Abstract

The Biostop G cement restrictor (Bioland Laboratories, Toulouse, France) is a flexible ridged plug made of a polymer of gelatin (50%), glycerol (30%), water (20 %), and methyparahydroxybenzoate (2 %) (Fig. 1). Animal implantat ion studies performed on rabbits by the manufac turer (P Frayssinet, unpublished data) indicate that the plug is degraded by liquefaction, disappearing in 5 to 10 hours, and does not produce osteolysis, a local macrophage, or tissue reaction. The gelatin component appears to be metabolized in situ by extracellular collagenases, whereas the glycerol is t ransported by lymphatics to the liver, where it is metabolized. The Biostop G cement restrictor is made in 7 different sizes, 8 to 20 mm diameter in 2 -mm increments, to fit femoral canals of different diameters. A system of sounds is used to judge the appropriate diameter of plug to be used, allowing slight (2 mm) oversizing because the plug is flexible and ridged and therefore compressible in a transverse direction to ensure a tight fit. A calibrated metal insertion device is used to advance the plug the appropriate distance into the medullary canal.

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