at a level similar to normal portland cement

Influence of fly ash fineness on water requirement and shrinkage of blended cement mortars

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Vanissorn Vimonsatit

2015-12-01

Full Text Available In this paper, the influence of fly ash fineness on water requirement and shrinkage of blended cement mortar was studied. The results indicate that the water requirement and shrinkage characteristic of the blended cement mortar are dependent on fly ash fineness and replacement level. The use of coarse fly ash slightly reduces the water requirement but greatly reduced the drying and the autogenous shrinkage of the blended cement mortars and the reduction is more with an increase in the fly ash replacement level. The finer fly ashes further reduce the water requirement, but increase the drying and the autogenous shrinkages as compared with coarser fly ash. The incorporation of superplasticizer drastically reduces the water requirement, but the effect on the drying and autogenous shrinkages of the normal Portland cement mortar is small. However, for the fly ash mortar, the use of superplasticizer results in a decrease in drying shrinkage and in a substantial increase in the autogenous shrinkage particularly for the fine fly ash at a high replacement level.

Increased Mortality in Elderly Patients with Sarcopenia and Acetabular Fractures.

Science.gov (United States)

Deren, Matthew E; Babu, Jacob; Cohen, Eric M; Machan, Jason; Born, Christopher T; Hayda, Roman

2017-02-01

Sarcopenia is a condition of clinically relevant loss of muscle mass and function. Acetabular fractures in elderly patients are common and difficult to treat. This study aimed to determine if sarcopenia is common in elderly patients with acetabular fractures and correlates with lower-energy mechanisms of injury, higher rates of complications, and higher mortality than patients with normal muscle mass. The Rhode Island Hospital Trauma Database was queried for patients who were ≥60 years of age from 2005 to 2014 using the International Classification of Diseases, Ninth Revision, code for closed acetabular fracture, 808.0. Charts were retrospectively reviewed for demographic data, operative intervention, mechanism of injury, mortality, comorbidities, and other factors. Computed tomography (CT) was used to determine the muscle cross-sectional area and to calculate the skeletal muscle index. The database revealed 192 patients coded for acetabular fracture; of these, 181 were correctly diagnosed. Ninety-nine patients had recorded body mass index (BMI) and adequate CT scans to measure the skeletal muscle index. Forty-two patients (42.4%) had sarcopenia, and 57 patients (57.6%) did not have sarcopenia. There were no significant differences in demographic characteristics between the groups with the exception of BMI and sex. BMI was higher in patients who did not have sarcopenia (31.7 kg/m) than it was in patients with sarcopenia (23.6 kg/m) (p sarcopenia at 76.2% (32 of 42 patients) than in patients without sarcopenia at 50.9% (29 of 57 patients). Fractures in patients without sarcopenia were associated with a higher-energy mechanism of injury in 78.9% of cases compared with 52.4% of cases of patients with sarcopenia (p = 0.005). Sarcopenia was significantly associated (p = 0.0419) with increased 1-year mortality (28.6%) compared with the absence of sarcopenia (12.3%). This association was even stronger if in-hospital mortality was excluded (p = 0.00074). Finally

Probabilistic analysis of the influence of the bonding degree of the stem-cement interface in the performance of cemented hip prostheses.

Science.gov (United States)

Pérez, M A; Grasa, J; García-Aznar, J M; Bea, J A; Doblaré, M

2006-01-01

The long-term behavior of the stem-cement interface is one of the most frequent topics of discussion in the design of cemented total hip replacements, especially with regards to the process of damage accumulation in the cement layer. This effect is analyzed here comparing two different situations of the interface: completely bonded and debonded with friction. This comparative analysis is performed using a probabilistic computational approach that considers the variability and uncertainty of determinant factors that directly compromise the damage accumulation in the cement mantle. This stochastic technique is based on the combination of probabilistic finite elements (PFEM) and a cumulative damage approach known as B-model. Three random variables were considered: muscle and joint contact forces at the hip (both for walking and stair climbing), cement damage and fatigue properties of the cement. The results predicted that the regions with higher failure probability in the bulk cement are completely different depending on the stem-cement interface characteristics. In a bonded interface, critical sites appeared at the distal and medial parts of the cement, while for debonded interfaces, the critical regions were found distally and proximally. In bonded interfaces, the failure probability was higher than in debonded ones. The same conclusion may be established for stair climbing in comparison with walking activity.

Acetabular fractures following rugby tackles: a case series

LENUS (Irish Health Repository)

Good, Daniel W

2011-10-05

Abstract Introduction Rugby is the third most popular team contact sport in the world and is increasing in popularity. In 1995, rugby in Europe turned professional, and with this has come an increased rate of injury. Case presentation In a six-month period from July to December, two open reduction and internal fixations of acetabular fractures were performed in young Caucasian men (16 and 24 years old) who sustained their injuries after rugby tackles. Both of these cases are described as well as the biomechanical factors contributing to the fracture and the recovery. Acetabular fractures of the hip during sport are rare occurrences. Conclusion Our recent experience of two cases over a six-month period creates concern that these high-energy injuries may become more frequent as rugby continues to adopt advanced training regimens. Protective equipment is unlikely to reduce the forces imparted across the hip joint; however, limiting \\'the tackle\\' to only two players may well reduce the likelihood of this life-altering injury.

21 CFR 888.3330 - Hip joint metal/metal semi-constrained, with an uncemented acetabular component, prosthesis.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Hip joint metal/metal semi-constrained, with an... Devices § 888.3330 Hip joint metal/metal semi-constrained, with an uncemented acetabular component, prosthesis. (a) Identification. A hip joint metal/metal semi-constrained, with an uncemented acetabular...

Performance of Periwinkle Shell Ash Blended Cement Concrete Exposed to Magnesium Sulphate

Directory of Open Access Journals (Sweden)

Umoh A.A.

2013-01-01

Full Text Available The study examined the compressive strength of periwinkle shell ash (PSA blended cement concrete in magnesium sulphate medium. Specimens were prepared from designed characteristics strength of 25 MPa. The cement replacement with PSA ranged between 0 and 40% by volume. A total of 180 cube specimens were cast and cured in water. At 28 days curing, 45 specimens each were transferred into magnesium sulphate of 1%, 3%, and 5% solution, while others were continuously cured in water and tested at 62, 92, and 152 days. The results revealed a higher loss in compressive strength with the control mix, and that it increases with increased in MgSO4 concentration and exposure period, whereas, the attack on the PSA blended cement concrete was less and the least value recorded by 10% PSA content. Therefore, the study concluded that the optimum percentage replacement of cement with 10% PSA could mitigate magnesium sulphate attack.

Mechanical properties of cement concrete composites containing nano-metakaolin

Science.gov (United States)

Supit, Steve Wilben Macquarie; Rumbayan, Rilya; Ticoalu, Adriana

2017-11-01

The use of nano materials in building construction has been recognized because of its high specific surface area, very small particle sizes and more amorphous nature of particles. These characteristics lead to increase the mechanical properties and durability of cement concrete composites. Metakaolin is one of the supplementary cementitious materials that has been used to replace cement in concrete. Therefore, it is interesting to investigate the effectiveness of metakaolin (in nano scale) in improving the mechanical properties including compressive strength, tensile strength and flexural strength of cement concretes. In this experiment, metakaolin was pulverized by using High Energy Milling before adding to the concrete mixes. The pozzolan Portland cement was replaced with 5% and 10% nano-metakaolin (by wt.). The result shows that the optimum amount of nano-metakaolin in cement concrete mixes is 10% (by wt.). The improvement in compressive strength is approximately 123% at 3 days, 85% at 7 days and 53% at 28 days, respectively. The tensile and flexural strength results also showed the influence of adding 10% nano-metakaolin (NK-10) in improving the properties of cement concrete (NK-0). Furthermore, the Backscattered Electron images and X-Ray Diffraction analysis were evaluated to support the above findings. The results analysis confirm the pores modification due to nano-metakaolin addition, the consumption of calcium hydroxide (CH) and the formation of Calcium Silicate Hydrate (CSH) gel as one of the beneficial effects of amorphous nano-metakaolin in improving the mechanical properties and densification of microstructure of mortar and concrete.

Cranial acetabular retroversion is common in developmental dysplasia of the hip as assessed by the weight bearing position

DEFF Research Database (Denmark)

Troelsen, Anders; Mikkelsen, Lone Rømer; Jacobsen, Steffen

2010-01-01

The appearance of acetabular version differs between the supine and weight bearing positions in developmental dysplasia of the hip. Weight bearing radiographic evaluation has been recommended to ensure the best coherence between symptoms, functional appearance, and hip deformities. Previous...... prevalence estimates of acetabular retroversion in dysplastic hips have been established in radiographs recorded with the patient supine and with inclusion only if pelvic tilt met standardized criteria. We assessed the prevalence and the extent of acetabular retroversion in dysplastic hip joints in weight...

21 CFR 888.3110 - Ankle joint metal/polymer semi-constrained cemented prosthesis.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Ankle joint metal/polymer semi-constrained... Ankle joint metal/polymer semi-constrained cemented prosthesis. (a) Identification. An ankle joint metal/polymer semi-constrained cemented prosthesis is a device intended to be implanted to replace an ankle...

A Pilot Study of Augmented Reality Technology Applied to the Acetabular Cup Placement During Total Hip Arthroplasty.

Science.gov (United States)

Ogawa, Hiroyuki; Hasegawa, Seiichirou; Tsukada, Sachiyuki; Matsubara, Masaaki

2018-06-01

We developed an acetabular cup placement device, the AR-HIP system, using augmented reality (AR). The AR-HIP system allows the surgeon to view an acetabular cup image superimposed in the surgical field through a smartphone. The smartphone also shows the placement angle of the acetabular cup. This preliminary study was performed to assess the accuracy of the AR-HIP system for acetabular cup placement during total hip arthroplasty (THA). We prospectively measured the placement angles using both a goniometer and AR-HIP system in 56 hips of 54 patients undergoing primary THA. We randomly determined the order of intraoperative measurement using the 2 devices. At 3 months after THA, the placement angle of the acetabular cup was measured on computed tomography images. The primary outcome was the absolute value of the difference between intraoperative and postoperative computed tomography measurements. The measurement angle using AR-HIP was significantly more accurate in terms of radiographic anteversion than that using a goniometer (2.7° vs 6.8°, respectively; mean difference 4.1°; 95% confidence interval, 3.0-5.2; P < .0001). There was no statistically significant difference in terms of radiographic inclination (2.1° vs 2.6°; mean difference 0.5°; 95% confidence interval, -1.1 to 0.1; P = .13). In this pilot study, the AR-HIP system provided more accurate information regarding acetabular cup placement angle than the conventional method. Further studies are required to confirm the utility of the AR-HIP system as a navigation tool. Copyright © 2018 Elsevier Inc. All rights reserved.

Viability of Eggshells Ash Affecting the Setting Time of Cement

OpenAIRE

Fazeera Ujin; Kamran Shavarebi Ali; Zarina Yasmin Hanur Harith

2016-01-01

This research paper reports on the feasibility and viability of eggshells ash and its effects on the water content and setting time of cement. An experiment was carried out to determine the quantity of water required in order to follow standard cement paste of normal consistency in accordance with MS EN 196-3:2007. The eggshells ash passing the 90µm sieve was used in the investigation. Eggshells ash with percentage of 0%, 0.1%, 0.5%, 1.0%, 1.5% and 2.0% were constituted to replace the cement....

An unusual mode of failure of a tripolar constrained acetabular liner: a case report.

LENUS (Irish Health Repository)

Banks, Louisa N

2012-02-01

Dislocation after primary total hip arthroplasty (THA) is the most commonly encountered complication and is unpleasant for both the patient and the surgeon. Constrained acetabular components can be used to treat or prevent instability after primary total hip arthroplasty. We present the case of a 42-year-old female with a BMI of 41. At 18 months post-primary THA the patient underwent further revision hip surgery after numerous (more than 20) dislocations. She had a tripolar Trident acetabular cup (Stryker-Howmedica-Osteonics, Rutherford, New Jersey) inserted. Shortly afterwards the unusual mode of failure of the constrained acetabular liner was noted from radiographs in that the inner liner had dissociated from the outer. The reinforcing ring remained intact and in place. We believe that the patient\\'s weight, combined with poor abductor musculature caused excessive demand on the device leading to failure at this interface when the patient flexed forward. Constrained acetabular components are useful implants to treat instability but have been shown to have up to 42% long-term failure rates with problems such as dissociated inserts, dissociated constraining rings and dissociated femoral rings being sited. Sometimes they may be the only option left in difficult cases such as illustrated here, but still unfortunately have the capacity to fail in unusual ways.

An unusual mode of failure of a tripolar constrained acetabular liner: a case report.

Science.gov (United States)

Banks, Louisa N; McElwain, John P

2010-04-01

Dislocation after primary total hip arthroplasty (THA) is the most commonly encountered complication and is unpleasant for both the patient and the surgeon. Constrained acetabular components can be used to treat or prevent instability after primary total hip arthroplasty. We present the case of a 42-year-old female with a BMI of 41. At 18 months post-primary THA the patient underwent further revision hip surgery after numerous (more than 20) dislocations. She had a tripolar Trident acetabular cup (Stryker-Howmedica-Osteonics, Rutherford, New Jersey) inserted. Shortly afterwards the unusual mode of failure of the constrained acetabular liner was noted from radiographs in that the inner liner had dissociated from the outer. The reinforcing ring remained intact and in place. We believe that the patient's weight, combined with poor abductor musculature caused excessive demand on the device leading to failure at this interface when the patient flexed forward. Constrained acetabular components are useful implants to treat instability but have been shown to have up to 42% long-term failure rates with problems such as dissociated inserts, dissociated constraining rings and dissociated femoral rings being sited. Sometimes they may be the only option left in difficult cases such as illustrated here, but still unfortunately have the capacity to fail in unusual ways.

Radiographic pseudochondrocalcinosis in early failure of a cemented total knee replacement

NARCIS (Netherlands)

Kloen, P.; Burke, D. W.; Chew, F. S.; Mildrum, R.

1998-01-01

We observed a case of early-onset osteolysis in a cemented total knee arthroplasty. Preoperative radiographs suggested numerous radiopaque particles covering the polyethylene insert. Findings at the time of revision confirmed the presence of small radiopaque polymethylmethacrylate particles on the

Change in Acetabular Cup Orientation From Supine to Standing Position and Its Effect on Wear of Highly Crosslinked Polyethylene.

Science.gov (United States)

Teeter, Matthew G; Goyal, Prateek; Yuan, Xunhua; Howard, James L; Lanting, Brent A

2018-01-01

The purpose of this study is to measure acetabular cup position and wear of the highly crosslinked polyethylene liner in the supine and standing position for patients at a minimum of 10 years after the operation. A total of 38 patients were recruited at a mean of 12.5 years after the operation. All patients received a single acetabular cup design with a highly crosslinked liner and a 28-mm cobalt-chromium femoral head. Patients underwent supine and standing radiostereometric examinations in which the X-ray sources and detectors were positioned to obtain an anterior-posterior and cross-table lateral radiograph. Acetabular cup position and the three-dimensional wear rate were measured from the radiographs, and outcome scores were recorded for each patient. Anteversion significantly increased (P cup orientation and wear rate in either position. Highly crosslinked polyethylene is a forgiving bearing material. Although adherence to the traditional acetabular position target zone is recommended, ensuring hip stability and consideration of the patient's functional position are also important objectives to consider for the acetabular position. Copyright © 2017 Elsevier Inc. All rights reserved.

Ultrasound-guided supra-acetabular pin placement in pelvic external fixation: description of a surgical technique and results.

Science.gov (United States)

Chana-Rodríguez, Francisco; Cuervas-Mons, Manuel; Rojo-Manaute, José; Mora, Félix; Arnal, Juan; Vaquero-Martín, Javier

2017-11-01

Pelvic fracture in trauma patients can lead to hemodynamic instability. External fixation is a treatment capable of stabilizing these injuries in the context of damage control surgery. Supra-acetabular pin offers the greater biomechanical stability but requires the use of intraoperative fluoroscopy. The aim of this study was to analyze our results for an ultrasound-guided supra-acetabular pinning. Cross-sectional study with cadaveric specimens. Ultrasound-guided pin placement assessed by fluoroscopy and dissection. Fourteen ultrasound-guided supra-acetabular pins were placed in seven cadaveric specimens. Excellent placement in all cases, evaluated with radiological control. Good qualitative bone fixation after dissection. One femoral cutaneous nerve was not found during anatomic dissection and was assumed injured. Ultrasound-guided supra-acetabular pin placement is a feasible and effective technique. Our study indicates that pin placement without intraoperative fluoroscopy is feasible without compromising the reliability of its placement. © 2017 Elsevier Ltd. All rights reserved.

Acetabular retroversion as a rare cause of chronic hip pain: recognition of the ''figure-eight'' sign

Energy Technology Data Exchange (ETDEWEB)

Banks, Kevin P. [Brooke Army Medical Center, Department of Radiology, Fort Sam Houston, TX (United States); Grayson, David E. [Wilford Hall Medical Center, Department of Radiology, Lackland Air Force Base, TX (United States)

2007-06-15

While well-recognized in the orthopedic literature as a cause of chronic hip pain, acetabular retroversion has not been specifically described in the radiologic literature. Acetabular retroversion represents a particular form of hip dysplasia characterized by abnormal posterolateral orientation of the acetabulum. This pathophysiology predisposes the individual to subsequent anterior impingement of the femoral neck upon the anterior acetabular margin and fibrous labrum. Without treatment, cases may progress to damage of the anterior labrum and cartilage, with eventual early onset of osteoarthritic disease. This impinging condition has been described as occurring in isolation or as part of a complex dysplasia. We describe two cases of acetabular retroversion diagnosed by conventional radiographic evaluation of the pelvis, one in isolation and one occurring in the setting of a larger congenital syndrome. These cases illustrate the utility of the ''figure-eight'' sign in identifying abnormalities of acetabular version and thus assisting clinicians in properly identifying these individuals so that appropriate therapy may be instituted. (orig.)

Physical and Mechanical Properties of Composites Made with Aluminous Cement and Basalt Fibers Developed for High Temperature Application

Directory of Open Access Journals (Sweden)

Pavel Reiterman

2015-01-01

Full Text Available Present paper deals with the experimental study of the composition of refractory fiber-reinforced aluminous cement based composites and its response to gradual thermal loading. Basalt fibers were applied in doses of 0.25, 0.5, 1.0, 2.0, and 4.0% in volume. Simultaneously, binder system based on the aluminous cement was modified by fine ground ceramic powder originated from the accurate ceramic blocks production. Ceramic powder was dosed as partial replacement of used cement of 5, 10, 15, 20, and 25%. Influence of composition changes was evaluated by the results of physical and mechanical testing; compressive strength, flexural strength, bulk density, and fracture energy were determined on the different levels of temperature loading. Increased dose of basalt fibers allows reaching expected higher values of fracture energy, but with respect to results of compressive and flexural strength determination as an optimal rate of basalt fibers dose was considered 0.25% in volume. Fine ground ceramic powder application led to extensive increase of residual mechanical parameters just up to replacement of 10%. Higher replacement of aluminous cement reduced final values of bulk density but kept mechanical properties on the level of mixtures without aluminous cement replacement.

Monitoring the quality of total hip replacement in a tertiary care department using a cumulative summation statistical method (CUSUM).

Science.gov (United States)

Biau, D J; Meziane, M; Bhumbra, R S; Dumaine, V; Babinet, A; Anract, P

2011-09-01

The purpose of this study was to define immediate post-operative 'quality' in total hip replacements and to study prospectively the occurrence of failure based on these definitions of quality. The evaluation and assessment of failure were based on ten radiological and clinical criteria. The cumulative summation (CUSUM) test was used to study 200 procedures over a one-year period. Technical criteria defined failure in 17 cases (8.5%), those related to the femoral component in nine (4.5%), the acetabular component in 32 (16%) and those relating to discharge from hospital in five (2.5%). Overall, the procedure was considered to have failed in 57 of the 200 total hip replacements (28.5%). The use of a new design of acetabular component was associated with more failures. For the CUSUM test, the level of adequate performance was set at a rate of failure of 20% and the level of inadequate performance set at a failure rate of 40%; no alarm was raised by the test, indicating that there was no evidence of inadequate performance. The use of a continuous monitoring statistical method is useful to ensure that the quality of total hip replacement is maintained, especially as newer implants are introduced.

Femoral anteversion is correlated with acetabular version and coverage in Asian women with anterior and global deficient subgroups of hip dysplasia: a CT study

International Nuclear Information System (INIS)

Akiyama, Mio; Nakashima, Yasuharu; Fujii, Masanori; Sato, Taishi; Yamamoto, Takuaki; Mawatari, Taro; Motomura, Goro; Matsuda, Shuichi; Iwamoto, Yukihide

2012-01-01

Morphological correlation between the acetabulum and femur at the hip joint is still controversial. We tested the hypothesis that femoral anteversion correlates with acetabular version and coverage in patients with developmental dysplasia of the hip (DDH). Using pelvic computed tomography (CT) images of 79 hips in 49 Asian women with DDH and 49 normal hips, we measured femoral anteversion, the axial and vertical acetabular version and the acetabular sector angle (ASA) to demarcate femoral head coverage. Depending on the location of the acetabular bone defect, dysplastic hips were divided into three subgroups: the anterior, global and posterior deficiency groups. We performed a comparative analysis between dysplastic and normal hips using the Wilcoxon rank sum test, and a relative analysis between femoral anteversion and acetabular measurements in dysplastic hips using Pearson's correlation coefficient. The amount of femoral anteversion in dysplastic hips was greater and more variable than in normal hips (p < 0.0001, p = 0.0277 respectively). Femoral anteversion in dysplastic hips correlated significantly with acetabular anteversion in the groups with anterior and global deficiency subgroups (p < 0.05, r = 0.2990, p < 0.05, r = 0.451 respectively), but not with the posterior deficiency subgroup. Femoral anteversion also correlated with vertical acetabular version. When acetabular coverage was examined, significant correlations were noted between femoral anteversion and anterior and superior coverage, but not with posterior coverage. These correlations were not observed in normal hips. Our results showed significantly greater and more variable femoral anteversion in DDH, and a significant correlation between femoral anteversion and acetabular version and coverage in DDH with anterior and global acetabular bone deficiency. (orig.)

Femoral anteversion is correlated with acetabular version and coverage in Asian women with anterior and global deficient subgroups of hip dysplasia: a CT study

Energy Technology Data Exchange (ETDEWEB)

Akiyama, Mio; Nakashima, Yasuharu; Fujii, Masanori; Sato, Taishi; Yamamoto, Takuaki; Mawatari, Taro; Motomura, Goro; Matsuda, Shuichi; Iwamoto, Yukihide [Kyushu University, Department of Orthopaedic Surgery, Graduate School of Medical Sciences, 3-1-1 Maidashi, Higashi-ku, Fukuoka (Japan)

2012-11-15

Morphological correlation between the acetabulum and femur at the hip joint is still controversial. We tested the hypothesis that femoral anteversion correlates with acetabular version and coverage in patients with developmental dysplasia of the hip (DDH). Using pelvic computed tomography (CT) images of 79 hips in 49 Asian women with DDH and 49 normal hips, we measured femoral anteversion, the axial and vertical acetabular version and the acetabular sector angle (ASA) to demarcate femoral head coverage. Depending on the location of the acetabular bone defect, dysplastic hips were divided into three subgroups: the anterior, global and posterior deficiency groups. We performed a comparative analysis between dysplastic and normal hips using the Wilcoxon rank sum test, and a relative analysis between femoral anteversion and acetabular measurements in dysplastic hips using Pearson's correlation coefficient. The amount of femoral anteversion in dysplastic hips was greater and more variable than in normal hips (p < 0.0001, p = 0.0277 respectively). Femoral anteversion in dysplastic hips correlated significantly with acetabular anteversion in the groups with anterior and global deficiency subgroups (p < 0.05, r = 0.2990, p < 0.05, r = 0.451 respectively), but not with the posterior deficiency subgroup. Femoral anteversion also correlated with vertical acetabular version. When acetabular coverage was examined, significant correlations were noted between femoral anteversion and anterior and superior coverage, but not with posterior coverage. These correlations were not observed in normal hips. Our results showed significantly greater and more variable femoral anteversion in DDH, and a significant correlation between femoral anteversion and acetabular version and coverage in DDH with anterior and global acetabular bone deficiency. (orig.)

Influence of various amount of diatomaceous earth used as cement substitute on mechanical properties of cement paste

Science.gov (United States)

Pokorný, Jaroslav; Pavlíková, Milena; Medved, Igor; Pavlík, Zbyšek; Zahálková, Jana; Rovnaníková, Pavla; Černý, Robert

2016-06-01

Active silica containing materials in the sub-micrometer size range are commonly used for modification of strength parameters and durability of cement based composites. In addition, these materials also assist to accelerate cement hydration. In this paper, two types of diatomaceous earths are used as partial cement replacement in composition of cement paste mixtures. For raw binders, basic physical and chemical properties are studied. The chemical composition of tested materials is determined using classical chemical analysis combined with XRD method that allowed assessment of SiO2 amorphous phase content. For all tested mixtures, initial and final setting times are measured. Basic physical and mechanical properties are measured on hardened paste samples cured 28 days in water. Here, bulk density, matrix density, total open porosity, compressive and flexural strength, are measured. Relationship between compressive strength and total open porosity is studied using several empirical models. The obtained results give evidence of high pozzolanic activity of tested diatomite earths. Their application leads to the increase of both initial and final setting times, decrease of compressive strength, and increase of flexural strength.

Determinación del desgaste del componente acetabular en prótesis totales de cadera. // Wear determination of acetabular component in total hip prosthesis.

Directory of Open Access Journals (Sweden)

G. García del Pino

2002-01-01

Full Text Available En este trabajo se realiza un estudio a través del Método de los Elementos Finitos “MEF” sobre el desgaste del componenteacetabular durante el ciclo de marcha y considerando algunos casos extremos de cargas como subir y bajar escaleras,levantarse de una silla, etc. Utilizando el MEF fueron modelados independientemente los componentes acetabular yfemoral de la prótesis total de cadera y puestos en contacto posteriormente. Fueron estudiadas varias posiciones delacetábulo así como diferentes casos de carga simulando pacientes con diferente peso corporal y actividades físicas. Paraevaluar los resultados se crearon rutinas en lenguaje C que organizaron los mismos para un tratamiento estadísticoposterior.Palabras claves: biomecánica, ortopedia, elementos finitos, modelación, desgaste, prótesis de cadera.___________________________________________________________________________Abstract.A wear study of acetabular component during the marching cycle, considering some extreme loads cases as: ascend anddescend stairways, get up from a seat, etc , by means of Finite Elements Method ( FEM , is carried out. The acetabular andfemoral component of the total hip prosthesis were independently modeled and placed in contact lastly. Several acetabulpositions were studied as well as different load cases, simulating patients with different body weight and different physicalactivities. To evaluate the results routines in C language were created in order to organized the same ones for a laterstatistical treatment.Key words. biomechanics, ortophedy, finite elements, modelation, wear, hip bone prosthesis.

Cementing Material From Rice Husk-Broken Bricks-Spent Bleaching Earth-Dried Calcium Carbide Residue

Directory of Open Access Journals (Sweden)

Muthengia Jackson Washira

2012-10-01

Full Text Available A cementious material, coded CSBR (Carbide residue Spent bleaching earth Broken bricks and Rice husks, was made from dried calcium carbide residue (DCCR and an incinerated mix of rice husks (RH, broken bricks (BB and spent bleaching earth (SBE. Another material, coded SBR (Spent bleaching earth Broken bricks and Rice husk ash, was made from mixing separately incinerated RH, SBE and ground BB in the same ash ratio as in CSBR. When CSBR was inter-ground with Ordinary Portland Cement (OPC, it showed a continued decrease in Ca(OH2 in the hydrating cement as a function of curing time and replacement levels of the cement. Up to 45 % replacement of the OPC by CSBR produced a Portland pozzolana cement (PPC material that passed the relevant Kenyan Standard. Incorporation of the CSBR in OPC reduces the resultant calcium hydroxide from hydrating Portland cement. The use of the waste materials in production of cementitious material would rid the environment of wastes and lead to production of low cost cementitious material.

Prophylactic post-operative radiotherapy prevents heterotopic ossification following traumatic acetabular fracture

International Nuclear Information System (INIS)

Meyer, Joseph T.; Hixson, William C.; Jennelle, Richard L. S.; Alonso, Jorge E.; Raben, David; Spencer, Sharon S.; Kim, Robert Y.

1996-01-01

Purpose/Objective: To determine the effect of post-operative radiation on the incidence of heterotopic ossification following traumatic acetabular fracture. Materials and Methods: A retrospective analysis was performed of the medical records and radiographs of all patients who received prophylactic radiotherapy to prevent heterotopic ossification. These results were compared to a similar group of patients receiving no prophylactic radiotherapy following traumatic acetabular fracture. Between 1987 and 1994, sixty-six patients received prophylactic radiotherapy to prevent heterotopic ossification. Results: Thirty-six patients (55%) received radiotherapy following operative repair of a traumatic acetabular fracture (median follow-up: 210 days). Three dose schedules were utilized: (28(36)) (77.8%) received 700 cGy/1 fx, (2(36)) (5.5%) 800 cGy/1 fx, and (6(36)) (16.7%) 1000 cGy/5 fxs. These patients were retrospectively compared with thirty-four patients who received similar operative management of traumatic acetabular fractures without post-operative radiotherapy (median follow-up: 378 days). Of the patients with heterotopic ossification, 96% developed it within 180 days. Complications and delayed wound healing rates were not significantly different in patients treated with or without post-operative radiotherapy, 6.4% and 6.3% respectively (p=0.49). The incidence of heterotopic ossification at last follow-up in patients treated with and without post-operative radiotherapy was (5(36)) (13.9%) and (19(34)) (55.9%), respectively (p=0.000332). For all patients, type of surgical approach was associated with development of heterotopic ossification: posterior, (7(38)) (18.4%), ilio-inguinal (1(3)) (33.3%), tri-radiate (13(19)) (68.4%), p=.000511. In patients receiving post-operative radiotherapy, variables associated with heterotopic ossification included dose (p=.00962), injury-to-radiation interval (p=.0038), and surgery-to-radiation interval (p=.0238). Fifty percent ((3

Cohesive Soil Stabilized Using Sewage Sludge Ash/Cement and Nano Aluminum Oxide

Directory of Open Access Journals (Sweden)

Huan-Lin Luo

2012-03-01

Full Text Available In order to improve soft soil strength, a mixture of incinerated sewage sludge ash (SSA and cement was applied as a soil stabilizer. The intended mix ratio for SSA and cement was 3:1. A-6 clay was selected as the untreated soil. In this study, 15% of clay soil was replaced by SSA/cement to produce the treated soil specimens. Then, four different volumes, namely 0, 1, 2, and 3%, of nano-Al2O3 were mixed with the treated soil as an additive. Tests such as compaction, pH values, Atterberg limits, unconfined compressive strength (UCS, swell potential, California bearing ratio (CBR, and permeability were performed. The results indicate that both UCSs and CBR values of untreated soil were greatly improved by the use of 15% SSA/cement. Moreover, a 1% addition of nano-Al2O3 enhanced the treated soil in terms of both UCS and CBR values. Furthermore, the swell potential was effectively reduced by the use of 15% SSA/cement as compared with untreated soil and the 1% nano-Al2O3 additive fraction offered the best performance. From this study, we conclude that 15% of SSA/cement replacement could effectively stabilize A-6 clay soil, and 1% of nano-Al2O3 additive may be the optimum amount to add to the soil.

MR-arthrography of the acetabular labrum - radiologic-pathologic correlation in 20 cadaveric hip joints; MR-Arthrographie des Labrum acetabulare - Radiologisch-anatomische Korrelation an 20 Leichenhueften

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Brossmann, J.; Steffens, J.C.; Heller, M. [Kiel Univ. (Germany). Klinik fuer Diagnostische Radiologie; Ploetz, G.M.J.; Hassenpflug, J. [Kiel Univ. (Germany). Klinik fuer Orthopadie

1999-08-01

Purpose: To investigate frequency of acetabular labral lesions in elderly hip joints, and to determine sensitivity and specificity of MR arthrography (MRa) for the detection of these abnormalities. Materials and Methods: Twenty cadaveric hip joints were examined by MRa. For MRa, 15 ml of a solution of iodinated contrast solution (Solutrast 300) and Gd-DTPA (100:1) were injected under fluoroscopic guidance. MR imaging was performed on a 1.5 TM scanner (Vision, Siemens; FOV 16 cm, matrix 256x256, fat-suppressed 3D-FLASH). Multiplanar image reconstructions were done perpendicular to the acetabulum in the oblique-coronal, oblique-axial, and radial planes. The labral specimens were examined macroscopically. Results: In 12/20 hips (60%), a labral lesion was found on pathologic examination. In 7 specimens, the labrum was partially or completely detached in the weight-bearing superior region. One flap-like variant of the labrum was seen; in 4 hip joints, the labrum was degenerated (one cystic degeneration). Pathologic findings were confirmed by MRa in 8/12 specimens (sensitivity 67%). All degenerated labra were correctly diagnosed on MRa. Three small labral detachments and the flap-like variant were misinterpreted as being normal. There were no false positive findings (specificity 100%). The accuracy was 80%. Labral lesions were seen in 6/8 and in 6/12 of hips with and without osteoarthritis, respectively. Conclusion: MRa is well suited to delineate the acetabular labrum and to diagnose labral abnormalities. Detection of small labral detachments and anatomic variants is difficult and requires some experience. Labral lesions are correlated to osteoarthritis of the hip, but may be frequently seen in the elderly without underlying osteoarthritis. (orig.) [German] Ziel: Feststellung der Haeufigkeit von Laesionen des Labrum acetabulare bei aelteren Hueftgelenkspraeparaten und Untersuchung der Sensitivitaet und Spezifitaet der MR-Arthrographie (MRa) fuer die Darstellung dieser

Acetabular fractures following rugby tackles: a case series

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Morris Seamus

2011-10-01

Full Text Available Abstract Introduction Rugby is the third most popular team contact sport in the world and is increasing in popularity. In 1995, rugby in Europe turned professional, and with this has come an increased rate of injury. Case presentation In a six-month period from July to December, two open reduction and internal fixations of acetabular fractures were performed in young Caucasian men (16 and 24 years old who sustained their injuries after rugby tackles. Both of these cases are described as well as the biomechanical factors contributing to the fracture and the recovery. Acetabular fractures of the hip during sport are rare occurrences. Conclusion Our recent experience of two cases over a six-month period creates concern that these high-energy injuries may become more frequent as rugby continues to adopt advanced training regimens. Protective equipment is unlikely to reduce the forces imparted across the hip joint; however, limiting 'the tackle' to only two players may well reduce the likelihood of this life-altering injury.

Thermophysical properties of blends from Portland and sulfoaluminate-belite cements

International Nuclear Information System (INIS)

Mojumdar, S.C.; Janotka, I.

2002-01-01

The behavior of mortars with blends consisting of sulfoaluminate-belite cements and ordinary Portland cement made with cement to sand ratio of 1:3 by weight and w/c = 0.5 maintained for 90 days at 20 0 C either at 60% relative humidity - dry air or 100% relative humidity - wet air. The results show insufficient character of hydraulic activity of sulfoaluminate-belite cements. Their quality has been improved. The replacement of 15 wt % of sulfoaluminate-belite cement by ordinary Portland cement influences strength positively and elasticity modulus values as well as hydrated phases and pore structure development of sulfoaluminate-belite/ordinary Portland cement blends relative to pure sulfoaluminate-belite cement systems. The above statements confirm the possible making technologies, when improvements in sulfoaluminate-belite cements quality will be achieved. One would then anticipate the competition in usages between sulfoaluminate-belite/ordinary Portland cement and blast furnace-slag Portland cement systems in the practice. It is important to consider because sulfoaluminate-belite cements are of great advantage from the viewpoint of energy savings and quantity of CO 2 released during their production. Thermal characteristics of the samples were studied by thermogravimetry and differential thermal analysis from room temperature to 1000 0 C in air atmosphere. Generally, four significant temperature regions on thermogravimetry curves with the respective differential thermal analysis peak temperature for all types of samples are observed (Authors)

Sodium Sulphate Effect on Cement Produced with Building Stone Waste

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Emre Sancak

2015-01-01

Full Text Available In this study, the blended cements produced by using the building stone waste were exposed to sulphate solution and the cement properties were examined. Prepared mortar specimens were cured under water for 28 days and then they were exposed to three different proportions of sodium sulphate solution for 125 days. Performances of cements were determined by means of compressive strength and tensile strength tests. The broken parts of some mortar bars were examined with scanning electron microscope (SEM. Besides, they were left under moist atmosphere and their length change was measured and continuously monitored for period of 125 days. In blended cements, solely cements obtained by replacing 10–20% of diatomites gave similar strength values with ordinary Portland cement (CEM I 42.5R at the ages of 7, 28, and 56 days. In all mortar specimens that included either waste andesite (AP or marble powder (MP showed best performance against very severe effective sodium sulphate solutions (13500 mg/L.

CEMENT SLURRIES FOR GEOTHERMAL WELLS CEMENTING

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Nediljka Gaurina-Međimurec

1994-12-01

Full Text Available During a well cementing special place belongs to the cement slurry design. To ensure the best quality of cementing, a thorough understanding of well parameters is essential, as well as behaviour of cement slurry (especially at high temperatures and application of proven cementing techniques. Many cement jobs fail because of bad job planning. Well cementing without regarding what should be accomplished, can lead to well problems (channels in the cement, unwanted water, gas or fluid production, pipe corrosion and expensive well repairs. Cementing temperature conditions are important because bot-tomhole circulating temperatures affect slurry thickening time, arheology, set time and compressive strength development. Knowing the actual temperature which cement encounters during placement allows the selection of proper cementing materials for a specific application. Slurry design is affected by well depth, bottom hole circulating temperature and static temperature, type or drilling fluid, slurry density, pumping time, quality of mix water, fluid loss control, flow regime, settling and free water, quality of cement, dry or liquid additives, strength development, and quality of the lab cement testing and equipment. Most Portland cements and Class J cement have shown suitable performances in geot-hermal wells. Cement system designs for geothermal wells differ from those for conventional high temperature oil and gas wells in the exclusive use of silica flour instead of silica sand, and the avoidance of fly ash as an extender. In this paper, Portland cement behaviour at high temperatures is described. Cement slurry and set cement properties are also described. Published in literature, the composition of cement slurries which were tested in geothermal conditions and which obtained required compressive strength and water permeability are listed. As a case of our practice geothermal wells Velika Ciglena-1 and Velika Ciglena-la are described.

Evaluation of Medial Acetabular Wall Bone Stock in Patients with Developmental Dysplasia of the Hip Using a Helical Computed Tomography Multiplanar Reconstruction Technique

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Rui Yu Liu; Kun Zheng Wang; Chun Sheng Wang; Xiao Qian Dang; Zhi Qin Tong (Second Hospital Affiliated to the Medical College of Xi' an Jiaotong Univ., Xi' an Shaanxi (China))

2009-08-15

Background: The technique of medialization has been used to reconstruct acetabula at the level of true acetabula in total hip arthroplasty (THA) in patients with developmental dysplasia of the hip (DDH). Appreciation of the bone stock in the medial acetabular wall is significant for making an optimal acetabular reconstruction plan and avoiding complications. Purpose: To evaluate the bone stock of the medial acetabular wall and its relation to the degree of subluxation in patients with DDH using computed tomography (CT). Material and Methods: Helical CT scans of 27 hips were obtained from 21 patients with osteoarthritis secondary to DDH who were scheduled for total hip arthroplasty. Eleven hips belonged to Crowe class I, while 16 hips belonged to Crowe class II/III. The raw CT data were reprocessed in various planes by scrolling multiplanar reformation (MPR). Acetabular opening, depth, and medial bone stock, as indicated by the minimum thickness of the medial acetabular wall, were measured in the transverse reformed MPR plane. Results: The minimum thicknesses of the medial acetabular wall in Crowe-I and Crowe-II/III hips were 3.8+-2.1 mm and 7.1+-3.1 mm, respectively, with statistically significant differences between the groups (P<0.05). Furthermore, the bone stock in the medial acetabular wall correlated with the degree of subluxation (R=0.69) and the acetabular depth (R= ;- ;0.71). Conclusion: There was significantly more bone stock in the medial acetabular wall in patients with higher-degree subluxation than there was in the less-severe class. This difference should be taken into consideration when reconstructing acetabula in THA in patients with DDH using the technique of medialization

Evaluation of Medial Acetabular Wall Bone Stock in Patients with Developmental Dysplasia of the Hip Using a Helical Computed Tomography Multiplanar Reconstruction Technique

International Nuclear Information System (INIS)

Rui Yu Liu; Kun Zheng Wang; Chun Sheng Wang; Xiao Qian Dang; Zhi Qin Tong

2009-01-01

Background: The technique of medialization has been used to reconstruct acetabula at the level of true acetabula in total hip arthroplasty (THA) in patients with developmental dysplasia of the hip (DDH). Appreciation of the bone stock in the medial acetabular wall is significant for making an optimal acetabular reconstruction plan and avoiding complications. Purpose: To evaluate the bone stock of the medial acetabular wall and its relation to the degree of subluxation in patients with DDH using computed tomography (CT). Material and Methods: Helical CT scans of 27 hips were obtained from 21 patients with osteoarthritis secondary to DDH who were scheduled for total hip arthroplasty. Eleven hips belonged to Crowe class I, while 16 hips belonged to Crowe class II/III. The raw CT data were reprocessed in various planes by scrolling multiplanar reformation (MPR). Acetabular opening, depth, and medial bone stock, as indicated by the minimum thickness of the medial acetabular wall, were measured in the transverse reformed MPR plane. Results: The minimum thicknesses of the medial acetabular wall in Crowe-I and Crowe-II/III hips were 3.8±2.1 mm and 7.1±3.1 mm, respectively, with statistically significant differences between the groups (P<0.05). Furthermore, the bone stock in the medial acetabular wall correlated with the degree of subluxation (R=0.69) and the acetabular depth (R= ;- ;0.71). Conclusion: There was significantly more bone stock in the medial acetabular wall in patients with higher-degree subluxation than there was in the less-severe class. This difference should be taken into consideration when reconstructing acetabula in THA in patients with DDH using the technique of medialization

Mechanical properties of Self-Consolidating Concrete incorporating Cement Kiln Dust

OpenAIRE

El-Mohsen, Mostafa Abd; Anwar, Ahmed M.; Adam, Ihab A.

2015-01-01

Self-Consolidating Concrete (SCC) has been widely used in both practical and laboratory applications. Selection of its components and their ratios depends, mainly, on the target mechanical and physical properties recommended by the project consultant. Partial replacement of cement in SCC with cheap available industrial by-product could produce environmentally durable concrete with similar properties of normal concrete. In the current research, SCC was produced by blending Cement Kiln Dust (CK...

A computerized pre-clinical test for cemented hip prostheses based on finite element techniques

NARCIS (Netherlands)

Stolk, Jan

2003-01-01

Despite the success of cemented total hip replacement (THR), high failure rates are occasionally reported for cemented hip implants that are introduced on the orthopaedic market. Rigorous pre-clinical testing of hip implants could prevent these disasters, by detecting unsafe implant designs at a

Influence of zeolite and cement additions on mechanical behavior of sandy soil

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Hossein Mola-Abasi

2016-10-01

Full Text Available It is well known that the cemented sand is one of economic and environmental topics in soil stabilization. In this instance, a blend of sand, cement and other materials such as fiber, glass, nanoparticle and zeolite can be commercially available and effectively used in soil stabilization in road construction. However, the influence and effectiveness of zeolite on the properties of cemented sand systems have not been completely explored. In this study, based on an experimental program, the effects of zeolite on the characteristics of cemented sands are investigated. Stabilizing agent includes Portland cement of type II and zeolite. Results show the improvements of unconfined compressive strength (UCS and failure properties of cemented sand when the cement is replaced by zeolite at an optimum proportion of 30% after 28 days. The rate of strength improvement is approximately between 20% and 78%. The efficiency of using zeolite increases with the increases in cement amount and porosity. Finally, a power function of void-cement ratio and zeolite content is demonstrated to be an appropriate method to assess UCS of zeolite-cemented mixtures.

Investigating the Influence of Waste Basalt Powder on Selected Properties of Cement Paste and Mortar

Science.gov (United States)

Dobiszewska, Magdalena; Beycioğlu, Ahmet

2017-10-01

Concrete is the most widely used man-made construction material in civil engineering applications. The consumption of cement and thus concrete, increases day by day along with the growth of urbanization and industrialization and due to new developments in construction technologies, population growing, increasing of living standard. Concrete production consumes much energy and large amounts of natural resources. It causes environmental, energy and economic losses. The most important material in concrete production is cement. Cement industry contributes to production of about 7% of all CO2 generated in the world. Every ton of cement production releases nearly one ton of CO2 to atmosphere. Thus the concrete and cement industry changes the environment appearance and influences it very much. Therefore, it has become very important for construction industry to focus on minimizing the environmental impact, reducing energy consumption and limiting CO2 emission. The need to meet these challenges has spurred an interest in the development of a blended Portland cement in which the amount of clinker is reduced and partially replaced with mineral additives - supplementary cementitious materials (SCMs). Many researchers have studied the possibility of using another mineral powder in mortar and concrete production. The addition of marble dust, basalt powder, granite or limestone powder positively affects some properties of cement mortar and concrete. This paper presents an experimental study on the properties of cement paste and mortar containing basalt powder. The basalt powder is a waste emerged from the preparation of aggregate used in asphalt mixture production. Previous studies have shown that analysed waste used as a fine aggregate replacement, has a beneficial effect on some properties of mortar and concrete, i.e. compressive strength, flexural strength and freeze resistance also. The present study shows the results of the research concerning the modification of cement

21 CFR 888.3310 - Hip joint metal/polymer constrained cemented or uncemented prosthesis.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Hip joint metal/polymer constrained cemented or... Hip joint metal/polymer constrained cemented or uncemented prosthesis. (a) Identification. A hip joint... replace a hip joint. The device prevents dislocation in more than one anatomic plane and has components...

Nonunion of acetabular fractures: evaluation with interactive multiplanar CT

International Nuclear Information System (INIS)

Kuhlman, J.E.; Fishman, E.K.; Ney, D.R.; Brooker, A.F. Jr.; Magid, D.

1989-01-01

Nonunions involving fractures of the acetabulum are reportedly rare, with few citings and little discussion in the literature. It is possible that acetabular nonunions go undetected because imaging of the acetabulum is difficult by conventional radiography. We report two cases of fracture nonunion involving the weight-bearing surface of the acetabulum diagnosed with the aid of computed tomography (CT) and a newly developed interactive 2D/3D orthotool that uniquely processes and reformats routine CT data. The interactive 2D/3D orthotool is a sophisticated computer program that allows dynamic viewing of standard multiplanar reconstructions in the axial, coronal, and sagittal planes as well as multiple oblique projections. The 2D/3D orthotool provides on screen correlation of two-dimensional multiplanar images with three-dimensional reconstructions of the pelvis. The authors found this capability ideally suited for studying fractures with off-axis orientation such as those through the acetabular dome, greatly facilitating the diagnosis of nonunion

A new method for the measurement of anteversion of the acetabular cup after total hip arthroplasty.

Science.gov (United States)

Aydogan, Mehmet; Burç, Halil; Saka, Gursel

2014-08-01

Many methods of determining the anteversion of the acetabular cup have been described in the literature. The advantages and disadvantages of each of these methods are discussed in this paper. We present a new method of measuring the acetabular anteversion at the anteroposterior hip. The formula designed by the authors was anteversion angle (α) = arc sin |PK|/√ |AK| × |BK|. The formula was tested using the AutoCAD software, and an experimental study was conducted to evaluate the accuracy. Three groups were created, and 16 X-ray images were taken and coded. Ten orthopaedic surgeons measured the acetabular anteversion from these X-rays using our formula. The results in Group 1 were closer to the actual value; in contrast, the results in Group 2 differed from the actual values. The results in Group 3 were as close to the actual anteversion values as were those in Group 1. Developments in technology often bring an increase in complications. Despite newly developed surgical methods and technology, the position of the acetabular cup is still used to determine the results of a total hip arthroplasty. Our method is simple, cost-effective and achieves almost 100 % accuracy.

The Evolution of the Cup-Cage Technique for Major Acetabular Defects: Full and Half Cup-Cage Reconstruction.

Science.gov (United States)

Sculco, Peter K; Ledford, Cameron K; Hanssen, Arlen D; Abdel, Matthew P; Lewallen, David G

2017-07-05

Complex acetabular reconstruction for major bone loss can require advanced methods such as the use of a cup-cage construct. The purpose of this study was to review outcomes after the initial development of the cup-cage technique and the subsequent evolution to the use of a half cup-cage construct. We performed a retrospective, single-center review of 57 patients treated with cup-cage reconstruction for major acetabular bone loss. All patients had major acetabular defects graded as Paprosky Type 2B through 3B, with 34 (60%) having an associated pelvic discontinuity. Thirty patients received a full cup-cage construct and 27, a half cup-cage construct. The mean follow-up was 5 years. Both the full and half cup-cage cohorts demonstrated significantly improved Harris hip score (HHS) values, from 36 to 72 at a minimum of 2 years of follow-up (p cup-cage constructs and 6 (22%) of the half cup-cage constructs. One patient with a full cup-cage construct underwent re-revision of the acetabular component for progressive migration and aseptic loosening. Short-term survivorship free from re-revision for any cause or reoperation was 89% (83% and 96% for full and half cup-cage cohorts, respectively). Both full and half cup-cage constructs demonstrated successful clinical outcomes and survivorship in the treatment of major acetabular defects and pelvic discontinuity. Each method is utilized on the basis of individual intraoperative findings, including the extent and pattern of bone loss, the quality and location of host bone remaining after preparation, and the presence of pelvic discontinuity. Longer-term follow-up is required to understand the durability of these constructs in treating major acetabular defects and pelvic discontinuity. Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

A novel technique for impaction bone grafting in acetabular reconstruction of revision total hip arthroplasty using an ex vivo compaction device

International Nuclear Information System (INIS)

Akiyama, Haruhiko; Takemoto, Mitsuru; Morishima, Takkan

2011-01-01

Impaction bone grafting allows restoration of the acetabular bone stock in revision hip arthroplasty. The success of this technique depends largely on achieving adequate initial stability of the component. To obtain well-compacted, well-graded allograft aggregates, we developed an ex vivo compaction device to apply it in revision total hip arthroplasty on the acetabular side, and characterized mechanical properties and putative osteoconductivity of allograft aggregates. Morselized allograft bone chips were compacted ex vivo using the creep technique and subsequent impaction technique to form the bone aggregates. Impaction allograft reconstruction of the acetabulum using an ex vivo compaction device was performed on eight hips. The mechanical properties and three-dimensional micro-CT-based structural characteristics of the bone aggregates were investigated. In clinical practice, this technique offered good reproducibility in reconstructing the cavity and the segmental defects of the acetabulum, with no migration and no loosening of the component. In vitro analysis showed that the aggregates generated from 25 g fresh-frozen bone chips gained compression stiffness of 13.5-15.4 MPa under uniaxial consolidation strain. The recoil of the aggregates after compaction was 2.6-3.9%. The compression stiffness and the recoil did not differ significantly from those measured using a variety of proportions of large- and small-sized bone chips. Micro-CT-based structural analysis revealed average pore sizes of 268-299 μm and average throat diameter of pores in the bone aggregates of more than 100 μm. These sizes are desirable for osteoconduction, although large interconnected pores of more than 500 μm were detectable in association with the proportion of large-sized bone chips. Cement penetration into the aggregates was related to the proportion of large-sized bone chips. This study introduces the value of an ex vivo compaction device in bone graft compaction in clinical

Anterior cement augmentation of adjacent levels after vertebral body replacement leads to superior stability of the corpectomy cage under cyclic loading-a biomechanical investigation.

Science.gov (United States)

Oberkircher, Ludwig; Krüger, Antonio; Hörth, Dominik; Hack, Juliana; Ruchholtz, Steffen; Fleege, Christoph; Rauschmann, Michael; Arabmotlagh, Mohammad

2018-03-01

failure was 1,000 N±258.2 N in Group A (no cement augmentation of the adjacent end plates, n=7); on average, 1,622.1±637.6 cycles were achieved. In Group B (cement augmentation of the adjacent end plates, n=6), the mean force at the end of loading was 1,766.7 N±320.4 N; an average of 3,572±920.6 cycles was achieved. Three specimens reached a load of 2,000 N. The differences between the two groups were significant (p=.006 and p=.0047) regarding load failure and number of cycles. Additional cement augmentation of the adjacent end plates during implantation of a vertebral body replacement in osteoporotic bone resulted in a significant increased stability of the cage in the axial cyclic loading test. Copyright © 2017 Elsevier Inc. All rights reserved.

Enhancing the compressive strength of landfill soil using cement and bagasse ash

Science.gov (United States)

Azim, M. A. M.; Azhar, A. T. S.; Tarmizi, A. K. A.; Shahidan, S.; Nabila, A. T. A.

2017-11-01

The stabilisation of contaminated soil with cement and agricultural waste is a widely applied method which contributes to the sustainability of the environment. Soil may be stabilised to increase strength and durability or to prevent erosion and other geotechnical failure. This study was carried out to evaluate the compressive strength of ex-landfill soil when cement and bagasse ash (BA) are added to it. Different proportions of cement (5%, 10%, 15% and 20%) was added to sample weights without BA. On the other hand, the cement in a different batch of sample weights was replaced by 2.5%, 5%, 7.5% and 10% of BA. All samples were allowed to harden and were cured at room temperature for 7, 14 and 28 days respectively. The strength of the contaminated soil was assessed using an unconfined compressive strength test (UCS). The laboratory tests also included the index properties of soil, cement and bagasse ash in raw form. The results indicated that the samples with cement achieved the highest compressive strength measuring 4.39 MPa. However, this study revealed that the use of bagasse ash produced low quality products with a reduction in strength. For example, when 5% of cement was replaced with 5% ash, the compressive strength decreased by about 54% from 0.72 MPa to 0.33 MPa. Similarly, the compressive strength of each sample after a curing period of 28 days was higher compared to samples cured for 7 and 14 days respectively. This is proved that a longer curing period is needed to increase the compressive strength of the samples.

Para-acetabular peritendinitis calcarea; its radiographic manifestations

International Nuclear Information System (INIS)

Kawashima, Akira; Murayama, Sadayuki; Ohuchida, Toshiyuki; Russell, W.J.

1987-02-01

Peritendinitis calcarea and os acetabuli have long been confused during interpretations of hip-joint radiographs. Such confusion is reflected in the medical literature. The present study differentiated these two entities according to their interval radiographic progression and regression. There were 137 instances of para-acetabular calcifications among 110 subjects (59 men and 51 women), whose mean age was 46.8 years at the time of their initial detection. Twenty-six of the subjects had lumbago, which was probably unrelated. Other abnormalities including narrowed intervertebral spaces, scoliosis, and spondylolysis were observed in 21 of the subjects. These could have been responsible for any symptoms they had had, but none of the subjects complained of local hip-joint pain when the radiographs in question were made. Ninety-three of these instances of calcification were reviewed by means of serial radiographs. Interval changes in the sizes and shapes of the calcifications occurred among 90 of them, indicative of the latent type of peritendinitis calcarea. No interval changes were noted in the remaining three cases, indicating they were secondary ossification centers; namely, os acetabuli. This study showed that in asymptomatic adults, most para-acetabular calcifications were really not os acetabuli, but actually peritendinitis calcarea. (author)

The effect of modified hydrotalcites on mechanical properties and chloride penetration resistance in cement mortar

NARCIS (Netherlands)

Yang, Z.; Fischer, H.; Polder, R.B.

2015-01-01

In this paper, two types of modified hydrotalcites (MHT) were incorporated into cement mortars with two dosage levels (replacing 5% and 10% cement by mass). Designated testing programme including strength test, porosity test, and rapid chloride migration and diffusion test were employed to

A study on the properties of blended regenerated spent catalyst and cement sandcrete blocks

International Nuclear Information System (INIS)

Amissah, Emmanuel Kofi

2016-07-01

Sandcrete is widely used as building material. Its properties greatly depend on the properties and proportions of its constituents. The main binder material to produce sandcrete is the Portland cement. The uncertainty about future availability of commonly used Portland materials concomitantly with the environmental problems such as greenhouse gases emissions and high cost of clinker consumption are highlighting the need of identifying other materials for the construction industry, which will aid in minimizing the clinker consumption and reduce the greenhouse gas emissions and cost in the production of cement. The purpose of this study is to examine the properties of sandcrete blocks produced with blended Regenerated Spent Catalyst and cement. In this work, two different series of sandcrete mixtures in which cement was partially replaced with Regenerated Spent Catalyst(RSC) within the range of 5% to 20% (by mass) with an increment of 5%. 100% cement sandcrete was also prepared as reference sandcrete. The physical properties studied were compressive strength, water absorption and setting time. Chemical property studied was chloride content. Comparison of data between the control and that of cement with additives were made. The results obtained in this study clearly indicated that substituting Portland cement up to 20wt. % RSC gave sandcrete strengths higher than the 32.5N/mm 2 , which corresponds to that of Portland cement. The replacement of Portland cement with 10 wt. % of RSC gave the highest strength of 34.0 N/mm 2 . Thus, Regenerated Spent Catalyst may be utilized as effective mineral additive for designing durable sandcrete structures. The optimum amount of RSC recommended to be added as an additive to the Portland cement is 10%. (au)

Early hydration of portland cement with crystalline mineral additions

International Nuclear Information System (INIS)

Rahhal, V.; Talero, R.

2005-01-01

This research presents the effects of finely divided crystalline mineral additions (quartz and limestone), commonly known as filler, on the early hydration of portland cements with very different mineralogical composition. The used techniques to study the early hydration of blended cements were conduction calorimeter, hydraulicity (Fratini's test), non-evaporable water and X-ray diffraction. Results showed that the stimulation and the dilution effects increase when the percentage of crystalline mineral additions used is increased. Depending on the replacement proportion, the mineralogical cement composition and the type of crystalline addition, at 2 days, the prevalence of the dilution effect or the stimulation effect shows that crystalline mineral additions could act as sites of heat dissipation or heat stimulation, respectively

Morphometric analysis of acetabular dysplasia in cerebral palsy: three-dimensional CT study.

Science.gov (United States)

Gose, Shinichi; Sakai, Takashi; Shibata, Toru; Murase, Tsuyoshi; Yoshikawa, Hideki; Sugamoto, Kazuomi

2009-12-01

Three-dimensional computed tomography (3D-CT) eliminates the positioning errors and allows the clinician to more accurately assess the radiographic parameters present. To elucidate the 3D geometry of the acetabulum and the extent of hip subluxation/dislocation in patients with cerebral palsy (CP), quantitative morphometric analysis was performed using 3D-CT data. We evaluated 150 hips in 75 patients with bilateral spastic CP. The mean age of the patients was 5.4 years (range: 2.7 to 6.9 y). The fitting plane of the ilium was projected onto the coronal plane and then onto the sagittal plane, and then the angle formed with a horizontal line was defined as CTalpha (the lateral opening angle) and CTbeta (the sagittal inclination angle), respectively. The center of the acetabulum and the femoral head were defined, and the distance between these centers was divided by the femoral head diameter, defined as CT migration percentage (CTMP, %). In 123 (82%) of the 150 hips, the femoral head center was located posteriorly, superiorly, and laterally relative to the acetabular center. Large CTalpha cases tended to show large CTMP. CTalpha and CTMP were significantly larger in the cases with Gross Motor Functional Classification System (GMFCS) level IV/V and spastic quadriplegia, than in the cases with GMFCS level II/III and spastic diplegia. CTbeta showed significant correlation with the acetabular defect on the lateral 3D reconstructed images. Three-dimensional acetabular geometry and migration percentage in CP patients can be analyzed quantitatively using 3D-CT regardless of the abnormal spastic posture. The extent of acetabular dysplasia and subluxation is more severe in patients with GMFCS level IV/V and spastic quadriplesia. Level 4.

Stabilization of high and low solids Consolidated Incinerator Facility (CIF) waste with super cement

International Nuclear Information System (INIS)

Walker, B.W.

2000-01-01

This report details solidification activities using selected Mixed Waste Focus Area technologies with the High and Low Solid waste streams. Ceramicrete and Super Cement technologies were chosen as the best possible replacement solidification candidates for the waste streams generated by the SRS incinerator from a list of several suggested Mixed Waste Focus Area technologies. These technologies were tested, evaluated, and compared to the current Portland cement technology being employed. Recommendation of a technology for replacement depends on waste form performance, process flexibility, process complexity, and cost of equipment and/or raw materials

The preliminary application of magnetic resonance arthrography in the diagnosis of acetabular labrale tears

International Nuclear Information System (INIS)

Hong Wen; Zhang Xuezhe; Wang Wu; Yue Debo; Wang Weiguo

2010-01-01

Objective: To investigate the application value of MR arthrography (MRA) in the diagnosis of acetabular lab ral tears. Methods: Fifteen patients with a high degree of suspected acetabular lab ral tears received fluoroscope-guided injection of the contrast media into the hip joint (hip arthrography) and fat-saturated spin-echo T 1 -weighted images were obtained in the coronal, sagittal, oblique-axial and radial planes. Hip arthroscopy was performed on 12 of them. Results: Lab ral tears which were diagnosed in 11 patients by hip MRA were confirmed at hip arthroscopy. One patient showed no MRA indication of lab ral tear, also showed normal on arthroscopy. Tear in the anterior-superior quadrant 10 cases of 12 joints (12/13), posterior-superior quadrant 1 case of a joint (1/13). In 11 patients who underwent arthroscopy, hip MRA diagnosed 3 (3/13) joints labrale tears in coronal planes, 10 (10/13) joints in sagittal planes and 13 (13/13) labrale tears in axial-oblique and radial planes. In 15 patients with 20 hip joints, 5 cases 6 joints (6/20) with normal acetabular sublabral sulcus were performed. Conclusions: MR arthrography of hip is a reliable method in the diagnosis of acetabular labrale tears. Scanning method should be included fat-saturated spin-echo T 1 -weighted images in sagittal and oblique-axial planes or sagittal plus radial planes. The diagnosis of torn posterior-inferior quadrant should pay attention to the existence of a normal variation. (authors)

early experience of operative treatment of pelvic and acetabular

African Journals Online (AJOL)

Objective: To review early post-operative results of pelvic and acetabular fracture intern al fixation. Design: ... 600 needing operative treatment annually. ... Infection was controlled with debridement and antibiotics. All the patients in the study returned to their work except one who has yet to do so 5 months after his injury.

Fixation strength analysis of cup to bone material using finite element simulation

NARCIS (Netherlands)

Anwar, Iwan Budiwan; Saputra, Eko; Ismail, Rifky; Jamari, J.; Van Der Heide, Emile

2016-01-01

Fixation of acetabular cup to bone material is an important initial stability for artificial hip joint. In general, the fixation in cement less-type acetabular cup uses press-fit and screw methods. These methods can be applied alone or together. Based on literature survey, the additional screw

Effect of colloidal nano-silica on the mechanical and physical behaviour of waste-glass cement mortar

International Nuclear Information System (INIS)

Aly, M.; Hashmi, M.S.J.; Olabi, A.G.; Messeiry, M.; Abadir, E.F.; Hussain, A.I.

2012-01-01

Highlights: → Glass powder (GP) and nano-silica (CS) were used as a partial cement replacement in cement mortar (CM). → No damaging effect can be detected due to the reaction between GP and CM with particle size up to 75 μm. → Hybrid combination of GP/CS greatly improved mechanical properties and microstructure of CM. -- Abstract: This paper presents a laboratory study of the properties of colloidal nano-silica (CS)/waste glass cement composites. The microstructure, alkali-silica reaction (ASR), and the mechanical properties of cement mortars containing waste glass powder (WG) as a cement replacement with and without CS are investigated and compared with plain mortar. In addition, the hydration of cement compounds was followed by differential thermal analysis (DTA), thermogravimetric analysis (TGA), and X-ray diffraction (XRD). The results show that incorporation of WG has a positive effect on the mechanical properties of cement mortars especially when CS is presented. In addition, the DTA/TGA results and XRD analysis show a reduction in the calcium hydroxide (CH) content in mortars with both WG and a hybrid combination of WG and CS. This confirms the improvement of mechanical properties and the occurrence of the pozzolanic reaction after 28 days of hydration.

Effect of fly ash on the strength of porous concrete using recycled coarse aggregate to replace low-quality natural coarse aggregate

Science.gov (United States)

Arifi, Eva; Cahya, Evi Nur; Christin Remayanti, N.

2017-09-01

The performance of porous concrete made of recycled coarse aggregate was investigated. Fly ash was used as cement partial replacement. In this study, the strength of recycled aggregate was coMPared to low quality natural coarse aggregate which has high water absorption. Compression strength and tensile splitting strength test were conducted to evaluate the performance of porous concrete using fly ash as cement replacement. Results have shown that the utilization of recycled coarse aggregate up to 75% to replace low quality natural coarse aggregate with high water absorption increases compressive strength and splitting tensile strength of porous concrete. Using fly ash up to 25% as cement replacement improves compressive strength and splitting tensile strength of porous concrete.

Effects of lithium nitrate admixture on early-age cement hydration

International Nuclear Information System (INIS)

Millard, M.J.; Kurtis, K.E.

2008-01-01

Although the benefits of lithium admixtures for mitigation of alkali-silica reaction (ASR) have been well documented, the potential ancillary effects of lithium compounds on cement and concrete remain largely uncharacterized. To examine the effects of the most common lithium admixture - lithium nitrate - on early-age behavior, the admixture was introduced at dosages of 0% to 400% of the recommended dosage to six cements of varying composition and to a cement-fly ash blend. Behavior was examined by isothermal calorimetry and measurements of chemical shrinkage, autogenous shrinkage, and setting time. Results indicate that lithium nitrate accelerates the early hydration of most cements but may retard hydration after 24 h. In the lowest alkali cement tested, set times were shortened in the presence of lithium nitrate by 15-22%. Higher dosages appeared to increase autogenous shrinkage after 40 days. The replacement of cement by Class F fly ash at 20% by weight appeared to diminish the early acceleration effects, but later hydration retardation and autogenous shrinkage were still observed

Three-dimensional printing model improves morphological understanding in acetabular fracture learning: A multicenter, randomized, controlled study.

Directory of Open Access Journals (Sweden)

Zhenfei Huang

Full Text Available Conventional education results in unsatisfactory morphological understanding of acetabular fractures due to lack of three-dimensional (3D details and tactile feedback of real fractures. Virtual reality (VR and 3D printing (3DP techniques are widely applied in teaching. The purpose of this study was to identify the effect of physical model (PM, VR and 3DP models in education of morphological understanding of acetabular fractures. 141 students were invited to participate in this study. Participants were equally and randomly assigned to the PM, VR and 3DP learning groups. Three-level objective tests were conducted to evaluate learning, including identifying anatomical landmarks, describing fracture lines, identifying classification, and inferring fracture mechanism. Four subjective questions were asked to evaluate the usability and value of instructional materials. Generally, the 3DP group showed a clear advantage over the PM and VR groups in objective tests, while there was no significant difference between the PM and VR groups. 3DP was considered to be the most valuable learning tool for understanding acetabular fractures. The findings demonstrate that 3DP modelling of real fractures is an effective learning instrument that can be used to understand the morphology of acetabular fractures and promote subjective interest.

Revision of migrated pelvic acetabular components in THA with or without vascular involvement

Directory of Open Access Journals (Sweden)

Ștefan Cristea

2016-05-01

Full Text Available Purpose. The literature describes a high rate of mortality in cases of intrapelvic acetabular component migration, which is a rare but serious complication. Our aim is to establish and propose a treatment protocol according to our results and experience. Material and Methods. We performed eight (8 total hip revisions with acetabular cup migration between 2006 and 2012. A vascular graft was needed in four (4 of these cases. Two (2 cases were revisions after a spacer for infected arthroplasties. The protocol included the following: X-Ray examination (frontal and lateral views, CT angiography, a biological evaluation, a suitable pre-operative plan, at least six (6 units of blood stock, an experienced anesthesiologist, an experienced surgical team that included a vascular surgeon and a versatile arsenal of revision prostheses, bone grafts and vascular grafts. The anterolateral approach was generally used for hip revisions and the retroperitoneal approach in the dorsal decubitus position was used when vascular risk was involved. Results: The acetabular defect was reconstructed using bone grafts and tantalum revision cups in 4 cases, Burch-Schneider cages in 2 cases, a Kerboull ring in 1 case and a cementless oblong cup (Cotyle Espace in 1 case. In 4 cases, an iliac vessel graft procedure was conducted by the vascular surgeon. All patients survived the revision procedures and returned regularly for subsequent check-ups, during which they did not show any septic complications. Conclusions: Intrapelvic acetabular cup migration is a rare but serious complication that can occur after total hip arthroplasty in either septic or aseptic cases. An experienced, multidisciplinary team of surgeons should be involved in planning and conducting such complicated revisions.

Early Versus Late Weight-Bearing Protocols for Surgically Managed Posterior Wall Acetabular Fractures.

Science.gov (United States)

Heare, Austin; Kramer, Nicholas; Salib, Christopher; Mauffrey, Cyril

2017-07-01

Despite overall improved outcomes with open reduction and internal fixation of acetabular fractures, posterior wall fractures show disproportionately poor results. The effect of weight bearing on outcomes of fracture management has been investigated in many lower extremity fractures, but evidence-based recommendations in posterior wall acetabular fractures are lacking. The authors systematically reviewed the current literature to determine if a difference in outcome exists between early and late postoperative weight-bearing protocols for surgically managed posterior wall acetabular fractures. PubMed and MEDLINE were searched for posterior wall acetabular fracture studies that included weight-bearing protocols and Merle d'Aubigné functional scores. Twelve studies were identified. Each study was classified as either early or late weight bearing. Early weight bearing was defined as full, unrestricted weight bearing at or before 12 weeks postoperatively. Late weight bearing was defined as restricted weight bearing for greater than 12 weeks postoperatively. The 2 categories were then compared by functional score using a 2-tailed t test and by complication rate using chi-square analysis. Six studies (152 fractures) were placed in the early weight-bearing category. Six studies (302 fractures) were placed in the late weight-bearing category. No significant difference in Merle d'Aubigné functional scores was found between the 2 groups. No difference was found regarding heterotopic ossification, avascular necrosis, superficial infections, total infections, or osteoarthritis. This systematic review found no difference in functional outcome scores or complication rates between early and late weight-bearing protocols for surgically treated posterior wall fractures. [Orthopedics. 2017: 40(4):e652-e657.]. Copyright 2017, SLACK Incorporated.

Feasibility of using ceramic furnace wastes in cement composites

International Nuclear Information System (INIS)

Fazzan, J.V.; Sanches, A.O.; Akasaki, J.L.; Malmonge, J.A.

2016-01-01

Currently, the region of Epitacio-SP President is classified as Paulista West Center in the production of ceramic tiles and bricks. However, as these industries have also generated environmental impacts in the production process with the generation of waste, the construction industries presents as great potential to absorb a large portion of these materials, called Pozzolans. In this sense, the research aims to study the characterization of Ceramic Furnace Wastes (CFC) and the evaluation of their reactivity. Mortar specimens were molded with different waste percentages in partial replacement of Portland cement, for analysis of compressive strength and capillary water absorption test. The characterization results show that important properties can be obtained by the preparation conditions of ashes, besides obtaining resistant activity index higher than expected by technical standards when using the material in replacement of Portland cement. (author)

Nanoparticulate fillers improve the mechanical strength of bone cement.

Science.gov (United States)

Gomoll, Andreas H; Fitz, Wolfgang; Scott, Richard D; Thornhill, Thomas S; Bellare, Anuj

2008-06-01

Polymethylmethacrylate (PMMA-) based bone cement contains micrometer-size barium sulfate or zirconium oxide particles to radiopacify the cement for radiographic monitoring during follow-up. Considerable effort has been expended to improve the mechanical qualities of cements, largely through substitution of PMMA with new chemical structures. The introduction of these materials into clinical practice has been complicated by concerns over the unknown long-term risk profile of these new structures in vivo. We investigated a new composite with the well characterized chemical composition of current cements, but with nanoparticles instead of the conventional, micrometer-size barium sulfate radiopacifier. In this study, we replaced the barium sulfate microparticles that are usually present in commercial PMMA cements with barium sulfate nanoparticles. The resultant "microcomposite" and "nanocomposite" cements were then characterized through morphological investigations such as ultra-small angle X-ray scattering (USAXS) and scanning electron microscopy (SEM). Mechanical characterization included compression, tensile, compact tension, and fatigue testing. SEM and USAXS showed excellent dispersion of nanoparticles. Substitution of nanoparticles for microparticles resulted in a 41% increase in tensile strain-to-failure (p = 0.002) and a 70% increase in tensile work-of-fracture (p = 0.005). The nanocomposite cement also showed a two-fold increase in fatigue life compared to the conventional, microcomposite cement. In summary, nanoparticulate substitution of radiopacifiers substantially improved the in vitro mechanical properties of PMMA bone cement without changing the known chemical composition.

Effect of Partial Replacement of Cement by Mixture of Glass Powder and Silica Fume Upon Concrete Strength

OpenAIRE

Khan , Abdul Ghayoor; Khan , Bazid

2017-01-01

International audience; All over the world the most common consuming construction material is concrete. It is well know that concrete is the combination of cement, aggregates and water. The production of cement results in the formation of carbon dioxide gas causes the environmental pollution. About 7 percent of carbon dioxide gas is evolved from cement industries to atmosphere. Keeping in view about the environmental pollution which may leads to some serious issues of health, so it is essenti...

Calcium carbonate-calcium phosphate mixed cement compositions for bone reconstruction.

Science.gov (United States)

Combes, C; Bareille, R; Rey, C

2006-11-01

The feasibility of making calcium carbonate-calcium phosphate (CaCO(3)-CaP) mixed cements, comprising at least 40% (w/w) CaCO(3) in the dry powder ingredients, has been demonstrated. Several original cement compositions were obtained by mixing metastable crystalline CaCO(3) phases with metastable amorphous or crystalline CaP powders in aqueous medium. The cements set within at most 1 h at 37 degrees C in atmosphere saturated with water. The hardened cement is microporous and exhibits weak compressive strength. The setting reaction appeared to be essentially related to the formation of a highly carbonated nanocrystalline apatite phase by reaction of the metastable CaP phase with part or almost all of the metastable CaCO(3) phase. The recrystallization of metastable CaP varieties led to a final cement consisting of a highly carbonated poorly crystalline apatite analogous to bone mineral associated with various amounts of vaterite and/or aragonite. The presence of controlled amounts of CaCO(3) with a higher solubility than that of the apatite formed in the well-developed CaP cements might be of interest to increase resorption rates in biomedical cement and favors its replacement by bone tissue. Cytotoxicity testing revealed excellent cytocompatibility of CaCO(3)-CaP mixed cement compositions.

Acetabular bone density and metal ions after metal-on-metal versus metal-on-polyethylene total hip arthroplasty; short-term results

NARCIS (Netherlands)

Zijlstra, Wierd P.; van der Veen, Hugo C.; van den Akker-Scheek, Inge; Zee, Mark J. M.; Bulstra, Sjoerd K.; van Raay, Jos J. A. M.

Information on periprosthetic acetabular bone density is lacking for metal-on-metal total hip arthroplasties. These bearings use cobalt-chromium instead of titanium acetabular components, which could lead to stress shielding and hence periprosthetic bone loss. Cobalt and chromium ions have

Outcome of periacetabular osteotomy for the management of acetabular dysplasia: experience in an academic centre.

LENUS (Irish Health Repository)

Burke, Neil G

2011-02-01

Periacetabular osteotomy (PAO) is a very effective reconstructive procedure for treatment of acetabular dysplasia. An orthopaedic paediatric surgeon and a reconstructive hip arthroplasty surgeon performed this procedure together in the early phase of their learning curve and then performed it individually. The early clinical and radiographic results of 85 consecutive PAOs performed in this academic orthopaedic unit were reviewed. The mean Merle-d\\'Aubigné score increased from 12.4 preoperatively to 16 at follow-up. Pre-operatively 73 hips were anteverted and 12 were neutral or retroverted. The mean angle of Wiberg improved from 5 degrees to 21 degrees (p < 0.0001) in anteverted hips, and from 9 degrees to 30 degrees in neutral or retroverted hips. The mean angle of Lequesne and de Sèze improved from 6 degrees to 35 degrees (p < 0.0001) in anteverted hips, and in neutral or retroverted hips from 9 degrees to 30 degrees (p < 0.0001). The acetabular index improved from 26 degrees to 8 degrees (p < 0.0001) in anteverted hips, and from 21 degrees to 7 degrees (p < 0.0001) in neutral or retroverted hips. Over the 7 year period the blood loss and operative time improved from 2000 ml to 900 ml and 4 hours to 2 hours respectively. Four hips (four patients) required conversion to total hip replacement. The radiographic correction and improved clinical scores are similar to those in previous studies. This study shows a survival rate of 94% at 58 months following periacetabular osteotomy. The learning curve and the early results of this procedure performed in our academic unit are encouraging.

Preparation of iron-modified portland cement adsorbent and the investigation of its decolorization performance

Science.gov (United States)

Jiang, Bo; Wang, Huifeng; Li, Yang; Li, Zhen

2018-02-01

The ordinary portland cement was modified by ferric salt impregnation method. Through the technologies of x-ray diffraction, scanning electron microscope and energy dispersive spectroscopy, the physicochemical properties of modified cement were detected and analyzed. It was found that after the modification, the main constituents of raw cement, tricalcium silicate and dicalcium silicate had been depleted, and the new crystal mineral of antarcticite replaced them. The iron precipitates and cement hydration products calcium silicate hydrate gel mainly existed in the form of amorphous on modified cement. The results of BET specific surface determination showed that the modified cement particles had mesoporous distribution. The results of adsorption experiment revealed modified cement exhibited excellent adsorption performance on reactive brilliant blue KNR. The combination mechanism between modified cement and adsorbate was mainly electrostatic interaction. The adsorption process satisfied with the pseudo-second order kinetics model, and the adsorption reaction was a spontaneous endothermic process.

Radiographic evaluation of 19 patients with Paprosky 3A and 3B submitted to acetabular review with trabecular metal wedge

Directory of Open Access Journals (Sweden)

Carlos Eduardo Benvindo Rosal da Fonseca Neto

Full Text Available ABSTRACT Objective: This study is aimed at evaluating the fixation of trabecular metal wedges in patients who underwent revision of total hip arthroplasty with large acetabular bone defects. Methods: The radiographs of 19 patients (21 hips, who underwent revision of total hip arthroplasty using trabecular metal wedges from September 2010 to December 2014 were evaluated. This study included only cases of Paprosky 3A and 3B. Preoperative and postoperative images were analyzed. Non-fixation of the implant was defined by the presence of angular variation of the component higher 10 degrees or displacement greater than 6 mm. Patients with follow-up times of less than 24 months or who did not attend the last two appointments were excluded from the study. Results: The mean follow-up time was 39.4 months (25-61. Fixation was achieved in all cases despite its complexity. There was only one case of dislocation that was treated with open reduction. One case developed infection, and was surgically approached on two occasions, with extensive debridement and intravenous antibiotics following protocol, with good evolution. Conclusion: The implanted trabecular metal wedges showed excellent results in the short- and medium-term and may represent another option in the reconstruction of large acetabular defects, sometimes replacing bone reconstruction that uses bone tissue banks or autologous graft.

Alternative fuels in cement industry; Alternativa braenslen i cementindustrin

Energy Technology Data Exchange (ETDEWEB)

Nyman, K.E.; Ek, R. [Finnsementti Oy, Parainen (Finland); Maekelae, K. [Finreci Oy (Finland)

1997-10-01

In this project the cement industry`s possibilities to replace half of the fossil fuels with waste derived fuels are investigated. Bench-scale experiments, pilot plant tests and full scale tests have been done with used tires and plastics wastes

Entrapment of the acetabular labrum following reduction of traumatic hip dislocation in a child

Energy Technology Data Exchange (ETDEWEB)

Chun, K.A. [The Catholic University of Korea Uijongbu St. Mary' s Hospital, Department of Radiology, Uijongbu, Kyunggi-Do 480-130 (Korea); University of Iowa Hospitals and Clinics, Department of Radiology, Iowa City (United States); Morcuende, J. [University of Iowa Hospitals and Clinics, Department of Orthopaedic Surgery, Iowa City (United States); El-Khoury, G.Y. [University of Iowa Hospitals and Clinics, Department of Radiology, Iowa City (United States)

2004-12-01

In traumatic hip dislocation, concentric reduction can be prevented by various causes. Soft-tissue interposition, such as entrapment of the acetabular labrum, is a rare but important cause of failed reduction of a hip. Early diagnosis of incomplete reduction due to interposition of soft tissue is important, because delayed treatment is associated with a greater incidence of avascular necrosis of the femoral head and early onset of osteoarthritis. This report describes a case of acetabular labral entrapment following reduction of traumatic hip dislocation in a child. The importance of CT and MRI in arriving at an early diagnosis is emphasized. (orig.)

Entrapment of the acetabular labrum following reduction of traumatic hip dislocation in a child

International Nuclear Information System (INIS)

Chun, K.A.; Morcuende, J.; El-Khoury, G.Y.

2004-01-01

In traumatic hip dislocation, concentric reduction can be prevented by various causes. Soft-tissue interposition, such as entrapment of the acetabular labrum, is a rare but important cause of failed reduction of a hip. Early diagnosis of incomplete reduction due to interposition of soft tissue is important, because delayed treatment is associated with a greater incidence of avascular necrosis of the femoral head and early onset of osteoarthritis. This report describes a case of acetabular labral entrapment following reduction of traumatic hip dislocation in a child. The importance of CT and MRI in arriving at an early diagnosis is emphasized. (orig.)

Study of Experiment on Rock-like Material Consist of fly-ash, Cement and Mortar

Science.gov (United States)

Nan, Qin; Hongwei, Wang; Yongyan, Wang

2018-03-01

Study the uniaxial compression test of rock-like material consist of coal ash, cement and mortar by changing the sand cement ratio, replace of fine coal, grain diameter, water-binder ratio and height-diameter ratio. We get the law of four factors above to rock-like material’s uniaxial compression characteristics and the quantitative relation. The effect law can be sum up as below: sample’s uniaxial compressive strength and elasticity modulus tend to decrease with the increase of sand cement ratio, replace of fine coal and water-binder ratio, and it satisfies with power function relation. With high ratio increases gradually, the uniaxial compressive strength and elastic modulus is lower, and presents the inverse function curve; Specimen tensile strength decreases gradually with the increase of fly ash. By contrast, uniaxial compression failure phenomenon is consistent with the real rock common failure pattern.

Characterization of Mechanical and Bactericidal Properties of Cement Mortars Containing Waste Glass Aggregate and Nanomaterials

Science.gov (United States)

Sikora, Pawel; Augustyniak, Adrian; Cendrowski, Krzysztof; Horszczaruk, Elzbieta; Rucinska, Teresa; Nawrotek, Pawel; Mijowska, Ewa

2016-01-01

The recycling of waste glass is a major problem for municipalities worldwide. The problem concerns especially colored waste glass which, due to its low recycling rate as result of high level of impurity, has mostly been dumped into landfills. In recent years, a new use was found for it: instead of creating waste, it can be recycled as an additive in building materials. The aim of the study was to evaluate the possibility of manufacturing sustainable and self-cleaning cement mortars with use of commercially available nanomaterials and brown soda-lime waste glass. Mechanical and bactericidal properties of cement mortars containing brown soda-lime waste glass and commercially available nanomaterials (amorphous nanosilica and cement containing nanocrystalline titanium dioxide) were analyzed in terms of waste glass content and the effectiveness of nanomaterials. Quartz sand is replaced with brown waste glass at ratios of 25%, 50%, 75% and 100% by weight. Study has shown that waste glass can act as a successful replacement for sand (up to 100%) to produce cement mortars while nanosilica is incorporated. Additionally, a positive effect of waste glass aggregate for bactericidal properties of cement mortars was observed. PMID:28773823

Technical benefit and risk analysis on cement clinkering process with compact internal burning of carbon

International Nuclear Information System (INIS)

Chen, Hanmin

2015-01-01

This article demonstrates the potential technical benefit and risk for cement clinkering process with compact internal burning of carbon, a laboratory-phase developing technique, from 9 aspects, including the heat consumption of clinkering and exhaust heat utilization, clinker quality, adaptability to alternative fuels, the disposal ability of industrial offal and civil garbage, adaptability to the raw materials and fuels with high content of chlorine, sulphur and alkali, the feasibility of process scale up, the briquetting process of the coal-containing cement raw meal pellet, NO x emission and the capital cost and benefit of conversion project. It is concluded that it will be able to replace the modern precalciner rotary kiln process and to become the main stream technique of cement clinkering process in low carbon economy times. - Highlights: • Compact internal burning of carbon enables cement shaft kiln to run stably. • Compact internal burning of carbon enables cement shaft kiln to scale up. • New process triples energy efficiency with excellent environmental performance. • It will be able to compete with and replace the existing precalciner kiln process. • It will become the mainstream clinkering process in low carbon economy

Characterization of Mechanical and Bactericidal Properties of Cement Mortars Containing Waste Glass Aggregate and Nanomaterials

Directory of Open Access Journals (Sweden)

Pawel Sikora

2016-08-01

Full Text Available The recycling of waste glass is a major problem for municipalities worldwide. The problem concerns especially colored waste glass which, due to its low recycling rate as result of high level of impurity, has mostly been dumped into landfills. In recent years, a new use was found for it: instead of creating waste, it can be recycled as an additive in building materials. The aim of the study was to evaluate the possibility of manufacturing sustainable and self-cleaning cement mortars with use of commercially available nanomaterials and brown soda-lime waste glass. Mechanical and bactericidal properties of cement mortars containing brown soda-lime waste glass and commercially available nanomaterials (amorphous nanosilica and cement containing nanocrystalline titanium dioxide were analyzed in terms of waste glass content and the effectiveness of nanomaterials. Quartz sand is replaced with brown waste glass at ratios of 25%, 50%, 75% and 100% by weight. Study has shown that waste glass can act as a successful replacement for sand (up to 100% to produce cement mortars while nanosilica is incorporated. Additionally, a positive effect of waste glass aggregate for bactericidal properties of cement mortars was observed.

Study on the effects of white rice husk ash and fibrous materials additions on some properties of fiber-cement composites.

Science.gov (United States)

Hamzeh, Yahya; Ziabari, Kamran Pourhooshyar; Torkaman, Javad; Ashori, Alireza; Jafari, Mohammad

2013-03-15

This work assesses the effects of white rice husk ash (WRHA) as pozzolanic material, virgin kraft pulp (VKP), old corrugated container (OCC) and fibers derived from fiberboard (FFB) as reinforcing agents on some properties of blended cement composites. In the sample preparation, composites were manufactured using fiber-to-cement ratio of 25:75 by weight and 5% CaCl(2) as accelerator. Type II Portland cement was replaced by WRHA at 0%, 25% and 50% by weight of binder. A water-to-binder ratio of 0.55 was used for all blended cement paste mixes. For parametric study, compressive strength, water absorption and density of the composite samples were evaluated. Results showed that WRHA can be applied as a pozzolanic material to cement and also improved resistance to water absorption. However, increasing the replacement level of WRHA tends to reduce the compressive strength due to the low binding ability. The optimum replacement level of WRHA in mortar was 25% by weight of binder; this replacement percentage resulted in better compressive strengths and water absorption. OCC fiber is shown to be superior to VKF and FFB fibers in increasing the compressive strength, due to its superior strength properties. As expected, the increase of the WRHA content induced the reduction of bulk density of the cement composites. Statistical analysis showed that the interaction of above-mentioned variable parameters was significant on the mechanical and physical properties at 1% confidence level. Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.

Influence of Curing Age and Mix Composition on Compressive Strength of Volcanic Ash Blended Cement Laterized Concrete

Directory of Open Access Journals (Sweden)

Babafemi A.J.

2012-01-01

Full Text Available This study investigates the influence of curing age and mix proportions on the compressive strength of volcanic ash (VA blended cement laterized concrete. A total of 288 cubes of 100mm dimensions were cast and cured in water for 3, 7, 28, 56, 90 and 120 days of hydration with cement replacement by VA and sand replacement by laterite both ranging from 0 to 30% respectively while a control mix of 28-day target strength of 25N/mm2 (using British Method was adopted. The results show that the compressive strength of the VA-blended cement laterized concrete increased with the increase in curing age but decreased as the VA and laterite (LAT contents increased. The optimum replacement level was 20%LAT/20%VA. At this level the compressive strength increased with curing age at a decreasing rate beyond 28 days. The target compressive strength of 25N/mm2 was achieved for this mixture at 90 days of curing. VA content and curing age was noted to have significant effect (α ≤ 0.5 on the compressive strength of the VA-blended cement laterized concrete.

High resolution X-ray imaging of bone-implant interface by large area flat-panel detector

International Nuclear Information System (INIS)

Kytyr, D; Jirousek, O; Dammer, J

2011-01-01

The aim of the research was to investigate the cemented bone-implant interface behavior (cement layer degradation and bone-cement interface debonding) with emphasis on imaging techniques suitable to detect the early defects in the cement layer. To simulate in vivo conditions a human pelvic bone was implanted with polyurethane acetabular cup using commercial acrylic bone cement. The implanted cup was then loaded in a custom hip simulator to initiate fatigue crack propagation in the bone cement. The pelvic bone was then repetitively scanned in a micro-tomography device. Reconstructed tomography images showed failure processes that occurred in the cement layer during the first 250,000 cycles. A failure in cemented acetabular implant - debonding, crumbling and smeared cracks - has been found to be at the bone-cement interface. Use of micro-focus source and high resolution flat panel detector of large physical dimensions allowed to reconstruct the micro-structural models suitable for investigation of migration, micro-motions and consecutive loosening of the implant. The large area flat panel detector with physical dimensions 120 x 120mm with 50μm pixel size provided a superior image quality compared to clinical CT systems with 300-150μm pixel size.

Cement and concrete options paper

International Nuclear Information System (INIS)

1999-10-01

Greenhouse gas emissions associated with the production of concrete are projected to increase from 10.5 million tonnes in 1990 to almost 14 million tonnes in 2010. Over half of this amount will be non-energy related emissions of carbon dioxide resulting from the conversion of limestone to lime. According to this report by industry experts, the industry has an excellent record of improving energy efficiency and there are few easy gains remaining. Nevertheless, improvements in energy efficiency and fuel use, increased use of concrete where it can be shown to result in net reduction of GHG emissions, and partial replacement of cement by supplementary cementitious materials that involve no additional generation of GHGs, could yield an approximate reduction in carbon dioxide emissions of nearly seven million tons in 2010. The industry proposes three measures to realise these benefits: (1) encouraging replacement of fossil fuels by otherwise waste material, (2) encouraging increased use of concrete in constructing houses and roads, and (3) encouraging increased use of supplementary cementing materials. The industry is opposed to carbon or energy taxes that increase the cost of doing business, on the grounds that such taxes would adversely affect the industry's competitive position internationally. tabs

Effect of nano clay particles on mechanical, thermal and physical behaviours of waste-glass cement mortars

International Nuclear Information System (INIS)

Aly, M.; Hashmi, M.S.J.; Olabi, A.G.; Messeiry, M.; Hussain, A.I.

2011-01-01

Highlights: → Glass powder (GP) and nano clay (NC) were used as a partial cement replacement in cement mortar (CM). → No damaging effect can be detected due to the reaction between GP and CM with particle size up to 75 μm. → Hybrid combination of GP/NC greatly improved mechanical properties and microstructure of CM. - Abstract: Worldwide, around 2.6 billion tons of cement is produced annually. This huge size of production consumes large amounts of energy and is one of the largest contributors to carbon dioxide (CO 2 ) release. Accordingly, there is a pressing demand to minimise the quantity of cement used in the concrete industry. The main challenge to this is to get durable concrete with less cement and within reasonable cost. The economic, environmental and engineering benefits of reusing ground waste-glass powder (WGP) as a partial cement replacement has been established, but low glass reactivity and the possible alkali-silica reaction (ASR) are a drawback. Recent advances in nano-technology have revealed that nano-sized particles such as nano clay (NC) have a high surface area to volume ratio that provides the potential for tremendous chemical reactivity, accelerating pozzolanic activity and hindering ASR. This paper presents a laboratory study of the properties of NC/WGP cement composites. The microstructure, ASR, fracture energy, compressive and flexural properties of cement mortars containing WGP as a cement replacement with and without NC are investigated and compared with plain matrix. In addition, the hydration of cement compounds was followed by differential thermal analysis (DTA), thermogravimetric analysis (TGA), and also X-ray diffraction (XRD). The results showed that incorporation of glass powder has a positive effect on the mechanical properties of cement mortars after 28 days of hydration. Also, the results revealed that the mechanical properties of the cement mortars with a hybrid combination of glass powder and NC were all higher than

Replacement of Fine Aggregate by using Recyclable Materials in Paving Blocks

Science.gov (United States)

Koganti, Shyam Prakash; Hemanthraja, Kommineni; Sajja, Satish

2017-08-01

Cement concrete paving blocks are precast hard products complete out of cement concrete. The product is made in various sizes and shapes like square, round and rectangular blocks of different dimensions with designs for interlocking of adjacent tiles blocks. Several Research Works have been carried out in the past to study the possibility of utilizing waste materials and industrial byproducts in the manufacturing of paver blocks. Various industrial waste materials like quarry dust, glass powder, ceramic dust and coal dust are used as partial replacement of fine aggregate and assessed the strength parameters and compared the profit percentages after replacement with waste materials. Quarry dust can be replaced by 20% and beyond that the difference in strength is not much higher but considering cost we can replace upto 40% so that we can get a profit of almost 10%. Similarly we can replace glass powder and ceramic dust by 20% only beyond that there is decrement in strength and even with 20% replacement we can get 1.34 % and 2.42% of profit. Coal dust is not suitable for alternative material as fine aggregate as it reduces the strength.

[Posterior partial trochanteric osteotomy for the treatment of the roof involved acetabular fractures].

Science.gov (United States)

Wang, Pan-Feng; Xu, Shuo-Gui; Zhang, Chun-Cai; Fu, Qing-Ge; Zhang, Yun-Tong; Liu, Xin-Wei; Niu, Yun-Fei; Tang, Yang

2013-11-01

To introduce a new trochanteric osteotomy,and evaluate the outcome of the procedure combined a posterior lateral approach in treating acetabular fractures which involving the roof. Between March 2007 and Novmber 2010,30 patients with displaced acetabular fractures involving the dome need trochanteric osteotomy were retrospectively reviewed. There were 21 males and 9 females,ranging in age from 18 to 70 years with an average of 35.2 years at the time of injury. According to Letournel-Judet classification, there were 10 posterior wall fractures,7 posterior column fractures,5 transverse fractures, 2 T-shape fractures, 1 transverse associated with posterior wall fracture, 3 posterior column and wall fractures and 2 bicolumn fractures. The standards of Matta,the modified Merle d'Aubigne-Postel, Medical Research Council were respectively used to evaluate the reduction result, function of hip joint and the strength of hip abduction. All patients were followed up with an average time of 25 months (18 to 40) and all osteotomy sites obtained bone union with an average time of 8.4 weeks (6 to 12). No bone non-union, bone block displaceing, internal fixation looseing and breaking,infection of deep part were found. Seventeen patients got anatomic reduction, 12 got satisfied reduction, and 1 got unsatisfied result according to the criteria of Matta. At final follow-up, function of hip joint obtained excellent results in 11 cases, good in 15, fair in 3 and poor in 1. The strength of the abductors of 3 patients were grade 4 and 27 patients were grade 5. Posterior partial great trochanteric osteotomy can enhance the exposure and provide a more accurate reduction and degrade the difficulty of acetabular fracture fixation without increasing the risk of complications. The method provide a new way for the treatment of the roof involved acetabular fractures.

Limestone calcined clay cement as a low-carbon solution to meet expanding cement demand in emerging economies

Directory of Open Access Journals (Sweden)

Yudiesky Cancio Díaz

Full Text Available This paper aims at assessing the return on investment and carbon mitigation potentials of five investment alternatives for the Cuban cement industry in a long-term horizon appraisal (15 years. Anticipated growing demand for cement, constrained supply and an urgent need for optimisation of limited capital while preserving the environment, are background facts leading to the present study. This research explores the beneficial contribution of a new available technology, LC3 cement, resulting from the combination of clinker, calcined clay and limestone, with a capacity of replacing up to 50% of clinker in cement. Global Warming Potential (GWP is calculated with Life Cycle Assessment method and the economic investment's payback is assessed through Return on Capital Employed (ROCE approach. Main outcomes show that projected demand could be satisfied either by adding new cement plants—at a high environmental impact and unprofitable performance— or by introducing LC3 strategy. The latter choice allows boosting both the return on investment and the production capacity while reducing greenhouse gas (GHG emissions up to 20–23% compared to business-as-usual practice. Overall profitability for the industry is estimated to overcome BAU scenario by 8–10% points by 2025, if LC3 were adopted. Increasing the production of conventional blended cements instead brings only marginal economic benefits without supporting the needed increase in production capacity. The conducted study also shows that, in spite of the extra capital cost required for the calcination of kaolinite clay, LC3 drops production costs in the range of 15–25% compared to conventional solutions. Keywords: Cement, Alternative, ROCE, CO2, LCA, Investment

The role of trochanteric flip osteotomy in fixation of certain acetabular fractures

Directory of Open Access Journals (Sweden)

Sandeep Gupta

2017-06-01

Conclusion: Trochanteric flip osteotomy is a very effective technique to fix certain acetabular fractures especially those with dome involvement. It is more accurate and associated with no significant complications compared with conventional way.

Compressive Strength of Volcanic Ash/Ordinary Portland Cement Laterized Concrete

Directory of Open Access Journals (Sweden)

Olusola K. O.

2010-01-01

Full Text Available This study investigates the effect of partial replacement of cement with volcanic ash (VA on the compressive strength of laterized concrete. A total of 192 cubes of 150mm dimensions were cast and cured in water for 7, 14, 21, and 28 days of hydration with cement replacement by VA and sand replacement by laterite both ranging from 0 to 30% respectively, while a control mix of 28-day target strength of 25 N/mm2 was adopted. The results show that the density and compressive strength of concrete decreased with increase in volcanic ash content. The 28-day, density dropped from 2390 kg/m3 to 2285 kg/m3 (i.e. 4.4% loss and the compressive strength from 25.08 N/mm2 to 17.98 N/mm2 (i.e. 28% loss for 0-30% variation of VA content with no laterite introduced. The compressive strength also decreased with increase in laterite content; the strength of the laterized concrete however increases as the curing age progresses.

Effect of various Portland cement paste compositions on early-age strain

Science.gov (United States)

Guzzetta, Alana G.

Early-age strain in paste, mortar, and concrete mixtures was investigated using a new method where the specimen shape was a cone frustum. Strain of the specimen from both the horizontal and vertical directions was captured by height change measurement. The volumetric strain was then calculated as a function of the height change and was plotted versus time. A correlation was found between the slopes of the volumetric strain curve resulting from this test method and the initial setting time of the tested material. An initial evaluation of the repeatability of this innovative test method was conducted. The early-age strain effects of aggregate volume, shrinkage reducing admixture, water-cementitious ratio (w/cm), and partial cement replacement with supplementary cementitious materials were tested and individually compared. From these comparisons, it was observed that ambient temperature, bleed water development, and rheological properties had a significant impact on the volumetric strain results. Data showed increased strain as aggregate volume was reduced and as the w/cm was changed from 0.25 up to 0.50. The addition of shrinkage reducing admixture generally caused an increase in the 36-hour volumetric strain value. In most of the mixtures, cement replacement with 20% fly ash or 10% metakaolin reduced the measured volumetric strain when the w/cm was 0.30. Replacement of cement with 10% silica fume caused an insignificant change in volumetric strain results.

Reliability of ultrasonographic measurements in suspected patients of developmental dysplasia of the hip and correlation with the acetabular index

Directory of Open Access Journals (Sweden)

Cem Copuroglu

2011-01-01

Full Text Available Background: Ultrasonography is accepted as a useful imaging modality in the early detection of developmental dysplasia of the hip (DDH. Early detection and early treatment of DDH prevents hip dislocation and related physical, social, economic, and psychological problems. The purpose of this study was to evaluate the reliability of ultrasonographic and roentgenographic measurements measured by seven different observers. Materials and Methods: The alpha angles of 66 hips in 33 patients were measured using the Graf method by seven different observers. Acetabular index degrees on plane roentgenograms were measured in order to assess the correlation between the ultrasonographic alpha angle and the radiographic acetabular index, which both show the bony acetabular depth, retrospectively. Results: The interclass correlation coefficient, measuring the interobserver reliability, was high and statistically significant for the ultrasonographic measurements. There was a negative correlation between the alpha angle and the acetabular index. Conclusions: Ultrasonography, when applied properly, is a reliable technique between different observers, in the diagnosis and follow up of DDH. When assessed concomitantly with the roentgenographic measurements, the results are reliable and statistically meaningful.

Properties of cement based composites modified using diatomaceous earth

Science.gov (United States)

Pokorný, Jaroslav; Pavlíková, Milena; Záleská, Martina; Pavlík, Zbyšek

2017-07-01

Diatomite belongs among natural materials rich on amorphous silica (a-SiO2). When finely milled, it can potentially substitute part of cement binder and positively support formation of more dense composite structure. In this connection, two types of diatomaceous earth applied as a partial substitution of 5, 10, 15, and 20 mass% of Portland cement in the composition of cement paste were studied. In the tested mixtures with cement blends, the amount of batch water remained same, with water/binder ratio 0.5. For fresh paste mixtures, initial and final setting times were measured. First, hardened pastes cured 28 days in water were characterized by their physical properties such as bulk density, matrix density and open porosity. Then, their mechanical and thermophysical parameters were assessed. Obtained results gave clear evidence of setting time shortening for pastes with diatomite what brought negative effect with respect to the impaired workability of fresh mixtures. On the other hand, there was observed strength improvement for mixtures containing diatomite with higher amount of SiO2. Here, the increase in mechanical resistivity was distinct up to 15 mass% of cement replacement. Higher cement substitution by diatomite resulted in an increase in porosity and thus improvement of thermal insulation properties.

Acetabular cup position and risk of dislocation in primary total hip arthroplasty

DEFF Research Database (Denmark)

Seagrave, Kurt G; Troelsen, Anders; Malchau, Henrik

2017-01-01

Background and purpose - Hip dislocation is one of the most common complications following total hip arthroplasty (THA). Several factors that affect dislocation have been identified, including acetabular cup positioning. Optimal values for cup inclination and anteversion are debatable. We performed...... a systematic review to describe the different methods for measuring cup placement, target zones for cup positioning, and the association between cup positioning and dislocation following primary THA. Methods - A systematic search of literature in the PubMed database was performed (January and February 2016......) to identify articles that compared acetabular cup positioning and the risk of dislocation. Surgical approach and methods for measurement of cup angles were also considered. Results - 28 articles were determined to be relevant to our research question. Some articles demonstrated that cup positioning influenced...

Cam deformity and acetabular dysplasia as risk factors for hip osteoarthritis

NARCIS (Netherlands)

Hosnijeh, Fatemeh Saberi; Zuiderwijk, Maria E; Versteeg, Mathijs; Smeele, Hieronymus T W; Hofman, Albert; Uitterlinden, André G; Agricola, Rintje; Oei, Edwin H G; Waarsing, Jan H; Bierma-Zeinstra, Sita M; van Meurs, Joyce B J

2017-01-01

Objective: Cam deformity and acetabular dysplasia have been recognized as relevant risk factors for hip osteoarthritis (OA) in a few prospective studies with limited sample sizes. To date, however, no evidence is available from prospective studies regarding whether the magnitude of these

Effect of Fly Ash and Silica Fume on the Mechanical Properties of Cement Paste at Different Stages of Hydration

Science.gov (United States)

2015-08-10

All materials were placed in a clean, labeled stainless steel mixing bowl and weighed to the nearest ten thousandth of a pound. The cement and fly...on the Mechanical Properties of Cement Paste at Different Stages of Hydration This thesis investigates the effect of fly ash and silica fume on... cement paste hydration. Percentages of each additive will replace the cement by volume to be studied at five ages. These percentages will be compared

Femoro-acetabular impingement and hip pain with conventionally normal x-rays.

LENUS (Irish Health Repository)

Baker, J F

2010-06-01

There has in recent years been a fundamental change in the understanding of hip pain in the young adult and hip pain without plain radiographic findings of arthritis. Pain in these groups has long represented a diagnostic and therapeutic challenge. With new appreciation of hip biomechanics, pathological processes and the arrival of modern imaging modalities we now have a greater understanding of non-arthritic hip pathology. One of the commonest yet least well recognized \\'new\\' diagnoses around the hip is femoro-acetabular impingement (FAI). FAI is a developmental condition of the hip joint that is associated with abnormal anatomical configuration and thus joint mechanics on either the femoral or acetabular sides or both. It is hypothesized to have a variety of precipitants and may ultimately lead to labral and chondral injury and what has previously been referred to as \\'primary\\' or \\'idiopathic\\' hip osteoarthritis.

Random ionic mobility on blended cements exposed to aggressive environments

Energy Technology Data Exchange (ETDEWEB)

Garcia, Rosario, E-mail: rosario.garcia@uam.es [Departamento de Geologia y Geoquimica, Facultad de Ciencias, Universidad Autonoma, 28049 Madrid (Spain); Rubio, Virginia [Departamento de Geografia, Facultad de Filosofia y Letras, Universidad Autonoma, 28049 Madrid (Spain); Vegas, Inigo [Labein-Tecnalia, 48160 Derio, Vizcaya (Spain); Frias, Moises [Instituto Eduardo Torroja, CSIC, c/ Serrano Galvache, 4, 28033 Madrid (Spain)

2009-09-15

It is known that the partial replacement of cement by pozzolanic admixtures generally leads to modifications in the diffusion rates of harmful ions. Recent research has centred on obtaining new pozzolanic materials from industrial waste and industrial by-products and on the way that such products can influence the performance of blended cements. This paper reports the behaviour of cements blended with calcined paper sludge (CPS) admixtures under exposure to two different field conditions: sea water and cyclic changes in temperature and humidity. Cement mortars were prepared with 0% and 10% paper sludge calcined at 700 deg. C. The penetration of ions within the microstructure of cement matrices was studied using X-ray diffraction (XRD) and scanning electron microscopy equipped with an energy dispersive X-ray analyser (SEM/EDX) analytical techniques. The results show that ionic mobility varies substantially according to the type of exposure and the presence of the calcined paper sludge. The incorporation of 10% CPS is shown to assist the retention and diffusion of the ions.

Random ionic mobility on blended cements exposed to aggressive environments

International Nuclear Information System (INIS)

Garcia, Rosario; Rubio, Virginia; Vegas, Inigo; Frias, Moises

2009-01-01

It is known that the partial replacement of cement by pozzolanic admixtures generally leads to modifications in the diffusion rates of harmful ions. Recent research has centred on obtaining new pozzolanic materials from industrial waste and industrial by-products and on the way that such products can influence the performance of blended cements. This paper reports the behaviour of cements blended with calcined paper sludge (CPS) admixtures under exposure to two different field conditions: sea water and cyclic changes in temperature and humidity. Cement mortars were prepared with 0% and 10% paper sludge calcined at 700 deg. C. The penetration of ions within the microstructure of cement matrices was studied using X-ray diffraction (XRD) and scanning electron microscopy equipped with an energy dispersive X-ray analyser (SEM/EDX) analytical techniques. The results show that ionic mobility varies substantially according to the type of exposure and the presence of the calcined paper sludge. The incorporation of 10% CPS is shown to assist the retention and diffusion of the ions.

The mechanical and physical properties of concrete containing polystyrene beads as aggregate and palm oil fuel ash as cement replacement material

Science.gov (United States)

Adnan, Suraya Hani; Abadalla, Musab Alfatih Salim; Jamellodin, Zalipah

2017-10-01

One of the disadvantages of normal concrete is the high self-weight of the concrete. Density of the normal concrete is in the range of 2200 kg/m3 to 2600 kg/ m3. This heavy self-weight make it as an uneconomical structural material. Advantages of expended polystyrene beads in lightweight concrete is its low in density which can reduce the dead load (self-weight) Improper disposal of the large quantity of palm oil fuel ash which has been produced may contribute to environmental problem in future. In this study, an alternative of using palm oil fuel ash as a cement replacement material is to improve the properties of lightweight concrete. The tests conducted in this study were slump test, compression strength, splitting tensile and water absorption test. These samples were cured under water curing condition for 7, 28 and 56 days before testing. Eight types of mixtures were cast based on percentage (25%, 50%) of polystyrene beads replacement for control samples and (25%, 50%) of polystyrene beads by different ratio 10%, 15%, and 20% replacement of palm oil fuel ash, respectively. Samples with 25% polystyrene beads and 10% palm oil fuel ash obtained the highest compressive strength which is 16.8 MPa, and the splitting tensile strength is 1.57 MPa. The water absorption for samples 25%, 50% polystyrene and 20% palm oil fuel ash is 3.89% and 4.67%, respectively which is lower compared to control samples.

Rheological study of self-compacting mortars based on ternary cements

Directory of Open Access Journals (Sweden)

Elhadja Dada

2018-01-01

Full Text Available Self-compacting concrete (SCC is able to provide the ability to be easily implemented without vibration and to achieve spectacular structures, by its high fluidity and its rheological stability. By against its formulation requires a large volume of cement, which is necessary to allow its flow. The current environmental considerations lead to reduce the production of clinker however, it is essential to use cementitious additions to replace cement, because of their high availability and their moderate price. Furthermore, their use contributes in a simple and economical way to solve the problems related to the environment. The objective of our work is to study the effects of the incorporation of mineral additions such as: blast furnace slag of El-Hadjar (BFS, and marble powder (MP on the rheological parameters of selfcompacting mortars developed in different combinations in ternary system with a substitution rate ranging from 20% to 60%. According to this study, it been found that the substitution of cement by blast furnace slag and marble powder has negatively affected the rheological behavior of the mixtures. In addition, a considerable decrease in the rheological parameters has been achieved with a substitution rate of 20% of slag and 30% of marble powder. As well as an improvement of workability has been proven to self-compacting mortars and this is due to the increase of ternary cement replacement rate by marble powder from 20% to 30%.

Alternative Fuel for Portland Cement Processing

Energy Technology Data Exchange (ETDEWEB)

Schindler, Anton K; Duke, Steve R; Burch, Thomas E; Davis, Edward W; Zee, Ralph H; Bransby, David I; Hopkins, Carla; Thompson, Rutherford L; Duan, Jingran; ; Venkatasubramanian, Vignesh; Stephen, Giles

2012-06-30

at a full-scale cement plant with alternative fuels to examine their compatibility with the cement production process. Construction and demolition waste, woodchips, and soybean seeds were used as alternative fuels at a full-scale cement production facility. These fuels were co-fired with coal and waste plastics. The alternative fuels used in this trial accounted for 5 to 16 % of the total energy consumed during these burns. The overall performance of the portland cement produced during the various trial burns performed for practical purposes very similar to the cement produced during the control burn. The cement plant was successful in implementing alternative fuels to produce a consistent, high-quality product that increased cement performance while reducing the environmental footprint of the plant. The utilization of construction and demolition waste, woodchips and soybean seeds proved to be viable replacements for traditional fuels. The future use of these fuels depends on local availability, associated costs, and compatibility with a facility's production process.

Effect of Partial Replacement of Sand With Quarry Dust on the ...

African Journals Online (AJOL)

This work investigated the effect of partial replacement of sand with quarry dust on the compressive strength, flexural strength, split tensile strength and water absorption of sandcrete blocks. River sand was replaced with quarry dust at percentages ranging from 0 to 40 at cement/combined aggregate ratio of 1: 6. The blocks ...

Fracture strengths of chair‑side‑generated veneers cemented with ...

African Journals Online (AJOL)

2014-06-09

Jun 9, 2014 ... Group 1), CAD/CAM‑fabricated veneers cemented with a glass fiber ... specimens were tested with a universal testing machine after thermal cycling treatment. ... The purpose of the current in vitro study is to determine the ..... fracture resistance of fiber reinforced cups‑replacing composite restorations.

Bilateral non-traumatic acetabular and femoral neck fractures due to pregnancy-associated osteoporosis.

Science.gov (United States)

Aynaci, Osman; Kerimoglu, Servet; Ozturk, Cagatay; Saracoglu, Metehan

2008-03-01

Pregnancy-associated osteoporosis is a rare disorder and its pathophysiology remains unknown. We report a case of pregnancy-associated osteoporosis in a 27-year-old primiparous patient who revealed bilateral hip pain during early postnatal period. The plain radiographs and computerized tomography showed bilateral femoral neck and acetabular fractures. The diagnosis of osteoporosis was established by bone mineral density. Diagnostic work-up excluded a secondary osteoporosis. The case was treated successfully by bilateral cementless total hip arthroplasty. Bone mineral density increased after 2 years of treatment with calcium-vitamin D, calcitriol and alendronate. Diagnosis of pregnancy-associated osteoporosis should be suspected when hip pain occurs during pregnancy or in the post-partum period as it can lead to acetabular and femoral neck fractures.

Characterization of polymer-modified cement as a solidification agent for the radwaste

International Nuclear Information System (INIS)

Ji, Young-Yong; Kwak, Kyung-Kil; Hong, Dae-Seok; Ryu, Woo-Seog

2012-01-01

Highlights: ► Polymer-modified cement (PMC) by modification with water-based resins. ► Determination of the optimized polymer content. ► Evaluation of the improved chemical resistance of the PMC. ► Decrease of the amount of ions released into the demineralized water. ► Highly improved property for the nuclide diffusivity at the Co-60. - Abstract: Polymer-modified cement can be produced by partially replacing cement hydrate binders in ordinary Portland cement with polymeric compounds. It is known that the addition of the polymer to the cement paste leads to improved quality, which would be expected to have a high chemical resistance. In order to investigate the application as a solidification agent for the radwaste, polymer-modified cement specimens, by modification with water-based resins, were prepared according to the polymer content from 0% to 30%. The optimized polymer content in the cement pastes was then determined through the compressive strength and the porosity test. Finally, the improved chemical resistance of the polymer-modified cement with the optimized polymer content was evaluated by the thermal cycling, the immersion, and the leaching tests. From the test results, the amount of ions released into the water showed lower values of about 20% at the polymer-modified cement. Especially, a highly improved nuclide diffusivity of Co-60 was observed in the polymer-modified cement.

Ipsilateral Traumatic Posterior Hip Dislocation, Posterior Wall and Transverse Acetabular Fracture with Trochanteric Fracture in an adult: Report of First Case

Directory of Open Access Journals (Sweden)

Skand Sinha

2013-10-01

Full Text Available Introduction: Posterior dislocation of the hip joint with associated acetabular and intertrochanteric fracture is a complex injury. Early recognition, prompt and stable reduction is needed of successful outcome. Case Report: 45 year old male patient presented with posterior dislocation of the hip with transverse fracture with posterior wall fracture of acetabulam and intertrochanteric fracture on the ipsilateral side. The complex fracture geometry was confirmed by CT scan. The patient was successfully managed by open reduction and internal fixation of intertrochanteric fracture was achieved with dynamic hip screw (DHS plate fixation followed by fixation of acetabular fracture with reconstruction plate. Conclusion: Hip dislocation combined with acetabular fracture is an uncommon injury; this article presents a unique case of posterior wall and transverse fractures of ipsilateral acetabulum with intertrochanteric fracture in a patient who sustained traumatic posterior hip dislocation. Early surgical intervention is important for satisfactory outcomes of such complex fracture-dislocation injuries. Keywords: Hip dislocation; acetabular fractures; intertrochanteric fracture; operative treatment.

Developing Low-Clinker Ternary Blends for Indian Cement Industry

Science.gov (United States)

Pal, Aritra

2018-05-01

In today's scenario cement-concrete has become the backbone of infrastructure development. The use of concrete is increasing day by day and so does cement. One of the major concerns is that the cement manufacturing contributes 7% of total man-made CO2 emission in the environment. At the same time India being a developing country secured the second position in cement production. On the other hand solid waste management is one of the growing problems in India. As we are one of the major contributors in this situation so, the time has come to think about the sustainable alternatives. From various researches it has been observed that the low clinker cement can be suitable option. In the present paper we have tried to develop a low clinker ternary blend for Indian cement industry using the concept of synergetic behavior of fly ash-limestone reaction and formation of more stable monocarboaluminate hydrate and hemicarboaluminate hydrate. 30% fly ash and 15% limestone and 5% gypsum have been used as supplementary cementing material for replacing 50% clinker. The mechanical properties like, compressive strength, have been studied for the fly ash limestone ternary blends cements and the results have been compared with the other controlled blends and ternary blends. The effect of intergrinding of constituent materials has shown a comparable properties which can be used for various structural application. The effect of dolomitic limestone has also been studied in fly ash limestone ternary blends and the result shows the relation between compressive strength and dolomite content is inversely proportional.

suitability of polyvinyl waste powder as partial replacement

African Journals Online (AJOL)

eobe

as partial replacement of cement in the production o. PWP at interval ... conducted to assess the suitability of polyvinyl waste p polyvinyl waste p .... pose a serious environmental threat because of the fact that they ... served as the control. 2.2.3.

Outcome of total knee replacement following explantation and cemented spacer therapy.

Science.gov (United States)

Ghanem, Mohamed; Zajonz, Dirk; Bollmann, Juliane; Geissler, Vanessa; Prietzel, Torsten; Moche, Michael; Roth, Andreas; Heyde, Christoph-E; Josten, Christoph

2016-01-01

Infection after total knee replacement (TKR) is one of the serious complications which must be pursued with a very effective therapeutic concept. In most cases this means revision arthroplasty, in which one-setting and two-setting procedures are distinguished. Healing of infection is the conditio sine qua non for re-implantation. This retrospective work presents an assessment of the success rate after a two-setting revision arthroplasty of the knee following periprosthetic infection. It further considers drawing conclusions concerning the optimal timing of re-implantation. A total of 34 patients have been enclosed in this study from September 2005 to December 2013. 35 re-implantations were carried out following explantation of total knee and implantation of cemented spacer. The patient's group comprised of 53% (18) males and 47% (16) females. The average age at re-implantation time was 72.2 years (ranging from 54 to 85 years). We particularly evaluated the microbial spectrum, the interval between explantation and re-implantation, the number of surgeries that were necessary prior to re-implantation as well as the postoperative course. We reported 31.4% (11) reinfections following re-implantation surgeries. The number of the reinfections declined with increasing time interval between explantation and re-implantation. Patients who developed reinfections were operated on (re-implantation) after an average of 4.47 months. Those patients with uncomplicated course were operated on (re-implantation) after an average of 6.79 months. Nevertheless, we noticed no essential differences in outcome with regard to the number of surgeries carried out prior to re-implantation. Mobile spacers proved better outcome than temporary arthrodesis with intramedullary fixation. No uniform strategy of treatment exists after peri-prosthetic infections. In particular, no optimal timing can be stated concerning re-implantation. Our data point out to the fact that a longer time interval between

Outcome of total knee replacement following explantation and cemented spacer therapy

Directory of Open Access Journals (Sweden)

Ghanem, Mohamed

2016-03-01

Full Text Available Background: Infection after total knee replacement (TKR is one of the serious complications which must be pursued with a very effective therapeutic concept. In most cases this means revision arthroplasty, in which one-setting and two-setting procedures are distinguished. Healing of infection is the conditio sine qua non for re-implantation. This retrospective work presents an assessment of the success rate after a two-setting revision arthroplasty of the knee following periprosthetic infection. It further considers drawing conclusions concerning the optimal timing of re-implantation.Patients and methods: A total of 34 patients have been enclosed in this study from September 2005 to December 2013. 35 re-implantations were carried out following explantation of total knee and implantation of cemented spacer. The patient’s group comprised of 53% (18 males and 47% (16 females. The average age at re-implantation time was 72.2 years (ranging from 54 to 85 years. We particularly evaluated the microbial spectrum, the interval between explantation and re-implantation, the number of surgeries that were necessary prior to re-implantation as well as the postoperative course. Results: We reported 31.4% (11 reinfections following re-implantation surgeries. The number of the reinfections declined with increasing time interval between explantation and re-implantation. Patients who developed reinfections were operated on (re-implantation after an average of 4.47 months. Those patients with uncomplicated course were operated on (re-implantation after an average of 6.79 months. Nevertheless, we noticed no essential differences in outcome with regard to the number of surgeries carried out prior to re-implantation. Mobile spacers proved better outcome than temporary arthrodesis with intramedullary fixation.Conclusion: No uniform strategy of treatment exists after peri-prosthetic infections. In particular, no optimal timing can be stated concerning re

The diagnostic accuracy of acetabular labral tears using magnetic resonance imaging and magnetic resonance arthrography: a meta-analysis

Energy Technology Data Exchange (ETDEWEB)

Smith, Toby O. [University of East Anglia, Faculty of Health, Queen' s Building, Norwich (United Kingdom); Hilton, Gemma [Norfolk and Norwich University Hospital, Norwich (United Kingdom); Toms, Andoni P.; Donell, Simon T. [Norfolk and Norwich University Hospital, University of East Anglia, Norwich (United Kingdom); Hing, Caroline B. [St. George' s Hospital, London (United Kingdom)

2011-04-15

Magnetic resonance imaging (MRI) and magnetic resonance arthrography (MRA) have been advocated for the diagnosis of acetabular labral tears. The purpose of this study was to determine the sensitivity and specificity of MRI and MRA in diagnosing acetabular labral tears using meta-analysis. Pertinent published and unpublished literature databases were reviewed. A two-by-two table was constructed to calculate the sensitivity and specificity of MRI or MRA investigations against surgical outcomes. Pooled sensitivity and specificity and Receiver Operating Characteristic curve (ROC) evaluations were performed. Methodological quality of each study was assessed using the QUADAS (Quality Assessment of Diagnostic Accuracy Studies) tool. Nineteen papers assessing 881 hips were reviewed. Conventional MRI was assessed in 13 studies and MRA was assessed in 16 studies. Whilst both MRI (0.5-3T) and MRA (0.5-3T) presented with a moderate sensitivity and specificity (sensitivity 66%, 87%; specificity 79%, 64%), diagnostic accuracy of MRA appeared to be superior to MRI in detecting acetabular labral tears on ROC curve interpretation. The literature poorly described population characteristics, assessor blinding, with limited sample sizes. MRI and MRA may be useful adjuncts in the diagnosis of acetabular labral tears in adults. MRA appears to be superior to conventional MRI. (orig.)

Gel/Space Ratio Evolution in Ternary Composite System Consisting of Portland Cement, Silica Fume, and Fly Ash.

Science.gov (United States)

Wu, Mengxue; Li, Chen; Yao, Wu

2017-01-11

In cement-based pastes, the relationship between the complex phase assemblage and mechanical properties is usually described by the "gel/space ratio" descriptor. The gel/space ratio is defined as the volume ratio of the gel to the available space in the composite system, and it has been widely studied in the cement unary system. This work determines the gel/space ratio in the cement-silica fume-fly ash ternary system (C-SF-FA system) by measuring the reaction degrees of the cement, SF, and FA. The effects that the supplementary cementitious material (SCM) replacements exert on the evolution of the gel/space ratio are discussed both theoretically and practically. The relationship between the gel/space ratio and compressive strength is then explored, and the relationship disparities for different mix proportions are analyzed in detail. The results demonstrate that the SCM replacements promote the gel/space ratio evolution only when the SCM reaction degree is higher than a certain value, which is calculated and defined as the critical reaction degree (CRD). The effects of the SCM replacements can be predicted based on the CRD, and the theological predictions agree with the test results quite well. At low gel/space ratios, disparities in the relationship between the gel/space ratio and the compressive strength are caused by porosity, which has also been studied in cement unary systems. The ratio of cement-produced gel to SCM-produced gel ( G C to G S C M ratio) is introduced for use in analyzing high gel/space ratios, in which it plays a major role in creating relationship disparities.

Gel/Space Ratio Evolution in Ternary Composite System Consisting of Portland Cement, Silica Fume, and Fly Ash

Directory of Open Access Journals (Sweden)

Mengxue Wu

2017-01-01

Full Text Available In cement-based pastes, the relationship between the complex phase assemblage and mechanical properties is usually described by the “gel/space ratio” descriptor. The gel/space ratio is defined as the volume ratio of the gel to the available space in the composite system, and it has been widely studied in the cement unary system. This work determines the gel/space ratio in the cement-silica fume-fly ash ternary system (C-SF-FA system by measuring the reaction degrees of the cement, SF, and FA. The effects that the supplementary cementitious material (SCM replacements exert on the evolution of the gel/space ratio are discussed both theoretically and practically. The relationship between the gel/space ratio and compressive strength is then explored, and the relationship disparities for different mix proportions are analyzed in detail. The results demonstrate that the SCM replacements promote the gel/space ratio evolution only when the SCM reaction degree is higher than a certain value, which is calculated and defined as the critical reaction degree (CRD. The effects of the SCM replacements can be predicted based on the CRD, and the theological predictions agree with the test results quite well. At low gel/space ratios, disparities in the relationship between the gel/space ratio and the compressive strength are caused by porosity, which has also been studied in cement unary systems. The ratio of cement-produced gel to SCM-produced gel ( G C to G S C M ratio is introduced for use in analyzing high gel/space ratios, in which it plays a major role in creating relationship disparities.

Weight-bearing radiography in total hip replacement

International Nuclear Information System (INIS)

Turula, K.B.; Haajanen, J.; Friberg, O.; Lindholm, T.S.; Tallroth, K.

1985-01-01

Serial anteroposterior (AP) radiographs of the weight-bearing pelvis and hips were taken of 29 patients with total hip replacement (THR). For constant positioning the patient stands with straight knees on a board with a block between the heels. A U-shaped mercury level strapped to the patient provides a horizontal reference line on the radiograph. On the average, individual variation of pelvic tilt in serial films was 1 0 and pelvic rotation 3.5 0 confirming satisfactory reproducibility. The horizontal reference enables estimation of pre- and postoperative leg length inequality (LLI) and of the angle of the acetabular cup (AA). Reproducibility allows assessment of the exact position of the femoral component and quantitative evaluation of radiolucency and bone resorption around the prosthetic implant in the follow-up of THR. (orig.)

In vivo performance of a reduced-modulus bone cement

Science.gov (United States)

Forehand, Brett Ramsey

Total joint replacement has become one of the most common procedures in the area of orthopedics and is often the solution in patients with diseased or injured hip joints. Component loosening is a significant problem and is primarily caused by bone resorption at the bone-cement interface in cemented implants. It is our hypothesis that localized shear stresses are responsible for the resorption. It was previously shown analytically that local stresses at the interface could be reduced by using a cement of lower modulus. A new reduced modulus cement, polybutyl methylmethacrylate (PBMMA), was developed to test the hypothesis. PBMMA was formulated to exist as polybutyl methacrylate filler in a polymethyl methacrylate matrix. The success of PBMMA cement is based largely on the fact that the polybutyl component of the cement will be in the rubbery state at body temperature. In vitro characterization of the cement was undertaken previously and demonstrated a modulus of approximately one-eighth that of conventional bone cement, polymethyl methacrylate (PMMA) and increased fracture toughness. The purpose of this experiment was to perform an in vivo comparison of the two cements. A sheep model was selected. Total hip arthroplasty was performed on 50 ewes using either PBMMA or PMMA. Radiographs were taken at 6 month intervals. At one year, the contralateral femur of each sheep was implanted so that each animal served as its own control, and the animals were sacrificed. The stiffness of the bone-cement interface of the femoral component within the femur was assessed by applying a torque to the femoral component and demonstrated a significant difference in loosening between the cements when the specimens were tested in external rotation (p sheep had a greater amount of loosening for each subject, 59% versus 4% for standard PMMA. A radiographic analysis demonstrated more signs of loosening in the PMMA series of subjects. A brief histological examination showed similar bony

MODIFICATION OF FOAMED CEMENT-CLAY MORTARS BY STABILIZERS

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Panfilova Marina Ivanovna

2012-10-01

by-product generated in the course of combustion of crossties, and reduction of the cement consumption rate. The authors have identified that ash added into the injection does not cause any deterioration of the mortar strength; rather, it assures its structural stability and prevents any leaching of heavy metals that it contains. The authors have identified that adding 20 to 26 % of flue ash into the injection reduces the mortar hardening time by 30 %, while the strength of the mortar that has 20 % of ash is almost equal to the one of the benchmark sample. However, any higher ash content causes deterioration of the hardening strength of the mortar. Therefore, the authors have discovered that 20 % of the cement may be replaced by the ash generated in the course of combustion of waste crossties. This replacement is to be performed in the course of preparation of mortars, and it is aimed at the strengthening of the soil. This operation is to be performed in the incinerator to preserve the solution properties. This technology reduces the amount of hazardous by-products through their recycling.

Effects of densified silica fume on microstructure and compressive strength of blended cement pastes

International Nuclear Information System (INIS)

Ji Yajun; Cahyadi, Jong Herman

2003-01-01

Some experimental investigations on the microstructure and compressive strength development of silica fume blended cement pastes are presented in this paper. The silica fume replacement varies from 0% to 20% by weight and the water/binder ratio (w/b) is 0.4. The pore structure by mercury intrusion porosimetry (MIP), the micromorphology by scanning electron microscopy (SEM) and the compressive strength at 3, 7, 14, 28, 56 and 90 days have been studied. The test results indicate that the improvements on both microstructure and mechanical properties of hardened cement pastes by silica fume replacement are not effective due to the agglomeration of silica fume particles. The unreacted silica fume remained in cement pastes, the threshold diameter was not reduced and the increase in compressive strength was insignificant up to 28 days. It is suggested that the proper measures should be taken to disperse silica fume agglomeration to make it more effective on improving the properties of materials

Understanding mineral trioxide aggregate/Portland-cement: a review of literature and background factors.

Science.gov (United States)

Steffen, R; van Waes, H

2009-06-01

This was to carry out a review of the literature concerning mineral trioxide aggregate (MTA) and Portland cement with regards to clinical, biological and mechanical findings and a possible substitution of MTA through Portland cement for endodontic use. Electronic literature search of scientific papers from January 1993 to January 2009 was carried out on the MEDLINE and Scopus databases using specific key words. In total, 57 papers were identified that dealt with MTA and Portland cement in a relevant way. The review of 50 papers conforming to the applied criteria showed that MTA and Portland cements have the same clinical, biological and mechanical properties. In animal experiments and technical characterisations both materials seemed to have very similar properties. The only difference is bismuth oxide in MTA added for better radio opacity. It seems likely that MTA materials are based on industrial Portland cements mixed with bismuth oxide. More studies, especially some long-term studies comparing MTA and Portland cement, are necessary. The existing literature gives a solid base for clinical studies with Portland cement in order to replace MTA as an endodontic material. Portland cement could be a substitute for most endodontic materials used in primary teeth.

The use of an Ossis custom 3D-printed tri-flanged acetabular implant for major bone loss: minimum 2-year follow-up: Short title: Ossis custom 3D-Printed tri-flanged acetabular implant.

Science.gov (United States)

Kieser, David C; Ailabouni, Ramez; Kieser, Sandra C J; Wyatt, Michael C; Armour, Paul C; Coates, Mark H; Hooper, Gary J

2018-05-01

Custom 3D-printed acetabular implants are a new technology used in hip surgery with ever-increasing frequency. They offer patient-specific implants to optimise filling of bone defects and implant-bone contact, without the need for excessive bone resection. This is a retrospective cohort study of 46 consecutive patients who underwent an Ossis unilateral custom 3D-printed acetabular implant. Clinical (Oxford Hip Score OHS-60), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Harris Hip Score (HHS) and radiological (restoration of biomechanical hip centre, osteointegration, wear, heterotrophic ossification) results were assessed. Patient mean age was 68 years and follow-up was 38 months (minimum 24 months). 10 patients were excluded from the outcome analysis; 2 patients died, 1 required revision for deep infection and 7 were lost to follow-up. Of the 36 patients included, 21 had severe osteolysis. 7 were revised for infection, 3 for tumoural defects, 3 for metallosis, 1 for dysplasia and 1 for trauma (Paprosky 2a [n=6], 2b [n=2], 2c [n=5], 3a [n=6], 3b [n=11], pelvic dissociation [n=6]). OHS significantly improved postoperatively (16-8-48.4 p=0.027). Postoperative functional scores were good (WOMAC 98; HHS 79). The biomechanical hip centre was restored in all patients. 1 patient had early implant migration with subsequent stabilisation. 2 patients had radiographs concerning for failure of osteointegration. 1 patient had recurrent dislocations. The mid-term results of the Ossis custom 3D-printed tri-flanged acetabular implant for the management of severe acetabular defects are encouraging. The improvement in functional scores and radiographic outcomes are comparable to similar designs. In addition, no cases have required revision for aseptic loosening.

Strength development in concrete with wood ash blended cement and use of soft computing models to predict strength parameters.

Science.gov (United States)

Chowdhury, S; Maniar, A; Suganya, O M

2015-11-01

In this study, Wood Ash (WA) prepared from the uncontrolled burning of the saw dust is evaluated for its suitability as partial cement replacement in conventional concrete. The saw dust has been acquired from a wood polishing unit. The physical, chemical and mineralogical characteristics of WA is presented and analyzed. The strength parameters (compressive strength, split tensile strength and flexural strength) of concrete with blended WA cement are evaluated and studied. Two different water-to-binder ratio (0.4 and 0.45) and five different replacement percentages of WA (5%, 10%, 15%, 18% and 20%) including control specimens for both water-to-cement ratio is considered. Results of compressive strength, split tensile strength and flexural strength showed that the strength properties of concrete mixture decreased marginally with increase in wood ash contents, but strength increased with later age. The XRD test results and chemical analysis of WA showed that it contains amorphous silica and thus can be used as cement replacing material. Through the analysis of results obtained in this study, it was concluded that WA could be blended with cement without adversely affecting the strength properties of concrete. Also using a new statistical theory of the Support Vector Machine (SVM), strength parameters were predicted by developing a suitable model and as a result, the application of soft computing in structural engineering has been successfully presented in this research paper.

Efficient radiologic diagnosis of pelvic and acetabular trauma

International Nuclear Information System (INIS)

Kreitner, K.F.; Mildenberger, P.; Thelen, M.; Rommens, P.M.

2000-01-01

In spite of the widespread availability of CT scanners, conventional X-ray radiographs remain the basic imaging modality in patients with pelvic and/or acetabular trauma. However, the extent of their use will depend on local utilities (e.g., availability of CT scanners) and on the patient's clinical condition. Regarding the inaccuracy of conventional radiography in the diagnosis of injuries of the dorsal pelvic ring and of the acetabulum, computed tomography represents the most important imaging modality in the clinically stable patient. CT provides an exact staging of the extent of trauma and allows for differentiation of pelvic instabilities. CT clearly demonstrates the severity of acetabular trauma and is superior in the detection of local complicating factors, i.e., impressions fractures and (sub-)luxations of the femoral head as well as free intraarticular fragments. CT findings provide the basis for definite treatment regimens of the injured patient. By extension of the examination, all relevant organs and systems (craniospinal, cardiovascular, gastrointestinal, respiratory, genitourinary) can be imaged during one session. The speed of spiral CT scanners and their diagnostic accuracy will play a major role in the management of, especially, polytraumatized patients. The indication for angiography with the option of therapeutic embolization exists if a pelvic bleeding persists even after reposition and operative fixation of the injury. (orig.) [de

Evaluation of the physical properties of an endodontic Portland cement incorporating alternative radiopacifiers used as root-end filling material.

Science.gov (United States)

Camilleri, J

2010-03-01

To investigate the physical and chemical properties of Portland cement (PC) loaded with alternative radiopacifying materials for use as root-end filling materials in a mineral trioxide aggregate (MTA)-like system. Portland cement loaded with barium sulphate, gold and silver/tin alloy was mixed with water, and the physical and chemical properties of the hydrated cements were evaluated. MTA and intermediate restorative material (IRM) were used as controls. The radiopacity was compared to the equivalent thickness of aluminium, and the setting time of the cements was assessed using an indentation technique. The compressive strength and the stress-strain relationship were determined at 28 days. The stress-strain relationship was determined by monitoring the strain generated when the cement was subjected to compressive load. In addition, the pH was determined in water and simulated body fluid for a period of 28 days. The radiopacity of the cements using alternative radiopacifiers was comparable to MTA (P > 0.05). IRM demonstrated a higher radiopacity than all the materials tested (P cements with the exception of IRM exhibited an alkaline pH and had an extended setting time when compared to IRM. MTA had a longer setting time than the PC (P cement (P = 0.159). The addition of a radiopacifier retarded the setting time (P cements had comparable strength to PC (P > 0.05). IRM was the weakest cement tested (P cement loaded with gold radiopacifier had comparable strength to MTA (P = 1). The stress-strain relationship was linear for all the cements with IRM generating more strain on loading. Within the parameters set in this study, bismuth oxide in MTA can be replaced by gold or silver/tin alloy. The physical, mechanical and chemical properties of the cement replaced with alternative radiopacifiers were similar and comparable to ProRoot MTA.

ground nut husk ash (gha) as a partial replacement of cement in ...

African Journals Online (AJOL)

NIJOTECH

The vicat apparatus was used to determine the consistency and setting time of the pozzolanic paste in accordance with BS. 12. The water cement ratio that gives a plunger penetration of 5 to 7mm above the bottom of the mould is the standard consistency. The Initial Setting Time (1ST) is the time taken from mixing with water ...

Mechanical, material, and antimicrobial properties of acrylic bone cement impregnated with silver nanoparticles.

Science.gov (United States)

Slane, Josh; Vivanco, Juan; Rose, Warren; Ploeg, Heidi-Lynn; Squire, Matthew

2015-03-01

Prosthetic joint infection is one of the most serious complications that can lead to failure of a total joint replacement. Recently, the rise of multidrug resistant bacteria has substantially reduced the efficacy of antibiotics that are typically incorporated into acrylic bone cement. Silver nanoparticles (AgNPs) are an attractive alternative to traditional antibiotics resulting from their broad-spectrum antimicrobial activity and low bacterial resistance. The purpose of this study, therefore, was to incorporate metallic silver nanoparticles into acrylic bone cement and quantify the effects on the cement's mechanical, material and antimicrobial properties. AgNPs at three loading ratios (0.25, 0.5, and 1.0% wt/wt) were incorporated into a commercial bone cement using a probe sonication technique. The resulting cements demonstrated mechanical and material properties that were not substantially different from the standard cement. Testing against Staphylococcus aureus and Staphylococcus epidermidis using Kirby-Bauer and time-kill assays demonstrated no antimicrobial activity against planktonic bacteria. In contrast, cements modified with AgNPs significantly reduced biofilm formation on the surface of the cement. These results indicate that AgNP-loaded cement is of high potential for use in primary arthroplasty where prevention of bacterial surface colonization is vital. Copyright © 2014 Elsevier B.V. All rights reserved.

Absence or interruption of the supra-acetabular line: a subtle plain film indicator of hip pathology

International Nuclear Information System (INIS)

Major, N.M.; Helms, C.A.

1996-01-01

Objective. To show that absence or interruption of the supraacetabular line is a subtle plain film indicator of pathology in the acetabulum. Design. Nineteen hips from 17 patients with known disease processes involving the acetabulum as demonstrated by subsequent magnetic resonance imaging, bone scan or plain film follow-up were evaluated with antero-posterior (AP) plain films of the pelvis. Three additional cases were diagnosed prospectively using interruption of the supra-acetabular line as the criterion for inclusion. Fifty AP plain films of the pelvis in patients without hip pain were examined prospectively to determine normal imaging criteria. Results and conclusions. The normal supra-acetabular line measures 2-3 mm in thickness superiorly and is a thin sclerotic line in the medial aspect. In all 22 hips (with pathology) in this series, the line was interrupted or absent. Loss or interruption of the supra-acetabular line may thus be a subtle pain film indicator of a disease process involving the acetabulum. This plain film sign has not previously been reported. (orig.). With 8 figs., 1 tab

Rapid Hip Osteoarthritis Development in a Patient with Anterior Acetabular Cyst with Sagittal Alignment Change

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Yasuhiro Homma

2014-01-01

Full Text Available Rapidly destructive coxarthrosis (RDC is rare and develops unusual clinical course. Recent studies suggest multiple possible mechanisms of the development of RDC. However the exact mechanism of RDC is still not clear. The difficulty of the study on RDC is attributed to its rareness and the fact that the data before the onset of RDC is normally unavailable. In this report, we presented the patient having the radiographic data before the onset who had rapid osteoarthritis (OA development after contralateral THA, which meets the current criteria of RDC. We thought that the increased posterior tilt of the pelvis after THA reinforced the stress concentration at pre-existed anterior acetabular cyst, thereby the destruction of the cyst was occurred. As a result the rapid OA was developed. We think that there is the case of rapid osteoarthritis developing due to alternating load concentration by posterior pelvic tilt on preexisting anterior acetabular cyst such as our patient among the cases diagnosed as RDC without any identifiable etiology. The recognition of sagittal alignment changes and anterior acetabular cyst may play important role in prediction and prevention of the rapid hip osteoarthritis development similar to RDC.

Acetabular osteotomy for double boarding in lateral decubitus. Anatomical bases and surgical technique

International Nuclear Information System (INIS)

Lazennec, J Y; Del Vecchio, R; Saillant, G

2001-01-01

The periacetabular osteotomies of reorientation of the eotilo have a reputation of being difficult from the technical point of view. The authors present a technique of juxta acetabular osteotomy that respects the posterior column of the acetabulo the same as the GANZ technique. The osteotomy is of simpler realization thanks to an installation that allows carrying out two simultaneous boarding. The osteotomy lines, their rectilinear and controllable in permanency through of images intensificator and they don't constitute any risk for the essential vascular contribution of the obturatriz artery and their branches. Their other interest comes represented by the possibility of correcting easily the parasitic retroversion associated to the descent of the whole eotilo, that it allows to avoid the bad positions that they affect the center of the articulation and the widths acetabular

Durability of pulp fiber-cement composites

Science.gov (United States)

Mohr, Benjamin J.

Wood pulp fibers are a unique reinforcing material as they are non-hazardous, renewable, and readily available at relatively low cost compared to other commercially available fibers. Today, pulp fiber-cement composites can be found in products such as extruded non-pressure pipes and non-structural building materials, mainly thin-sheet products. Although natural fibers have been used historically to reinforce various building materials, little scientific effort has been devoted to the examination of natural fibers to reinforce engineering materials until recently. The need for this type of fundamental research has been emphasized by widespread awareness of moisture-related failures of some engineered materials; these failures have led to the filing of national- and state-level class action lawsuits against several manufacturers. Thus, if pulp fiber-cement composites are to be used for exterior structural applications, the effects of cyclical wet/dry (rain/heat) exposure on performance must be known. Pulp fiber-cement composites have been tested in flexure to examine the progression of strength and toughness degradation. Based on scanning electron microscopy (SEM), environmental scanning electron microscopy (ESEM), energy dispersive spectroscopy (EDS), a three-part model describing the mechanisms of progressive degradation has been proposed: (1) initial fiber-cement/fiber interlayer debonding, (2) reprecipitation of crystalline and amorphous ettringite within the void space at the former fiber-cement interface, and (3) fiber embrittlement due to reprecipitation of calcium hydroxide filling the spaces within the fiber cell wall structure. Finally, as a means to mitigate kraft pulp fiber-cement composite degradation, the effects of partial portland cement replacement with various supplementary cementitious materials (SCMs) has been investigated for their effect on mitigating kraft pulp fiber-cement composite mechanical property degradation (i.e., strength and toughness

Should total hip arthroplasty be performed acutely in the treatment of acetabular fractures in elderly or used as a salvage procedure only?

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Katharine Hamlin

2017-01-01

Full Text Available Background: Total hip arthroplasty (THA is now an increasingly common procedure for people sustaining acetabular fractures. The incidence of acetabular fractures among the elderly population is increasing, and contemporary treatment aims to avoid the risks of prolonged incumbency associated with poor bone stock for fixation or inability to comply with limited weightbearing in this patient group. The concept of acute hip arthroplasty as a treatment for acetabular fracture is, therefore, becoming more topical and relevant. Our systematic review investigates whether THAs for acetabular fractures should be performed acutely, with a short delay, or as a late procedure for posttraumatic osteoarthritis (PTOA if it develops. Materials and Methods: Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines were followed when undertaking this systematic review. Detailed searches were performed on three different databases, using keywords, such as “acetabular fracture,” “acetabular trauma,” “total hip arthroplasty,” “hip arthroplasty,” and “hip prosthesis.” Studies from 1975 to September 2016 were included in the study. All studies included in the review were independently critically appraised by two of the authors. Results: Forty three studies were included in this review. Only two of them actually compared acute and delayed THAs for acetabular fractures with the rest focusing on one or the other. Results were comparable between acute and late THAs in terms of aseptic loosening, operative time, blood loss, Harris Hip Score, and ability to mobilize postoperatively without aid. Complication rates, however, were much higher in the acute group. Conclusion: Evidence based on this topic is scarce and therefore we have to be cautious about drawing a definitive conclusion. The findings of this systematic review do suggest, however, that acute THAs should be considered in elderly patients, where fixation is not possible, or

Primary stability of a cementless acetabular cup in a cohort of patient-specific finite element models.

Science.gov (United States)

O'Rourke, Dermot; Al-Dirini, Rami Ma; Taylor, Mark

2018-03-01

The primary stability achieved during total hip arthroplasty determines the long-term success of cementless acetabular cups. Pre-clinical finite element testing of cups typically use a model of a single patient and assume the results can be extrapolated to the general population. This study explored the variability in predicted primary stability of a Pinnacle ® cementless acetabular cup in 103 patient-specific finite element models of the hemipelvis and examined the association between patient-related factors and the observed variability. Cups were inserted by displacement-control into the FE models and then a loading configuration simulating a complete level gait cycle was applied. The cohort showed a range of polar gap of 284-1112 μm and 95th percentile composite peak micromotion (CPM) of 18-624 μm. Regression analysis was not conclusive on the relationship between patient-related factors and primary stability. No relationship was found between polar gap and micromotion. However, when the patient-related factors were categorised into quartile groups, trends suggested higher polar gaps occurred in subjects with small and shallow acetabular geometries and cup motion during gait was affected most by low elastic modulus and high bodyweight. The variation in primary stability in the cohort for an acetabular cup with a proven clinical track record may provide benchmark data when evaluating new cup designs. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 36:1012-1023, 2018. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.

[PVD-silicoating before cementation of zirconia-based knee prostheses effects better cement adhesion and lower aseptic loosening rates].

Science.gov (United States)

Marx, R; Faramarzi, R; Oberbach, T; Begand, S; Grätz, N; Wirtz, D C

2012-02-01

CoCrMo alloys are contraindicated for allergy patients. For these patients, cemented or uncemented prostheses made of titanium alloy are indicated. Uncemented prostheses, however, have low primary retention, particularly the tibial components of knee joint prostheses because of the lack of a positive locking. Therefore, for knee replacement cemented CoCrMo prostheses may be suitable also for allergy sufferers if these are masked by ZrN or TiNbN layers. Alternatively the CoCrMo alloy may be replaced by high-strength oxide ceramics. For adhesion of bone cement to the ceramic surface, however, only inefficient mechanical retention spots are exposed as compared with a metal surface. Undercuts generated by corundum blasting, although highly efficient on a CoCrMo surface, are not such efficient centres on a ceramic surface due to its brittleness. Therefore, the mechanical component of retention is significantly reduced. When specific adhesion between bone cement and surface does not exist due to physical and chemical forces, the hydrolytic stability will be insufficient. Micromotions are promoted and early aseptic loosening is predictable. Silicoating of the ceramic surface will allow specific adhesion and can result in better hydrolytic stability of bonding. In order to evaluate the effectiveness of silicoating the bond strengths of blasted (mean size of corundum grains 50 µm) and silicate layered alumina-toughened zirconia (ATZ) surfaces were compared with "as fired" surfaces by utilising TiAlV probes (diameter 6 mm) for traction-adhesive strength testing. Samples machined out of CoCrMo alloy were utilised for reference. After preparing the samples for traction-adhesive strength testing (sequence: substrate, silicate and silane, protective lacquer [PolyMA], bone cement, TiAlV probe) they were aged up to 360 days at 37 °C in Ringer's solution. The bond strengths observed for all ageing intervals were well above 20 MPa and much higher and more hydrolytically

Copas de metal trabecular y aloinjertos óseos impactados en defectos acetabulares graves. Resultados a los 2-4 años. [Impacted bone allografts and trabecular metal cups in severe acetabular bone defects: 2 to 4-year results.

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Martín Buttaro

2014-06-01

Full Text Available In­tro­duc­ción: El objetivo principal es presentar la supervivencia del componente acetabular en pacientes con defectos graves reconstruidos con copas de metal trabecular combinadas con aloinjertos óseos impactados. Como objetivo secundario, se compararon estos resultados con los previamente obtenidos por los autores en defectos de similar gravedad utilizando anillos de reconstrucción y aloinjertos óseos. Materiales­ y­ Métodos:­ Se realizaron 20 cirugías de revisión en 19 pacientes (edad promedio 65 años, controlados, de forma prospectiva, con defectos acetabulares graves tipos 3A o 3B de Paprosky, por falla mecánica o infecciosa. El puntaje funcional promedio preoperatorio fue de 6,2 puntos, según la escala de Merle D ́Aubigne. Siempre se utilizaron copas de metal trabecular y aloinjertos óseos impactados. Resultados:­ A los 30 meses de seguimiento promedio (rango 24-48 meses, la supervivencia del componente acetabular fue del 95% (IC = 75%-98%. Un paciente presentó un aflojamiento acetabular por infección profunda a las 16 semanas de la revisión y fue tratado con una artroplastia de resección. El puntaje funcional promedio, excluido el caso con aflojamiento posoperatorio, fue de 16,2 puntos. Se observó la incorporación de los aloinjertos óseos en todos los pacientes, salvo el caso con infección profunda. La comparación con nuestras series históricas reconstruidas con anillos de Kerboull o con anillos GAP arrojó resultados altamente favorables a favor de las copas de metal trabecular.  Conclusiones: Las copas de metal trabecular asociadas a aloinjertos óseos impactados ofrecen una alternativa válida en cirugía de revisión acetabular con defectos graves del capital óseo. Este método se asocia a resultados más favorables que los obtenidos antes con anillos de reconstrucción.

Human bone ingrowth into a porous tantalum acetabular cup

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Gregory N. Haidemenopoulos

2017-11-01

Full Text Available Porous Tantalum is increasingly used as a structural scaffold in orthopaedic applications. Information on the mechanisms of human bone ingrowth into trabecular metal implants is rather limited. In this work we have studied, qualitatively, human bone ingrowth into a retrieved porous tantalum monoblock acetabular cup using optical microscopy, scanning electron microscopy and energy dispersive X-ray analysis. According to the results and taking into account the short operational life (4 years of the implant, bone ingrowth on the acetabular cup took place in the first two-rows of porous tantalum cells to an estimated depth of 1.5 to 2 mm. The bone material, grown inside the first raw of cells, had almost identical composition with the attached bone on the cup surface, as verified by the same Ca:P ratio. Bone ingrowth has been a gradual process starting with Ca deposition on the tantalum struts, followed by bone formation into the tantalum cells, with gradual densification of the bone tissue into hydroxyapatite. A critical step in this process has been the attachment of bone material to the tantalum struts following the topology of the porous tantalum scaffold. These results provide insight to the human bone ingrowth process into porous tantalum implants.

The Use of Micro and Nano Particulate Fillers to Modify the Mechanical and Material Properties of Acrylic Bone Cement

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Slane, Joshua A.

Acrylic bone cement (polymethyl methacrylate) is widely used in total joint replacements to provide long-term fixation of implants. In essence, bone cement acts as a grout by filling in the voids left between the implant and the patient's bone, forming a mechanical interlock. While bone cement is considered the `gold standard' for implant fixation, issues such as mechanical failure of the cement mantle (aseptic loosening) and the development of prosthetic joint infection (PJI) still plague joint replacement procedures and often necessitate revision arthroplasty. In an effort to address these failures, various modifications are commonly made to bone cement such as mechanical reinforcement with particles/fibers and the addition of antibiotics to mitigate PJI. Despite these attempts, issues such as poor particle interfacial adhesion, inadequate drug release, and the development of multidrug resistant bacteria limit the effectiveness of bone cement modifications. Therefore, the overall goal of this work was to use micro and nanoparticles to enhance the properties of acrylic bone cement, with particular emphasis placed on improving the mechanical properties, cumulative antibiotic release, and antimicrobial properties. An acrylic bone cement (Palacos R) was modified with three types of particles in various loading ratios: mesoporous silica nanoparticles (for mechanical reinforcement), xylitol microparticles (for increased antibiotic release), and silver nanoparticles (as an antimicrobial agent). These particles were used as sole modifications, not in tandem with one another. The resulting cement composites were characterized using a variety of mechanical (macro to nano, fatigue, fracture, and dynamic), imaging, chemical, thermal, biological, and antimicrobial testing techniques. The primary outcomes of this dissertation demonstrate that: (1) mesoporous silica, as used in this work, is a poor reinforcement phase for acrylic bone cement, (2) xylitol can significantly

The crescent sign: dissociation of the polyethylene liner from a modular acetabular component in total hip arthroplasty

International Nuclear Information System (INIS)

White, S.P.; Blom, A.W.; Lee, M.; Smith, E.J.

2005-01-01

To study whether there was a common pattern of clinical symptoms, signs and radiographic features for the dissociation of the polyethylene liner from an acetabular component and to postulate reasons for these features. Retrospective study of notes and radiographs of cases of revision hip arthroplasty for polyethylene liner dissociation of the cementless Harris-Galante I porous-coated acetabular component (Zimmer Inc, Warsaw, IN) at the Avon Orthopaedic Centre, Bristol, UK and St. Mary's Hospital, Bristol, UK between 1995 and 2004. Patients were contacted to confirm preoperative symptoms. Nine cases of late polyethylene liner dissociation of this prosthesis have been revised in these institutions. All patients presented with a reduction in mobility, groin pain and limp. Eight patients reported an audible noise on hip movement. In all cases, radiographs showed radiolucency medial to the femoral neck in association with an eccentrically placed femoral head showing contact with the acetabular metal shell, which we have termed the ''crescent sign.'' There is a typical clinical presentation in this study. The diagnosis can be made from a single anteroposterior pelvic radiograph without the need for previous films for comparison, or the need for arthrography. Clinicians should look specifically for the crescent sign when an eccentrically placed femoral head has been noted, in order to differentiate the more unusual diagnosis of dissociation from that of polyethylene wear. Early revision surgery can prevent damage to the femoral head and metal acetabular shell, thus reducing the complexity of revision surgery. (orig.)

Radiological evaluation of failed total hip replacement

International Nuclear Information System (INIS)

Raspa, V.; Aldrovandi, S.; Pompei, G.

1988-01-01

The retrospective study of 50 operated cases of cemented total hip replacement and a review of the literature enabled the authors to define the radiological features of the above-mentioned condition. These features include one or more of the following signs: calcar reabsorption, lacunar erosions, modified relatioships between the prosthesis components, sepsis and loosening, periarticular calcifications dislocation and fracture of prosthesis components. Careful evaluation of these radiological features is extremely important for both an early diagnosis of failed total hip replacement and the choice of an adequate surgical treatment

A modified PMMA cement (Sub-cement) for accelerated fatigue testing of cemented implant constructs using cadaveric bone.

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Race, Amos; Miller, Mark A; Mann, Kenneth A

2008-10-20

Pre-clinical screening of cemented implant systems could be improved by modeling the longer-term response of the implant/cement/bone construct to cyclic loading. We formulated bone cement with degraded fatigue fracture properties (Sub-cement) such that long-term fatigue could be simulated in short-term cadaver tests. Sub-cement was made by adding a chain-transfer agent to standard polymethylmethacrylate (PMMA) cement. This reduced the molecular weight of the inter-bead matrix without changing reaction-rate or handling characteristics. Static mechanical properties were approximately equivalent to normal cement. Over a physiologically reasonable range of stress-intensity factor, fatigue crack propagation rates for Sub-cement were higher by a factor of 25+/-19. When tested in a simplified 2 1/2-D physical model of a stem-cement-bone system, crack growth from the stem was accelerated by a factor of 100. Sub-cement accelerated both crack initiation and growth rate. Sub-cement is now being evaluated in full stem/cement/femur models.

Accelerated weathering of composite cements used for immobilisation

International Nuclear Information System (INIS)

Borges, P. H. R.; Milestone, N. B.; Streatfield, R. E.

2008-01-01

Trying to estimate the long-term durability of cemented waste-forms is a difficult task as the cement matrix is a reactive medium and interactions can occur with the encapsulated waste as well as with the environment. There are few studies of samples that have been stored under controlled conditions for more than 10-15 years. waste-forms are now being expected to last hundreds of years, much of that likely to be in some form of storage where sample integrity is important. There is also the concern that results from any long-term samples may only be indicative as both formulations and materials change with time. This paper discusses changes in physical properties that occur in composite cements when some of the short-term accelerated procedures employed in construction testing are applied to encapsulating matrices. Changes after increased temperature of curing, wetting/drying and accelerated carbonation are discussed. Many of the encapsulating formulations currently used are composite cements where large replacement levels of OPC with supplementary cementing materials (SCMs) such as PFA or BFS are made, primarily to reduce heat output. Accelerating the exposure conditions, either by increasing temperature or through wetting/drying has the effect of changing the hydration pattern of the composite cement by generating more hydration in the SCMs than would normally occur. The large amount of porosity that occurs because of limited hydration allows intrusion of gases and ready movement of water, so the samples subjected to accelerated testing do not appear as durable as expected if stored at ambient. (authors)

Porous surface modified bioactive bone cement for enhanced bone bonding.

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Qiang He

bone cement for prosthetic fixation in total joint replacement.

Hydration characteristics and structure formation of cement pastes containing metakaolin

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Dvorkin Leonid

2018-01-01

Full Text Available Metakaolin (MK is one of the most effective mineral admixtures for cement-based composites. The deposits of kaolin clays are wide-spread in the world. Metakaolin is comparable to silica fume as an active mineral admixture for cement-based composites. In this paper, the rheological and mechanical properties of cement paste containing metakaolin are investigated. The effect of MK is more evident at “tight” hydration conditions within mixtures with low water-cement ratio, provided by application of superplasticizers. The cement is replaced with 0 to 15% metakaolin, and superplasticizer content ranged from 0 to 1.5% by weight of cementitious materials (i.e. cement and metakaolin. An equation is derived to describe the relationship between the metakaolin and superplasticizer content and consistency of pastes. There is a linear dependence between metakalolin content and water demand. Second-degree polynomial describe the influence of superplasticizer content. The application of SP and MK may produce cement-water suspensions with water-retaining capacity at 50-70% higher than control suspensions. The investigation of initial structure forming of cement pastes with SP-MK composite admixture indicates the extension of coagulation structure forming phase comparing to the pastes without additives. Crystallization stage was characterized by more intensive strengthening of the paste with SP-MK admixture comparing to the paste without admixtures and paste with SP. Results on the porosity parameters for hardened cement paste indicate a decrease in the average diameter of pores and refinement of pore structure in the presence of metakaolin. A finer pore structure associated with an increase in strength. X-ray analysis data reveal a growing number of small-crystalline low-alkaline calcium hydrosilicates and reducing portlandite content, when MK dosage increases. Scanning electron microscopy (SEM data confirm, that hardened cement paste containing MK has

Characterization of sugar cane bagasse ash as supplementary material for Portland cement

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Janneth Torres Agredo

2014-01-01

Full Text Available Sugar Cane Bagasse is a by-product of the sugar agroindustry; it is partly used as fuel. However, bagasse ash (SCBA is considered waste, which creates a disposal problem. Furthermore, if sugar cane bagasse is burned under controlled conditions, the SCBA can be potentially reused. This paper considers the technical viability of using SCBA as a partial replacement for cement. Two samples of SCBA from a Colombian sugar industry were characterized. The chemical composition of the samples shows high percentages of silica, 76.3% and 63.2%. The mineralogical and morphological characteristics of the waste were determined by X-ray diffraction patterns (XRD, thermal analysis (TG/DTA and scanning electron microscopy (SEM. The pozzolanic activity of SCBA was evaluated using the Frattini test and the strength activity index test (SAI. The ASTM C618 defines an SAI of at least 75% as a requirement for classifying material as a pozzolan. This condition was achieved in the experiments performed. The results indicate that SCBA produced in the manufacture of commercial cements can be recycled for use as pozzolanic material. This supplementary material can partially replace cement and therefore reduce CO2 emissions.

Chloride Ingress in Chemically Activated Calcined Clay-Based Cement

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Joseph Mwiti Marangu

2018-01-01

Full Text Available Chloride-laden environments pose serious durability concerns in cement based materials. This paper presents the findings of chloride ingress in chemically activated calcined Clay-Ordinary Portland Cement blended mortars. Results are also presented for compressive strength development and porosity tests. Sampled clays were incinerated at a temperature of 800°C for 4 hours. The resultant calcined clay was blended with Ordinary Portland Cement (OPC at replacement level of 35% by mass of OPC to make test cement labeled PCC35. Mortar prisms measuring 40 mm × 40 mm × 160 mm were cast using PCC35 with 0.5 M Na2SO4 solution as a chemical activator instead of water. Compressive strength was determined at 28th day of curing. As a control, OPC, Portland Pozzolana Cement (PPC, and PCC35 were similarly investigated without use of activator. After the 28th day of curing, mortar specimens were subjected to accelerated chloride ingress, porosity, compressive strength tests, and chloride profiling. Subsequently, apparent diffusion coefficients (Dapp were estimated from solutions to Fick’s second law of diffusion. Compressive strength increased after exposure to the chloride rich media in all cement categories. Chemically activated PCC35 exhibited higher compressive strength compared to nonactivated PCC35. However, chemically activated PCC35 had the least gain in compressive strength, lower porosity, and lower chloride ingress in terms of Dapp, compared to OPC, PPC, and nonactivated PCC35.

Leaching of heavy metals from cementitious composites made of new ternary cements

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Kuterasińska-Warwas, Justyna; Król, Anna

2017-10-01

The paper presents a comparison of research methods concerning the leaching of harmful substances (selected heavy metal cations ie. Pb, Cu, Zn and Cr) and their degree of immobilization in cement matrices. The new types of ternary cements were used in the study, where a large proportion of cement clinker was replaced by other non-clinker components - industrial wastes, ie. siliceous fly ash from power industry and granulated blast furnace slag from the iron and steel industry. In studied cementitious binders also ground limestone was used, which is a widely available raw material. The aim of research is determining the suitability of new cements for neutralizing harmful substances in the obtained matrices. The application of two research methods in accordance with EN 12457-4 and NEN 7275 intends to reflection of changing environmental conditions whom composite materials may actually undergo during their exploitation or storing on landfills. The results show that cements with high addition of non-clinker components are suitable for stabilization of toxic substances and the obtained cement matrices retain a high degree of immobilization of heavy metals at the level of 99%.

Strength development in concrete with wood ash blended cement and use of soft computing models to predict strength parameters

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S. Chowdhury

2015-11-01

Full Text Available In this study, Wood Ash (WA prepared from the uncontrolled burning of the saw dust is evaluated for its suitability as partial cement replacement in conventional concrete. The saw dust has been acquired from a wood polishing unit. The physical, chemical and mineralogical characteristics of WA is presented and analyzed. The strength parameters (compressive strength, split tensile strength and flexural strength of concrete with blended WA cement are evaluated and studied. Two different water-to-binder ratio (0.4 and 0.45 and five different replacement percentages of WA (5%, 10%, 15%, 18% and 20% including control specimens for both water-to-cement ratio is considered. Results of compressive strength, split tensile strength and flexural strength showed that the strength properties of concrete mixture decreased marginally with increase in wood ash contents, but strength increased with later age. The XRD test results and chemical analysis of WA showed that it contains amorphous silica and thus can be used as cement replacing material. Through the analysis of results obtained in this study, it was concluded that WA could be blended with cement without adversely affecting the strength properties of concrete. Also using a new statistical theory of the Support Vector Machine (SVM, strength parameters were predicted by developing a suitable model and as a result, the application of soft computing in structural engineering has been successfully presented in this research paper.

Morphological experimental study of bone stress at the interface acetabular bone/prosthetic cup in the bipolar hip prosthesis.

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Anuşca, D; Pleşea, I E; Iliescu, N; Tomescu, P; Poenaru, F; Dascălu, V; Pop, O T

2006-01-01

By calculating the tension and distortion of the elements composing the bipolar prosthesis under extreme conditions encountered in real life using a special post-processing program, we established the variation curves of the contact pressure at the hip bone-cup, armor-cup and cup-femoral head interface. By comparing the data obtained from all the examined cases, important conclusions were drawn regarding the influence of tension and pressure distribution on the structural integrity and biomechanics of the prosthesis, as well as the acetabular wear and tear, in order to assess its reliability. The experimentally determined tension and distortion status at the acetabular bone-metal armour interface, lead to the wear and tear phenomenon, which can be explained by three mechanisms and theories incompletely reflecting the overall process. The histopathologic study of the acetabular bone tissue using FEM (finite elements method) on surgically removed specimens will probably lead to the identification of a series of factors that could reduce the rate of the wear and tear process.

Wear analysis by applying a pin-disc configuration to phemoral head and acetabular cup

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Guillermo Urriolagoitia-Calderón

2008-01-01

Full Text Available This work determines a prosthetic hip system’s life-span, focusing on a Mexican phenotype. The total sliding equivalent distance for the system was determined, as well as the loading regime under which the femoral component and the acetabular cup were subjected in normal operating conditions. An experimental tribology essay was then performed to simulate the wearing of the components in a Pin over Disc machine. This assay (for which the test specimens were manufactured in medical grade stainless steel AISI-ASTM 316L for the femoral component and high density polyethylene for the acetabular cup was aimed at simulating wear conditions involved in 10 years of continuous operation. A numerical simulation of operational conditions (using the finite element method was performedIn for establishing assay loading conditions to accurately determine where the loads should be applied. The tribology assay led to quantifying the volumetric loss of materials for the system being analysed. It can be concluded that the methodology proposed in this work for estimating the life-span of a prosthetic hip system was valid and accurate by comparing the results with those found in the literature. A statistical validation of the proposed method is plaaned for the future. Key words: Design life; femoral component; acetabular cup; Mexican phenotype; pin-disc configuration.

Retention of alkali ions by hydrated low-pH cements: Mechanism and Na+/K+ selectivity

International Nuclear Information System (INIS)

Bach, T.T.H.; Chabas, E.; Pochard, I.; Cau Dit Coumes, C.; Haas, J.; Frizon, F.; Nonat, A.

2013-01-01

Low-pH cements, also referred to as low-alkalinity cements, can be designed by replacing significant amounts of Portland cement by pozzolanic materials. Their pore solution is characterized by a pH near 11, and an alkali concentration much lower than that of Portland cement. This work investigates the retention of sodium and potassium by a hydrated low-pH cement comprising 60% Portland cement and 40% silica fume. It is shown that sorption of potassium is higher than that of sodium and mainly results from counterion charge balancing of the C-S-H negative surface charge. To explain the greater retention of potassium compared to sodium, it is postulated that potassium, unlike sodium, may enter the interlayer of C-S-H to compensate the negative charges in the interlayer, in addition to the external surfaces. This assumption is supported by structural characterization of C-S-H using X-ray diffraction

T2* Mapping Provides Information That Is Statistically Comparable to an Arthroscopic Evaluation of Acetabular Cartilage.

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Morgan, Patrick; Nissi, Mikko J; Hughes, John; Mortazavi, Shabnam; Ellerman, Jutta

2017-07-01

Objectives The purpose of this study was to validate T2* mapping as an objective, noninvasive method for the prediction of acetabular cartilage damage. Methods This is the second step in the validation of T2*. In a previous study, we established a quantitative predictive model for identifying and grading acetabular cartilage damage. In this study, the model was applied to a second cohort of 27 consecutive hips to validate the model. A clinical 3.0-T imaging protocol with T2* mapping was used. Acetabular regions of interest (ROI) were identified on magnetic resonance and graded using the previously established model. Each ROI was then graded in a blinded fashion by arthroscopy. Accurate surgical location of ROIs was facilitated with a 2-dimensional map projection of the acetabulum. A total of 459 ROIs were studied. Results When T2* mapping and arthroscopic assessment were compared, 82% of ROIs were within 1 Beck group (of a total 6 possible) and 32% of ROIs were classified identically. Disease prediction based on receiver operating characteristic curve analysis demonstrated a sensitivity of 0.713 and a specificity of 0.804. Model stability evaluation required no significant changes to the predictive model produced in the initial study. Conclusions These results validate that T2* mapping provides statistically comparable information regarding acetabular cartilage when compared to arthroscopy. In contrast to arthroscopy, T2* mapping is quantitative, noninvasive, and can be used in follow-up. Unlike research quantitative magnetic resonance protocols, T2* takes little time and does not require a contrast agent. This may facilitate its use in the clinical sphere.

HYDRATION PROCESS AND MECHANICAL PROPERTIES OF CEMENT PASTE WITH RECYCLED CONCRETE POWDER AND SILICA SAND POWDER

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Jaroslav Topič

2017-11-01

Full Text Available Recycled concrete powder (RCP mostly consisting of cement paste could be reused as partial cement replacement. The aim of this paper is to compare hydration and mechanical properties of RCP and two types of silica sand powder (SSP. Comparison of those materials combined with cement can highlight the binder properties of recycled concrete powder. Using of two types of SSP also show an influence of their fines on hydration process and mechanical properties. Particle size analysis and calorimetric measurement were carried out and mechanical properties such as bulk density, dynamic Young’s modulus and compression strength were examine. Calorimetric measurement proves the presence of exposed non-hydrated particles in RCP that can react again. However lower density of old cement paste in RCP overweight the mentioned potential of RCP and mechanical properties are decreasing compared with reference cement paste and cement paste SSP.

Cement augmentation in the proximal femur to prevent stem subsidence in revision hip arthroplasty with Paprosky type II/IIIa defects

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Shang-Wen Tsai

2018-06-01

Full Text Available Background: Subsidence remains a common complication after revision hip arthroplasty which may lead to prolonged weight-bearing restrictions, leg-length discrepancies or considerable loss of function. We evaluated the effectiveness of cement augmentation in the proximal femoral metaphysis during a revision of femoral components to prevent post-operative stem subsidence. Methods: Forty patients were enrolled. Follow-up averaged 67.7 months (range: 24–149. Twenty-seven patients had a Paprosky type II defect and 13 had a type IIIa defect. All revision hip arthroplasty used a cementless, cylindrical, non-modular cobalt–chromium stem. The defect in the metaphysis was filled with antibiotic-loaded bone cement. Thirteen patients who had undergone stem revision only was allowed to walk immediately without weight-bearing restrictions. Twenty-seven patients who had undergone revision total hip arthroplasty was allowed partial weight-bearing within 6 weeks after surgery in the consideration of acetabular reconstruction. Results: Three patients (7.5% had post-surgery stem subsidences of three mm, five mm, and 10 mm, respectively, at three, one, and 14 months. There were no acute surgical site infections. There were three femoral stem failures: two delayed infections and one periprosthetic Vancouver B2 fracture. Both five- and 10-year survivorships of the femoral implant were 90.1%. Conclusion: An adequate length of the scratch-fit segment and diaphyseal ingrowth remain of paramount importance when revising femoral components. To fill metaphyseal bone defects with antibiotic-loaded bone cement may be an alternative method in dealing with proximal femoral bone loss during a femoral revision. Keywords: Bone defect, Cement augmentation, Femur, Revision hip arthroplasty, Subsidence

Radiography, radionuclide imaging, and asthrography in the evaluation of total hip and knee replacement

International Nuclear Information System (INIS)

Gelman, M.I.; Coleman, R.E.; Stevens, P.M.; Davey, B.W.

1978-01-01

Twenty patients with 21 total joint replacements including 17 hips and 4 knees were studied by plain film radiography, radionuclide imaging, and subtraction arthrography to evaluate these procedures for assessing prosthetic complications. Surgery was performed in 14 patients and confirmed loosening of 8 femoral and 7 acetabular hip prosthesis components and 1 femoral and 4 tibial knee prosthesis components. Plain films suggested loosening of only 9 hip components and no knee components. In contrast, radionuclide imaging and subtraction arthrography were considerably more effective in demonstrating loosening as well as other causes of the painful total joint prosthesis

Effect of irradiation on acrylic cement with special reference to fixation of pathological fractures

International Nuclear Information System (INIS)

Eftekhar, N.S.; Thurston, C.W.

1975-01-01

Self-curing cement is generally used in conjunction with conventional metallic devices. If the acrylic cement was supplemented, the primary goal would be a rigid immobiliztion of the fracture to alleviate the pain; usually, however, the final aim is toward osteosynthesis. During the course of rehabilitation, it is often desirous to supplement the treatment by irradiation. Although the industrial, dental and surgical literature has adequately dealt with many aspects of bone cement; for example, physical and chemical properties in joint replacement, and so on, the effects of irradiation on the acrylic cement have not been previously reported. It is the purpose of this paper to analyze the experimental studies conducted to evaluate the mechanical properties of the polymethylmethacrylate when subjected to irradiation within a maximum range of a therapeutic dose

Use of iPhone technology in improving acetabular component position in total hip arthroplasty

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Xiau Wei Tay, MBBS

2017-09-01

Full Text Available Improper acetabular cup positioning is associated with high risk of complications after total hip arthroplasty. The aim of our study is to objectively compare 3 methods, namely (1 free hand, (2 alignment jig (Sputnik, and (3 iPhone application to identify an easy, reproducible, and accurate method in improving acetabular cup placement. We designed a simple setup and carried out a simple experiment (see Method section. Using statistical analysis, the difference in inclination angles using iPhone application compared with the freehand method was found to be statistically significant (F[2,51] = 4.17, P = .02 in the “untrained group”. There is no statistical significance detected for the other groups. This suggests a potential role for iPhone applications in junior surgeons in overcoming the steep learning curve.

Lumbosacral plexopathies associated with acetabular fracture

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Patpiya Sirasaporn

2017-01-01

Full Text Available Lumbosacral plexopathies are of considerably less epidemiologic common prevalence than brachial plexus. The most common form of trauma resulting in lesions affecting the lumbosacral plexus is injuries to sacroiliac region. The symptoms which are caused by compressing lumbosacral plexus are sensory disturbance and weakness in an affected leg. The author reports a case of a 65-year-old male with a history of right acetabular fracture status post open reduction and internal fixation by plate and screw who complained weakness and numbness in the right leg. Four months later, he still had difficulty in walking and felt paresthesia at the right lateral thigh and entire of the right foot. His further investigation which was electrodiagnostic study was diagnosed as right lumbosacral plexopathies.

Using of borosilicate glass waste as a cement additive

International Nuclear Information System (INIS)

Han, Weiwei; Sun, Tao; Li, Xinping; Sun, Mian; Lu, Yani

2016-01-01

Highlights: • Borosilicate glass waste used as cement additive can improves its radiation shielding. • When content is 14.8%, the linear attenuation coefficient is 0.2457 cm"−"1 after 28 d. • From 0 to 22.2%, linear attenuation coefficient firstly increase and then decrease. - Abstract: Borosilicate glass waste is investigated as a cement additive in this paper to improve the properties of cement and concrete, such as setting time, compressive strength and radiation shielding. The results demonstrate that borosilicate glass is an effective additive, which not only improves the radiation shielding properties of cement paste, but also shows the irradiation effect on the mechanical and optical properties: borosilicate glass can increase the compressive strength and at the same time it makes a minor impact on the setting time and main mineralogical compositions of hydrated cement mixtures; and when the natural river sand in the mortar is replaced by borosilicate glass sand (in amounts from 0% to 22.2%), the compressive strength and the linear attenuation coefficient firstly increase and then decrease. When the glass waste content is 14.8%, the compressive strength is 43.2 MPa after 28 d and the linear attenuation coefficient is 0.2457 cm"−"1 after 28 d, which is beneficial for the preparation of radiation shielding concrete with high performances.

Using of borosilicate glass waste as a cement additive

Energy Technology Data Exchange (ETDEWEB)

Han, Weiwei [State Key Laboratory of Silicate Materials for Architectures, Wuhan University of Technology, Wuhan, Hubei 430070 (China); School of Civil Engineering and Architecture, Wuhan University of Technology, Wuhan, Hubei 430070 (China); Sun, Tao, E-mail: sunt@whut.edu.cn [State Key Laboratory of Silicate Materials for Architectures, Wuhan University of Technology, Wuhan, Hubei 430070 (China); Key Laboratory of Roadway Bridge & Structure Engineering, Wuhan University of Technology, Wuhan, Hubei 430070 (China); Li, Xinping [Key Laboratory of Roadway Bridge & Structure Engineering, Wuhan University of Technology, Wuhan, Hubei 430070 (China); Sun, Mian [School of Materials Science and Engineering, Wuhan University of Technology, Wuhan, Hubei 430070 (China); Lu, Yani [Urban Construction Institute, Hubei Engineering University, Xiaogan, Hubei 432000 (China)

2016-08-15

Highlights: • Borosilicate glass waste used as cement additive can improves its radiation shielding. • When content is 14.8%, the linear attenuation coefficient is 0.2457 cm{sup −1} after 28 d. • From 0 to 22.2%, linear attenuation coefficient firstly increase and then decrease. - Abstract: Borosilicate glass waste is investigated as a cement additive in this paper to improve the properties of cement and concrete, such as setting time, compressive strength and radiation shielding. The results demonstrate that borosilicate glass is an effective additive, which not only improves the radiation shielding properties of cement paste, but also shows the irradiation effect on the mechanical and optical properties: borosilicate glass can increase the compressive strength and at the same time it makes a minor impact on the setting time and main mineralogical compositions of hydrated cement mixtures; and when the natural river sand in the mortar is replaced by borosilicate glass sand (in amounts from 0% to 22.2%), the compressive strength and the linear attenuation coefficient firstly increase and then decrease. When the glass waste content is 14.8%, the compressive strength is 43.2 MPa after 28 d and the linear attenuation coefficient is 0.2457 cm{sup −1} after 28 d, which is beneficial for the preparation of radiation shielding concrete with high performances.

Peri-implant stress correlates with bone and cement morphology: Micro-FE modeling of implanted cadaveric glenoids.

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Wee, Hwabok; Armstrong, April D; Flint, Wesley W; Kunselman, Allen R; Lewis, Gregory S

2015-11-01

Aseptic loosening of cemented joint replacements is a complex biological and mechanical process, and remains a clinical concern especially in patients with poor bone quality. Utilizing high resolution finite element analysis of a series of implanted cadaver glenoids, the objective of this study was to quantify relationships between construct morphology and resulting mechanical stresses in cement and trabeculae. Eight glenoid cadavers were implanted with a cemented central peg implant. Specimens were imaged by micro-CT, and subject-specific finite element models were developed. Bone volume fraction, glenoid width, implant-cortex distance, cement volume, cement-cortex contact, and cement-bone interface area were measured. Axial loading was applied to the implant of each model and stress distributions were characterized. Correlation analysis was completed across all specimens for pairs of morphological and mechanical variables. The amount of trabecular bone with high stress was strongly negatively correlated with both cement volume and contact between the cement and cortex (r = -0.85 and -0.84, p implant-cortex distance. Contact between the cement and underlying cortex may dramatically reduce trabecular bone stresses surrounding the cement, and this contact depends on bone shape, cement amount, and implant positioning. © 2015 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.

Examination and treatment of a professional ballet dancer with a suspected acetabular labral tear: A case report.

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Khoo-Summers, Lynnette; Bloom, Nancy J

2015-08-01

Dancers are at risk for developing groin pain that is due to acetabular labral tears. Although surgical management of labral tears has been reported extensively, conservative management has been poorly described. This case report describes the examination, diagnosis, and treatment of groin pain in a professional ballet dancer with a suspected acetabular labral tear. Treatment focused on decreasing anterior hip joint stresses and improving the precision of hip motion through correction of alignment and movement impairments noted during functional activities and dance. Successful outcomes included a reduction in pain and return to professional ballet dancing. Copyright © 2015 Elsevier Ltd. All rights reserved.

The long-term stability of cement - Leaching tests

International Nuclear Information System (INIS)

Engkvist, I.; Albinsson, Y.; Johansson Engkvist, W.

1996-06-01

The concrete construction in the Swedish repository for long-lived low and intermediate level waste will give a stable chemical near field environment for 10 5 years. The pH is expected to exceed 12 for the life time for most of the radionuclides in the repository in both saline and non-saline groundwaters. This is shown by static leaching experiments performed in saline and non-saline granitic groundwater conditions. Five gram portions of crushed ordinary Portland cement paste were equilibrated with 20 ml of synthetic saline or non-saline groundwater in a nitrogen atmosphere. Each week 12 ml (60%) of the water was replaced. The withdrawn water was used for chemical analyses and the results were used to monitor the degradation of the cement paste. After eighty weeks, some samples were analysed for mineral composition and compared with the original unleached paste. The results indicated no secondary ettringite or calcite formation. The results also supported the conclusion that the salinity of the contacting water is of minor importance for the long-term performance of the cement paste. 18 refs, 32 figs

Study on cement mortar and concrete made with sewage sludge ash.

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Chang, F C; Lin, J D; Tsai, C C; Wang, K S

2010-01-01

This study investigated the feasibility of reusing wastewater sludge ash in construction materials to replace partial materials. Wastewater sludge sampled from thermal power plant was burned into sludge ash at 800°C in the laboratory. The sludge incineration ash has low heavy metal including Pb, Cd, Cr and Cu, so it belongs to general enterprise waste. The chemical composition of sludge incineration ash was summed up in SiO₂, CaO, Fe₂O₃ and MgO. Then the wastewater sludge ash is also found to be a porous material with irregular surface. When the sludge ash was used to replace mortar or concrete cement, its water-adsorption capability will result in the reduction of mortar workability and compressive strength. Cement is being substituted for sludge ash, and 10 percent of sludge ash is more appropriate. Sludge ash is reused to take the place of construction materials and satisfies the requests of standard specification except for higher water absorption.

Acetabular labral tears with underlying chondromalacia: a possible association with high-level running.

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Guanche, Carlos A; Sikka, Robby S

2005-05-01

The use of hip arthroscopy has helped delineate intra-articular pathology and has enabled clinicians to further elucidate the factors responsible for injuries, such as running. The subtle development of degenerative changes may be a result of repetitive impact loading associated with this sport. This study presents a population of runners with common pathologic acetabular changes. Case series. Eight high-level runners with an average age of 36 years (range, 19 to 45 years) were seen for complaints of increasing hip pain with running without any history of macrotrauma. All of the patients had either run several marathons (4), were triathletes (1), Olympic middle distance runners (1), or had run more than 10 miles per week for longer than 5 years (2). Plain radiographic analysis revealed no degenerative changes and an average center-edge (CE) angle of 36.7 degrees (range, 28 degrees to 44 degrees). All patients underwent hip arthroscopy with labral debridement. In 6 patients (75%), a chondral injury of the acetabular cartilage underlying the labral tear was noted. In addition, 3 patients had ligamentum teres disruptions. It is possible that the development of these tears is the result of subtle instability, which may be exacerbated by running, eventually leading to labral tearing and possible ligamentum teres disruption. While perhaps concurrently, subtle acetabular dysplasia may play a role. Although this study does not confirm an association between running and the development of labral tears or chondral lesions in the hip, it certainly questions whether there is an injury pattern common to this population, a "runner's hip." Level IV.

Improvement of Shear Strength of Sandy Soil by Cement Grout with Fly Ash

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Haifaa Abdulrasool Ali

2018-12-01

Full Text Available The effects of the permeation cement grout with fly ash on the sandy soil skeleton were studied in the present work in two phase; first phase the shear strength parameters, and the second phase effect of these grouted materials on volume grouted zone by injection (51 cm³ of slurry in sandy soil placed in steel cylinder model with dimension 15 cm in diameter and 30 cm in height. The soil sample was obtained from Karbala city and it is classified as poorly graded sand (SP according to USCS. The soil samples were improved by cement grout with three percentages weight of water cement ratio (w:c; (0.1w:0.9c, 0.8w:0.2c, and 0.7w:0.3c, while the soil samples were dehydrated for one day curing time. Fly ash class (F was used with cement grout as filler material; it was added to the mixture as a replacement material for cement in weight percentages; 10%, 25% and 40%. According to the results of tests, both shear strength and approximate volume of the effective grouted zone for treated samples soil with cement grout was increased when the water cement ratio decreased. Fly ash with cement grout needs to increase the water demand for the grout mixing to give best results in both shear strength and filling the soil voids.

Application of washed MSWI fly ash in cement composites: long-term environmental impacts.

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Yang, Zhenzhou; Tian, Sicong; Liu, Lili; Wang, Xidong; Zhang, Zuotai

2018-04-01

In the present study, long-term environmental impacts of compact and ground cement composites, in which 30 wt.% of cement was replaced by washed municipal solid wastes incineration (MSWI) fly ash, were investigated for use in building industry. Consecutive leaching tests over a time span of 180 days were performed in acid water, deionized water, and saline water, respectively, with the accumulative concentration of different elements determined in the leachate. Different leaching behaviors are observed among different potential toxic elements (PTEs). For instance, higher concentrations of V in the leachate were observed from the compact cement composites than those from the ground ones. The concentration of Ba in the leachate increased with the decrease of particle size of the cement composites, and an initial increase in the leaching efficiency of Sn was followed by a clear decline with the leaching time. In addition, kinetic study revealed that the leaching behaviors of potential toxic elements follow a second-order model. The results demonstrated that the addition of washed MSWI fly ash into cement can contribute to the attrition resistance, indicating that the washed MSWI fly ash could be a promising alternative for cement as supplementary building materials.

Restauração do centro de rotação na artroplastia total do quadril minimamente invasiva Restoration of the rotation center in minimally-invasive total hip replacement

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José Ricardo Negreiros Vicente

2009-01-01

center as well as a good positioning of the acetabular component when using the minimally-invasive posterior approach for uncemented total hip replacement. METHODS: In a comparative non-random prospective study, 64 adult patients underwent elective total hip arthroplasty using the minimally-invasive posterior approach performed by one single surgeon. All patients included in this study had a superior and lateral migration of the rotation center of the hip in comparison to the normal contralateral hip. Patients were excluded from the study if they presented the following: diagnosis of femoral neck fracture, displasic hip types 2, 3 and 4 (Crowe's classification, osteoarthritis of the contralateral hip. Of the 64 patients in the study, 39 had a radiographic pre-op acetabular size planning equal or less than 50 mm and 25 patients had a radiographic pre-op acetabular size planning equal or more than 52 mm. We considered a good result the following goals: acetabular bend between 35 and 50 degrees, acetabular size according to the pre-op estimative with full contact in the three zones of DeLee-Charnley , a lower medial and vertical positioning of the rotation center in comparison with the pre-op values and a final limb discrepancy lower than 10 mm. RESULTS: A better restoration of the rotation center, as well as, excellent acetabular positioning was found in patients with smaller acetabular size (equal or less than 50, p=0, 04. We must draw attention to two risks when using the minimally-invasive posterior approach: a vertical acetabular position and a lateral position of the acetabular component increasing the risk of a poor contact in the zone 1 due to an insufficient reaming of the medial acetabular host bone. CONCLUSION: We propose standard surgical approaches in patients with larger anatomical measurements (acetabular planning size more than 50.

Rice husk derived waste materials as partial cement replacement in lightweight concrete Utilização de resíduos derivados da casca de arroz como substitutos parciais do cimento no concreto leve

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Celso Yoji Kawabata

2012-10-01

Full Text Available In this study rice husk ash (RHA and broiler bed ash from rice husk (BBA, two agricultural waste materials, have been assessed for use as partial cement replacement materials for application in lightweight concrete. Physical and chemical characteristics of RHA and BBA were first analyzed. Three similar types of lightweight concrete were produced, a control type in which the binder was just CEMI cement (CTL and two other types with 10% cement replacement with, respectively, RHA and BBA. All types of similar lightweight concrete were prepared to present the same workability by adjusting the amount of superplasticizer. Properties of concrete investigated were compressive and flexural strength at different ages, absorption by capillarity, resistivity and resistance to chloride ion penetration (CTH method and accelerated carbonation. Test results obtained for 10% cement replacement level in lightweight concrete indicate that although the addition of BBA conducted to lower performance in terms of the degradation indicative tests, RHA led to the enhancement of mechanical properties, especially early strength and also fast ageing related results, further contributing to sustainable construction with energy saver lightweight concrete.Neste trabalho, cinzas de casca de arroz (RHA e cinzas de cama de frango (BBA, dois resíduos agrícolas, foram avaliadas para uso como substitutos parciais do cimento para produção de concreto leve. Características físicas e químicas de RHA e BBA foram analisadas. Três tipos semelhantes de concreto leve foram produzidos, um controle em que o ligante era totalmente cimento CEM I (CTL e dois outros tipos de concreto, com substituição de 10% com RHA e BBA, respectivamente. Todos os tipos de concreto leve foram feitos através do ajuste da quantidade de superplastificante para apresentarem a mesma trabalhabilidade. Propriedades de concreto investigados foram resistência à compressão e à flexão em diferentes idades

Recycling of bagasse ash in cement manufacturing and its impact on clinker potential and environmental pollution

International Nuclear Information System (INIS)

Amin, N.U.; Ali, K.

2009-01-01

In this investigation bagasse ash from sugar mills of North West Frontier Province (NWFP) has been used in the raw mix designing for high strength Portland cement as a raw material and subjected to clinkerization and cement formation. Different parameters of the resulting clinker and cement were studied and compared with the British and Pakistan standard specification. 5% bagasse ash was found as the optimal limit to be blended and pulverized with other raw material prior to clinkerization which decreased the emission of carbon dioxide to the environment up to 1.73%. Moreover it replaced 5% clay from the raw meal. (author)

Development of low thermal mass cement-sand block utilizing peat soil and effective microorganism

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Irham Hameeda Mohamad Idris

2018-06-01

Full Text Available The development of low thermal mass cement-sand block by incorporating peat soil and Effective Microorganism (EM was studied systematically. In total, seven mixtures of cement-sand block targeted at a 28-days compressive strength of 7 MPa are designed. One control sample is made with a water/cement ratio (w/c of 0.5, three mixes using 3%, 6% and 10% peat soil replacing sand and three mixes using 10%, 20% and 30% EM replacing water. Modified blocks with 6% of peat soil and 30% of EM are the most optimum blocks to be used in the construction of masonry as they successfully reduced the thermal conductivity of the blocks with the value of 1.275 W/mK and 1.792 W/mK respectively when being compared to the thermal conductivity of the control sample which is 2.400 W/mK. Besides, they are also able to achieve higher strength than the desired compressive strength which is 7 MPa. The compressive strength of the samples with 6% of peat soil is 16.48 MPa at 28-days while 30.39 MPa for samples with 30% of EM. On the other hand, the water absorption rate of samples with 6% of peat soil is 7.6% while 6.1% for samples with 30% EM and both are okay since their rate of water absorption is lower than 20%. In conclusion, the addition of peat soil and EM in the cement-sand mix show promising performance as a low cost material to produce low thermal mass cement-sand block. Keywords: Effective microorganism, Peat soil, Thermal conductivity, Cement brick

Cermet cements.

Science.gov (United States)

McLean, J W

1990-01-01

Cermet ionomer cements are sintered metal/glass powders, which can be made to react with poly(acids). These new cements are significantly more resistant to abrasion than regular glass ionomer cements and are widely accepted as core build-up materials and lining cements. They can strengthen teeth and provide the clinician with an opportunity to treat early dental caries.

Experimental studies on effect of Date Seed Ash (DSA) on strength properties of cement sand mortar

Science.gov (United States)

Gunarani, G. I.; Chakkravarthy, S. P.

2017-07-01

The need for alternative material for the cement is arising and being compromised by many engineering researchers. However, the growing demand and surging prices of raw materials challenges the constructional field. India, being one of the largest agricultural economy, produces a quantitative volume of agro-waste that is being dumped. In the conventional concrete production, coarse aggregate (CA) plays an important filler material. The initial study on date seed as a replacement for CA was not successful. This study primarily focuses on Date seed ash as a replacement material for ordinary Portland cement. OPC was replaced by Date Palm Seed Ash (DPSA) in the ratio up to 10% in terms of 2% interval. The main objective of this paper was to study the variation of strength properties of mortar by DPSA in specified ratio along with curing period of 3,7,14 and 28 days. The stress strain behavior has indicated a significant improvement. The overall results indicated the increase in replacing ratio, decreases the strength properties. However the physical, chemical and mechanical properties increased gradually in strength in minimal ratio.

Statistical approach to predict compressive strength of high workability slag-cement mortars

International Nuclear Information System (INIS)

Memon, N.A.; Memon, N.A.; Sumadi, S.R.

2009-01-01

This paper reports an attempt made to develop empirical expressions to estimate/ predict the compressive strength of high workability slag-cement mortars. Experimental data of 54 mix mortars were used. The mortars were prepared with slag as cement replacement of the order of 0, 50 and 60%. The flow (workability) was maintained at 136+-3%. The numerical and statistical analysis was performed by using database computer software Microsoft Office Excel 2003. Three empirical mathematical models were developed to estimate/predict 28 days compressive strength of high workability slag cement-mortars with 0, 50 and 60% slag which predict the values accurate between 97 and 98%. Finally a generalized empirical mathematical model was proposed which can predict 28 days compressive strength of high workability mortars up to degree of accuracy 95%. (author)

suitability of electric arc furnace (eaf) slag as partial replacement for ...

African Journals Online (AJOL)

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investigated for use as a partial replacement for cement in sandcrete blocks. The tests ... some economic benefit and as well mitigate the negative impact of this waste on the environment. ... course of production of steel typically in the ratio.

Evaluation Some Properties of NanoMetakaolin or Rice Husk Ash Cement Mortar and its Resistance to Elevated Temperature

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Jassim Atiya Alwan

2016-12-01

Full Text Available The objective of this research is to find the optimum value of some properties like compressive, flexural strength of blended cement mortar by nanometakaolin ( NMK or rice husk ash (RHA and to evaluate the effect of high temperature on these properties. The ordinary Portland cement(OPC of mortar was partially substituted by NMK or RHA of 5,10,15 and 20% by weight of cement. (108 control and blended specimens were casted and tested at ambient temperature (33 ºC for compressive and flexural strength for 28 and 90 days. Another (270 of the control and blended specimens were casted and cured for 90 days and exposed to elevated temperature of a gradual increase in temperature up to 200 ºC,300 ºC, 400 ºC,600 ºC and 800 ºC for two hours in an electrical furnace and they were under the same previous tests. The test results at ambient temperature indicate that the optimum compressive and flexural strength was with ratio of 15% NMK cement replacement in mortar for 28 and 90 days but for RHA was ratio of 10% for 28 days and 15% of cement weight in mortar for 90 days compared to control specimens. The results of exposing control and blended specimens of (90 days to elevated temperature showed that the optimum strength for control and the best MK replacement ratio were found at 200 ºC, and the best RHA replacement ratio specimens was found at 300 ºC. It is also found that exposing the mortar to more than these temperatures destroyed its strength and it was detrimental to its properties.

Biomechanical analysis of the fixation systems for anterior column and posterior hemi-transverse acetabular fractures.

Science.gov (United States)

Lei, Jianyin; Dong, Pengfei; Li, Zhiqiang; Zhu, Feng; Wang, Zhihua; Cai, Xianhua

2017-05-01

The aim of this study was to evaluate the biomechanical properties of common fixation systems for complex acetabular fractures. A finite element (FE) pelvic model with anterior column and posterior hemi-transverse acetabular fractures was created. Three common fixation systems were used to fix the posterior wall acetabular fractures: 1. Anterior column plate combined with posterior column screws (group I), 2. Anterior column plate combined with quadrilateral area screws (group II) and 3. Double-column plates (group III). And 600 N, representing the body weight, was loaded on the upper surface of the sacrum to simulate the double-limb stance. The amounts of total and relative displacements were compared between the groups. The total amount of displacement was 2.76 mm in group II, 2.81 mm in group III, and 2.83 mm in group I. The amount of relative displacement was 0.0078 mm in group II, 0.0093 mm in group III and 0.014 mm in group I. Our results suggested that all fixation systems enhance biomechanical stability significantly. Anterior column plate combined with quadrilateral area screws has quite comparable results to double column plates, they were superior to anterior column plate combined with posterior screws. Copyright © 2017 Turkish Association of Orthopaedics and Traumatology. Production and hosting by Elsevier B.V. All rights reserved.

Effect of addition of sugar cane biomass ash in properties of fresh state in cement slurries for oil wells; Efeito da adicao de cinza de biomassa de cana-de-acucar nas propriedades no estado fresco de pastas de cimento para pocos de petroleo

Energy Technology Data Exchange (ETDEWEB)

Galvao, Lornna L.A.; Santos, Herculana T.; Souza, Pablo Diego Pinheiro; Freitas, Julio Cezar Oliveira [Universidade Federal do Rio Grande do Norte (UFRN), RN (Brazil); Nascimento, Julio Cesar S. [Universidade Federal da Bahia (UFBA), BA (Brazil); Amorim, Natalia M.M. [Universidade Potiguar (UNP), RN (Brazil); Martinell, Antonio E. [Mcgill University (MCGILL) (Canada); Universidade Federal do Rio Grande do Norte (UFRN), RN (Brazil)

2012-07-01

Recent studies have shown that ashes from biomass, in particular those generated by the alcohol industry have pozzolanic activity and can replace cement in many applications, reducing the consumption of cement and, consequently, the environmental impact caused by the production of this material. The present work evaluated the behavior of ash sugarcane biomass partially replacing Portland cement in concentrations of 10, 20 and 40% BWOC in oil well slurries. The results of rheology, thickening time and stability showed that the addition of 40% of biomass ash in oil well slurries significantly improves their properties, enabling the replacement of cement by ash. (author)

Investigation on the Rheological Behavior of Fly Ash Cement Composites at Paste and Concrete Level

Science.gov (United States)

Thiyagarajan, Hemalatha; Mapa, Maitri; Kushwaha, Rakhi

2018-06-01

Towards developing sustainable concrete, nowadays, high volume replacement of cement with fly ash (FA) is more common. Though the replacement of fly ash at 20-30% is widely accepted due to its advantages at both fresh and hardened states, applicability and acceptability of high volume fly ash (HVFA) is not so popular due to some adverse effects on concrete properties. Nowadays to suit various applications, flowing concretes such as self compacting concrete is often used. In such cases, implications of usage of HVFA on fresh properties are required to be investigated. Further, when FA replacement is beyond 40% in cement, it results in the reduction of strength and in order to overcome this drawback, additions such as nano calcium carbonate (CC), lime sludge (LS), carbon nano tubes (CNT) etc. are often incorporated to HVFA concrete. Hence, in this study, firstly, the influence of replacement level of 20-80% FA on rheological property is studied for both cement and concrete. Secondly, the influence of additions such as LS, CC and CNT on rheological parameters are discussed. It is found that the increased FA content improved the flowability in paste as well as in concrete. In paste, the physical properties such as size and shape of fly ash is the reason for increased flowability whereas in concrete, the paste volume contributes dominantly for the flowability rather than the effect due to individual FA particle. Reduced density of FA increases the paste volume in FA concrete thus reducing the interparticle friction by completely coating the coarse aggregate.

Importance of preoperative imaging in acetabular revision surgery - a case report.

Science.gov (United States)

Schmitz, Hc; Egidy, Cc; Al-Khateeb, H; Cárdenas, G; Gehrke, T; Kendoff, D

2012-01-01

Acetabular defects, particularly as a result of protrusion of acetabular components into the hemipelvis, may cause serious complications during revision procedures as a result of iatrogenic injury to surrounding anatomical structures. In these challenging cases, we advocate the utilisation of preoperative three dimensional imaging. MRI and CT- imaging offer superior understanding of the three-dimensional quality of bony defects and the relationship of implants to important anatomical structures. Appropriate preoperative planning may also prevent major complications during the removal of the pre-existing hardware, prior to re-implantation of implants. Potential complications include injury of nerves, blood vessels and other intrapelvic structures.In our case, a major bony defect of the acetabulum was a result of the protrusion of an implanted reinforcement ring. A preoperative, contrast-enhanced CT scan showed that the urethra was in close proximity to the hook of the reinforcement ring.The preoperative imaging aided in identifying and understanding the potential complications that could occur intraoperatively. Additionally, it delineated the intact anatomic structures prior to surgery, which could have medico-legal implications.The importance of preoperative imaging and the existing literature is discussed within this case description.

The role of trochanteric flip osteotomy in fixation of certain acetabular fractures.

Science.gov (United States)

Gupta, Sandeep; Singh, Jagdeep; Virk, Jagandeep Singh

2017-06-01

Complete visualization of certain acetabular fractures of posterior wall or column with cranial extension involving superior dome from standard surgical exposures is a challenge. Osteotomy of the greater trochanter has been used to enhance fracture visualization, especially the dome, in posterior and lateral exposures of the acetabulum. It also decreases the need for excessive muscle retraction. The purpose of the study was to investigate the outcome associated with trochanteric flip osteotomy in the management of certain acetabulum fractures. From January 2011 to December 2013, 25 displaced acetabular fractures were treated by open reduction and internal fixation. The fractures were managed using a Kocher-Langenbeck approach along with trochanteric flip osteotomy. At 3rd, 6th and 24th month follow-up, all patients had radiographic examination and underwent a final clinical evaluation based on the modified Merle d'Aubigne and Postel score. The strength of the abductors was assessed according to the Medical Research Council (MRC) grading system. Congruent reduction was achieved in all patients and all osteotomies healed within an average period of 3.8 months. All our patients were allowed full weight bearing at the end of 3 months and with no abductor lurch at the end of 6 months follow-up. There were no cases of avascular necrosis of femoral head. None of the patients had any neurovascular complication or infection by the end of the follow-up period. Trochanteric flip osteotomy is a very effective technique to fix certain acetabular fractures especially those with dome involvement. It is more accurate and associated with no significant complications compared with conventional way. Copyright © 2017 Daping Hospital and the Research Institute of Surgery of the Third Military Medical University. Production and hosting by Elsevier B.V. All rights reserved.

The development and nature of femoral head cam lesions following acetabular fractures.

Science.gov (United States)

Berber, Onur; Foote, Julian; Sabharwal, Sanjeeve; Datta, Gorav; Bircher, Martin D

2014-01-01

The aim of acetabular fracture fixation is to restore joint congruity with restoration of the articular surface. Poor outcomes are seen where this has not been achieved. Letournel reported a collarette osteophyte seen postoperatively in a proportion of patients, which he suggested was an early precursor to the development of osteoarthritis. This is a retrospective study of patients treated at a tertiary referral unit who developed this lesion. The triangular index was measured in 48 of these patients and then correlated with their clinical findings, Oxford Hip Score and the presence of osteoarthritis. Length of follow-up, fracture classification, and joint congruency were also recorded. Results showed a statistically significant relationship between cam lesion size and the development of osteoarthritis (P = 0.008), cam lesion size and length of follow-up (P = 0.01), and between groin pain and postoperative joint congruency (LR = 0.035). These findings suggest that the appearance of a cam lesion is a poor long-term prognostic marker for the development of osteoarthritis in patients with an acetabular fracture.

Assessment of Physical and Mechanical Properties of Cement Panel Influenced by Treated and Untreated Coconut Fiber Addition

Science.gov (United States)

Abdullah, Alida; Jamaludin, Shamsul Baharin; Anwar, Mohamed Iylia; Noor, Mazlee Mohd; Hussin, Kamarudin

This project was conducted to produce a cement panel with the addition of treated and untreated coconut fiber in cement panel. Coconut fiber was added to replace coarse aggregate (sand) in this cement panel. In this project, the ratios used to design the mixture were 1:1:0, 1:0.97:0.03, 1:0.94:0.06, 1:0.91:0.09 (cement: sand: coconut fiber). The water cement ratio was constant at 0.55. The sizes of sample tested were, 160 mm x 40 mm x 40 mm for compression test, and 100 mm x 100 mm x 40 mm for density, moisture content and water absorption tests. After curing samples for 28 days, it was found that the addition of coconut fiber, further increase in compressive strength of cement panel with untreated coconut fiber. Moisture content of cement panel with treated coconut fiber increased with increasing content of coconut fiber whereas water absorption of cement panel with untreated coconut fiber increased with increasing content of coconut fiber. The density of cement panel decreased with the addition of untreated and treated coconut fiber.

3D CT versus axial helical CT versus conventional tomography in the classification of acetabular fractures: A ROC analysis

International Nuclear Information System (INIS)

Kickuth, Ralph; Laufer, Ulf; Hartung, Guido; Gruening, Christian; Stueckle, Christoph; Kirchner, Johannes

2002-01-01

AIM: To assess the diagnostic power of three-dimensional computed tomography (3D CT), axial helical computed tomography (CT) and conventional tomography in the classification of acetabular fractures by interdisciplinary review. MATERIALS AND METHODS: Receiver operating characteristics (ROCs) were assessed for two radiologists and two surgeons blinded to the presence of acetabular fractures in an animal model (a total of 62 porcine hips, 40 of them with artificial acetabular fractures). Main target parameter was the diagnostic accuracy in the classification of the artificial fractures following Judet et al. RESULTS: ROC analysis for radiologists showed A z values of 0·83 for 3D CT, 0·81 for axial helical CT, and 0·78 for conventional tomography; differences between the three techniques were not significant (P = 0·46-0·73). A z values for the surgeons were 0·87 for 3D CT, 0·68 for axial helical CT, and 0·60 for conventional tomography; 3D CT was significantly better than axial helical CT (P = 0·01) and conventional tomography (P = 0·001). The differences between axial helical CT and conventional tomography were not significant (P = 0·37). CONCLUSION: Acetabular fractures are best classified by 3D CT, followed by axial helical CT and conventional tomography when assessed by surgeons. 3D CT did not provide any additional significant benefit in the classification performed by radiologists. Kickuth, R. et al. (2002)

Evaluation of Strength Characteristics of Laterized Concrete with Corn Cob Ash (CCA) Blended Cement

Science.gov (United States)

Ikponmwosa, E. E.; Salau, M. A.; Kaigama, W. B.

2015-11-01

Agricultural wastes are dumped in landfills or left on land in which they constitute nuisance. This study presents the results of investigation of strength characteristics of reinforced laterized concrete beams with cement partially replaced with corn cob (agricultural wastes) ash (CCA). Laterized concrete specimen of 25% laterite and 75% sharp sand were made by blending cement with corn cob ash at 0 to 40% in steps of 10%. A concrete mix ratio of 1:2:4 was used to cast 54 cubes of 150×150×150mm size and 54 beams of dimension 750×150×150mm. The results show that the consistency and setting time of cement increased as the percentage replacement of cement with CCA increased while the workability and density of concrete decreased as the percentage of CCA increased. There was a decrease in compressive strength when laterite was introduced to the concrete from 25.04 to 22.96N/mm2 after 28 days and a continual reduction in strength when CCA was further added from 10% to 40% at steps of 10%. Generally, the beam specimens exhibited majorly shear failure with visible diagonal cracks extending from support points to the load points. The corresponding central deflection in beams, due to two points loading, increased as the laterite was added to the concrete mix but reduced and almost approaching that of the control as 10% CCA was added. The deflection then increased as the CCA content further increased to 20%, 30% and 40% in the mix. It was also noted that the deflection of all percentage replacement including 40% CCA is less than the standard recommended maximum deflection of the beam. The optimal flexural strength occurred with 10% CCA content.

Abordagem cirúrgica inédita para denervação acetabular em cães A new surgical approach to acetabular denervation in dogs

Directory of Open Access Journals (Sweden)

Cássio R.A. Ferrigno

2007-02-01

Full Text Available Este artigo tem por objetivo demonstrar nova abordagem cirúrgica para denervação seletiva das fibras sensitivas do periósteo acetabular, para tratamento da displasia coxo femoral em cães, conduzidas em 189 articulações. Para tanto, é descrita abordagem da região cranial e dorso-lateral do acetábulo de cães por incisão em forma de meia lua de aproximadamente de três centímetros de extensão, iniciando trocânter maior do fêmur e em direção ao corpo do ílio. Após rebatimento dorsal do músculo glúteo médio, secciona-se parcialmente a inserção do m. glúteo profundo para acesso às regiões citadas. Com auxílio de cureta foi removido, em todos os pacientes, periósteo na margem acetabular cranial e dorso lateral, até a exposição da cortical óssea. Em todos os animais foi possível a abordagem, tanto da face cranial como também acesso para a curetagem da face dorsal do acetábulo, com a técnica descrita, com incisão de pele de aproximadamente 3,2cm. A curetagem da porção cranial do acetábulo foi, em todos os casos realizados, sem visualização do osso, mas de fácil confecção e sem intercorrências de lesão de nervos ou músculos. Em todas as abordagens foi possível visualizar a cápsula articular da articulação coxo femoral, e em nenhum dos animais esta estrutura foi incisada por erro de técnica. Conclui-se que a abordagem cirúrgica descrita no presente trabalho é factível para este tipo de procedimento cirúrgico em cães, promovendo acesso adequado, com mínima invasão e sem complicações de qualquer natureza.The purpose of this study is to demonstrate a new surgical approach for the selective denervation of the sensitive fibers of the acetabular periosteum, for the treatment of hip dysplasia in dogs, conducted in 189 joints.The surgical approach of the cranial and dorso-lateral regions of the acetabular joint in dogs, by moon-shaped incision of approximately 3cm in extension, starting from the

ULTRA-LIGHTWEIGHT CEMENT

International Nuclear Information System (INIS)

Fred Sabins

2001-01-01

The objective of this project is to develop an improved ultra-lightweight cement using ultralight hollow glass spheres (ULHS). Work reported herein addresses Task 1: Assess Ultra-Lightweight Cementing Problems and Task 3: Test Ultra-Lightweight Cements. Results reported this quarter include a review and summary of Halliburton Energy Services (HES) and BJ Services historical performance data for lightweight cement applications. These data are analyzed and compared to ULHS cement and foamed cement performances. Similar data is expected from Schlumberger, and an analysis of this data will be completed in the following phases of the project. Quality control testing of materials used to formulate ULHS cements in the laboratory was completed to establish baseline material performance standards. A testing protocol was developed employing standard procedures as well as procedures tailored to evaluate ULHS and foamed cement. This protocol is presented and discussed. Results of further testing of ULHS cements are presented along with an analysis to establish cement performance design criteria to be used during the remainder of the project. Finally, a list of relevant literature on lightweight cement performance is compiled for review during the next quarter

The effect of bond characteristics between steel slag fine aggregate and cement paste on mechanical properties of concrete and mortar

International Nuclear Information System (INIS)

Yuji, W.

1988-01-01

The ordinary fine aggregate in concrete has been replaced by ground and sieved steel slag fine aggregate, treated and exposed to air for three months. Compared with concrete made from natural sand, properties such as compressive strength, flexural strength, elastic modules, permeability and abrasion resistance are considerably improved. The improvement increases with a decrease in w/c ratio, an increase in curing time and an increase in the replacement weight of sand. These results are due to the fact that the steel slag contains some active minerals such as C/sub 3/S, C/sub 2/S, C/sub 4/AF, etc., and shows favorable surface physical characteristics that improve the bond between steel slag particles and cement paste. The results of XRD, SEM and EPM microhardness showed that there are heavier concentration of ions, with finer crystals and a lower degree of CH orientation at the interfacial zone between steel slag particles and cement paste. The study also found small cementitious and fibrous C-S-H crystals growing from the fine aggregate, which are linked with hydrated products form cement paste making the bond and structural characteristic more favorable with cement. The steel slag fine aggregate is an active mineral similar to cement. The bond between the aggregate and cement paste is strengthened both physically and chemically

Effect of porosity on physical properties of lightweight cement composite with foamed glass aggregate

Directory of Open Access Journals (Sweden)

Kurpińska Marzena

2017-01-01

Full Text Available This paper reports on a study of physical properties of lightweight cement composite. We investigate the possibility of replacing traditional aggregate with Granulated Ash Aggregate (GAA and above all with Granulated Expanded Glass Aggregate (GEGA. For this purpose, 15 specimens of different percentage share of each aggregate in total aggregate volume were tested: 0%, 25%, 50%, 75% or 100% of foam glass aggregate (GEGA partially replaced by ash aggregate (GAA content in the cement composite. The water-cement ratio was constant and equal to w/c=0.5. Three grain sizes were analyzed: 2mm, 4mm (both GEGA and 8mm (GAA. Numerical simulations of concrete specimen behavior under static loading were conducted with the implementation of elastic plastic model of each component. The study shows a significant impact of grain type and size on physical properties of lightweight concrete. Due to lower density of foamed glass aggregate, specimens shows various apparent density and porosity, which affect concrete properties. Compressive strength of concrete decreases with the increase in foam glass aggregate content; however specimens show different workability and in consequence porosity of lightweight concrete.

Cement-latex grouting mortar for cementing boreholes

Energy Technology Data Exchange (ETDEWEB)

Kateev, I S; Golyshkina, L A; Gorbunova, I V; Kurochkin, B M; Vakula, Ya V

1980-01-01

The need for the development of cement-latex grouting mortar for the purpose of separating strata when reinforcing boreholes at deposits in the Tatar Associated SSR is evaluated. Results of studies of the physical and mechanical properties of cement-latex grouting mortar systems (mortar plus brick) are presented. Formulas for preparing cement-latex grouting mortor are evaluated and results of industrial tests of such mortars shown.

Acetabular component positioning in total hip arthroplasty with and without a computer-assisted system: a prospective, randomized and controlled study.

Science.gov (United States)

Gurgel, Henrique M C; Croci, Alberto T; Cabrita, Henrique A B A; Vicente, José Ricardo N; Leonhardt, Marcos C; Rodrigues, João Carlos

2014-01-01

In a study of the acetabular component in total hip arthroplasty, 20 hips were operated on using imageless navigation and 20 hips were operated on using the conventional method. The correct position of the acetabular component was evaluated with computed tomography, measuring the operative anteversion and the operative inclination and determining the cases inside Lewinnek's safe zone. The results were similar in all the analyses: a mean anteversion of 17.4° in the navigated group and 14.5° in the control group (P=.215); a mean inclination of 41.7° and 42.2° (P=.633); a mean deviation from the desired anteversion (15°) of 5.5° and 6.6° (P=.429); a mean deviation from the desired inclination of 3° and 3.2° (P=.783); and location inside the safe zone of 90% and 80% (P=.661). The acetabular component position's tomography analyses were similar whether using the imageless navigation or performing it conventionally. Published by Elsevier Inc.

Current topics in the radiology of joint replacement surgery

International Nuclear Information System (INIS)

Weissman, B.N.

1990-01-01

Several methods of total hip joint replacement are currently used. Radiographic appearances after cemented, bone ingrowth, press-fit, and bipolar hip prostheses are reviewed. The roles of nuclear medicine and arthrographic procedures for identifying complications are discussed. Total knee prostheses and, in particular, complications related to the patellar component are described.115 references

Clinical outcome of pedestal cup endoprosthetic reconstruction after resection of a peri-acetabular tumour

NARCIS (Netherlands)

Bus, M. P. A.; Boerhout, E. J.; Bramer, J. A. M.; Dijkstra, P. D. S.

2014-01-01

Peri-acetabular tumour resections and their subsequent reconstruction are among the most challenging procedures in orthopaedic oncology. Despite the fact that a number of different pelvic endoprostheses have been introduced, rates of complication remain high and long-term results are mostly lacking.

Alumina sludge's Influence on the physicochemical characteristics of CPJ55 cement

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Dahhou M.

2018-01-01

Full Text Available Partial replacement of the Portland cement CPJ55 ingredients by various quantities of alumina sludge (AS, produced during drinking water plant sludge, was used in the preparation of mortar mold with dimensions 40×40×160 mm. The characterization of materials is carried out by X-ray fluorescence (XRF, Xray diffraction (XRD, free lime dosing, and the mechanical tests. Analysis of the chemical composition by XRF shows that the studied alumina sludge is mainly composed of aluminum oxide, silica, which is correlated with the principal mineral phases identified in the XRD analysis results. It is demonstrated that adding 5% of the alumina sludge in Portland cement does not affect the mineralogy of final product. Nevertheless, the compression and flexural strength tests (in 28 days conducted on mortar sample comprising 5% sludge elucidate that it belongs to cement mortar class of type 32.5 R.

Study on Cr(VI) Leaching from Cement and Cement Composites

Science.gov (United States)

Palascakova, Lenka; Kanuchova, Maria

2018-01-01

This paper reports an experimental study on hexavalent chromium leaching from cement samples and cement composites containing silica fume and zeolite additions that were subjected to various leaching agents. The water-soluble Cr(VI) concentrations in cements ranged from 0.2 to 3.2 mg/kg and represented only 1.8% of the total chromium content. The presence of chromium compounds with both chromium oxidation states of III and VI was detected in the cement samples by X-ray photoelectron spectroscopy (XPS). Leaching tests were performed in a Britton-Robinson buffer to simulate natural conditions and showed increased dissolution of Cr(VI) up to 6 mg/kg. The highest amount of leached hexavalent chromium was detected after leaching in HCl. The findings revealed that the leaching of chromium from cements was higher by 55–80% than that from the cement composites. A minimum concentration was observed for all cement samples when studying the relationship between the soluble Cr(VI) and the cement storage time. PMID:29690550

What is the role of clinical tests and ultrasound in acetabular labral tear diagnostics?

DEFF Research Database (Denmark)

Troelsen, Anders; Mechlenburg, Inger; Gelineck, John

2009-01-01

BACKGROUND AND PURPOSE: An acetabular labral tear is a diagnostic challenge. Various clinical tests have been described, but little is known about their diagnostic sensitivity and specificity. We investigated the diagnostic validity of clinical tests and ultrasound as compared with MR arthrography...... no or only slight signs of osteoarthritis (Tönnis grade 0-1). RESULTS: MR arthrography identified labral tears in 17 of the 18 hips. Ultrasound had a sensitivity of 94%, a positive predictive value of 94%, and was false negative in only 1 case compared to MR arthrography. The impingement test had the best...... diagnostic ability of the clinical tests, with a sensitivity of 59% and a specificity of 100%. The positive predictive value was 100% while the negative predictive value was 13%. INTERPRETATION: The impingement test is helpful in identifying acetabular labral tears. If this test is negative and if a labral...

Concrete manufactured with crushed asphalt as partial replacement of natural aggregates

Directory of Open Access Journals (Sweden)

L. Coppola

2016-09-01

Full Text Available The paper focuses on the reuse of crushed asphalt (GA as a partial replacement (up to 20% of natural aggregates for concrete manufacture. Addition of GA aggregates produced a positive effect on workability loss. The GA mixes, however, showed a significant tendency to bleed and segregate at the highest replacement percentage applied. GA led to a decrease of compressive strength in concrete (with respect to that of the reference concrete up to 50% due to the weakness of the cement paste / recycled aggregate interface. To compensate for this negative effect, a reduction of w/c for the GA concretes was necessary. A decrease of w/c allowed the GA concretes to show drying shrinkage values substantially similar to those of reference concrete with the same cement factor. The experimental results confirmed the possibility of partial substitution (max. 15% of natural aggregates with crushed asphalt for making concrete.

The comparison of properties and cost of material use of natural rubber and sand in manufacturing cement mortar for construction sub-base layer

Science.gov (United States)

Rahman, R.; Nemmang, M. S.; Hazurina, Nor; Shahidan, S.; Khairul Tajuddin Jemain, Raden; Abdullah, M. E.; Hassan, M. F.

2017-11-01

The main issue related to this research was to examine the feasibility of natural rubber SMR 20 in the manufacturing of cement mortar for sub-base layer construction. Subbase layers have certain functions that need to be fulfilled in order to assure strong and adequate permeability of pavement performance. In a pavement structure, sub-base is below the base and serves as the foundation for the overall pavement structure, transmitting traffic loads to the sub-grade and providing drainage. Based on this research, the natural rubber, SMR 20 was with the percentages of 0%, 5%, 10% and 15% to mix with sand in the manufacture of the cement mortar. This research describes some of the properties and cost of the materials for the natural rubber and sand in cement mortar manufacturing by laboratory testing. Effects of the natural rubber replacement on mechanical properties of mortar were investigated by laboratory testing such as compressive strength test and density. This study obtained the 5% of natural rubber replaced in sand can achieved the strength of normal mortar after 7 days and 28 days. The strength of cement mortar depends on the density of cement mortar. According to the cost of both materials, sand shows the lower cost in material for the cement mortar manufacturing than the uses of natural rubber. Thus, the convectional cement mortar which used sand need lower cost than the modified rubber cement mortar and the most economical to apply in industrial. As conclusion, the percentage of 5% natural rubber in the cement mortar would have the same with normal cement mortar in terms of the strength. However, in terms of the cost of the construction, it will increase higher than cost of normal cement mortar production. So that, this modified cement mortar is not economical for the road sub-base construction.

Trabecular metal acetabular components in primary total hip arthroplasty

DEFF Research Database (Denmark)

Laaksonen, Inari; Lorimer, Michelle; Gromov, Kirill

2018-01-01

Background and purpose - Trabecular metal (TM) cups have demonstrated favorable results in acetabular revision and their use in primary total hip arthroplasty (THA) is increasing. Some evidence show that TM cups might decrease periprosthetic infection (PPI) incidence. We compared the survivorship...... of TM cups with that of other uncemented cups in primary THA, and evaluated whether the use of TM cups is associated with a lower risk of PPI. Patients and methods - 10,113 primary THAs with TM cup and 85,596 THAs with other uncemented cups from 2 high-quality national arthroplasty registries were...

Cementing Efficiency of Low Calcium Fly Ash in Fly Ash Concretes

OpenAIRE

T. D. Gunneswara Rao; Mudimby Andal

2014-01-01

Research on the utilization of fly ash will no longer refer the fly ash as a waste material of thermal power plants. Use of fly ash in concrete making, makes the concrete economical as well as durable. The fly ash is being added to the concrete in three ways namely, as partial replacement to cement, as partial replacement to fine aggregates and as admixture. Addition of fly ash to the concrete in any one of the form mentioned above, makes the concrete more workable and durable than the conven...

Computer-aided designed, three dimensional-printed hemipelvic prosthesis for peri-acetabular malignant bone tumour.

Science.gov (United States)

Wang, Baichuan; Hao, Yongqiang; Pu, Feifei; Jiang, Wenbo; Shao, Zengwu

2018-03-01

Prosthetic reconstruction may be a promising treatment for peri-acetabular malignant bone tumour; however, it is associated with a high complication rate. Therefore, prosthetic design and approach of prosthetic reconstruction after tumour resection warrant study. We retrospectively analyzed 11 patients with peri-acetabular malignant bone tumours treated by personalized 3D-printed hemipelvic prostheses after en bloc resection between 2015 and 2016. Pre-operative and post-operative pain at rest was assessed according to a 10-cm VAS score. The results of functional improvement were evaluated using the MSTS-93 score at the final follow-up. We also analyzed tumour recurrence, metastases, and complications associated with the reconstruction procedure. All patients were observed for six to 24 months with an average follow-up of 15.5 months. One patient had occasional pain of the involved hip at the final follow-up (VAS, pre vs. post 8 months: 3 vs. 2). The mean MSTS-93 score was 19.2 (range, 13-25). Hip dislocation was detected in two patients, while delayed wound healing occurred in one patient. One patient with mesenchymal chondrosarcoma had a left iliac bone metastasis. Local tumour recurrence was not observed. Reconstruction of bony defect after tumour resection using personalized 3D-printed hemipelvic prostheses can obtain acceptable functional results without severe complications. Based on previous reports and our results, we believe that reconstruction arthroplasty using 3D-printed hemipelvic prostheses will provide a promising alternative for those patients with peri-acetabular malignant bone tumours. Level IV, therapeutic study.

Periprosthetic femoral fracture within two years after total hip replacement:

DEFF Research Database (Denmark)

Thien, T. M.; Chatziagorou, G.; Garellick, G.