Total hip replacement. Results of a postal survey of current practice on the cement fixation of the acetabular cup in the UK

Previous finite element studies and laboratory investigations on reconstructed acetabulum joints show that long-term fixation of the acetabular cup in total hip replacements (THRs) is influenced by surgical fixation techniques. The aim of this study is to determine and understand the reasons of current practice in the cement fixation of the acetabular cup in THRs in the UK. Following a pilot study, a postal survey was carried out among 1350 orthopaedic consultants. Response rate was 40% and data obtained from the returned questionnaires provided information about the current practice of 431 consultants with an average of 16.5 years of experience and who perform an average of 55 cemented THR operations annually. The survey showed wide variations in the fixation methods of the acetabular component. 95% of the respondents use cement to fix the acetabular cup, 46% maintain the subchondral bone and 63 % use a flanged acetabular cup. The numbers of anchorage holes drilled vary from zero to thirty-six and drill diameters vary from 2 to 15 mm. Anchorage hole depths vary from 3 to 20 mm. Given the variability of surgical fixation methods, further studies need to be carried out to determine how fixation techniques could be improved to increase the longevity of the acetabular component in THRs. Further investigations could lead to a better understanding of the factors that contribute to the stability of THRs

Analysis of Lead in Soils Adjacent to an Interstate Highway in Tampa, Florida

In order to assess the amount and distribution of lead pollution in soils adjacent to a major interstate highway serving the city of Tampa, Florida, a total of 224 samples were collected from 32 transects perpendicular to the roadway. The lead content was measured using atomic absorption spectrophotometry. The highest levels of lead were found at distances of 81, 243, and 729 cm from the road. The results show that there is a weak negative correlation between soil lead and the distance from the roadside, as well as with traffic density. The weakness of the relationship is a result of confounding variables such as turbulence and other microclimatic factors, downslope movement of soils overtime, and human action such as construction and highway landscaping. Nevertheless, over one-third of the samples collected in the study area contain more than 500 μg g−1 lead, levels considered to be hazardous by the United States Centers for Disease Control and the Environmental Protection Agency