The Efficiency of the Sudan-III-staining to Identify Wear Particles of Pmma-bone Cement in Tissue After Total Endoprostheses

Overview

Journal Arch Orthop Trauma Surg (1978)

Specialty Orthopedics

Date 1982 Jan 1

PMID 6182859

Authors

F Lintner

P Bosch

G Brand

Affiliations

Soon will be listed here.

Abstract

On the basis of the newly-formed capsular tissue of 80 cemented (Weber-Huggler, Müller-Charnley) and uncemented (ceramic/ceramic/titanium) total hip endoprostheses which had to be reoperated on because of aseptic loosening, the efficiency of the Sudan-III-staining reported in literature to identify polymethylmethacrylate (PMMA) bone cement particles is investigated, because the quantity as well as quality of the various wear products is discussed as possible factors of prostheses loosening. PMMA-, polyethylene and polyester particles show definite sudanophilia and orange-red coloration in the Sudan-III-stained frozen sections, so that only very large wear products utilizing the knowledge of the materials of the artificial joints used can be recognized by their forms, whereas the wear stored in the macrophages cannot be identified. Thus, Sudan-III-staining is not suitable for guaranteeing identification and determination of the amount of PMMA-wear.

References

Brinkmann K, Heilmann K . [Clinical, radiological and histological investigations in loosened total hip replacements (author's transl)]. Arch Orthop Unfallchir. 1974; 80(4):333-42. DOI: 10.1007/BF00416080. View

Jozsa L, Reffy A . Histochemical and histophysical detection of wear products resulting from prostheses. Folia Histochem Cytochem (Krakow). 1980; 18(3):195-200. View

Mendes D, Walker P, Figarola F, Bullough P . Total surface hip replacement in the dog. A preliminary study of local tissue reaction. Clin Orthop Relat Res. 1974; (100):256-64. View

Willert H, Buchhorn G, Zichner L, Muller K, Semlitsch M . [Surface structures of bone cement]. Z Orthop Ihre Grenzgeb. 1979; 117(4):674-83. View

Crugnola A, Schiller A, Radin E . Polymeric debris in synovium after total joint replacement: histogical identification. J Bone Joint Surg Am. 1977; 59(7):860-2. View