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Pulsatile Lavage During Cementation of Total Knee Arthroplasty - Is Fixation Impaired? A Cadaver Study.
Glowalla, Claudio; Ertl, Max; Lenze, Ulrich; Lazic, Igor; Burgkart, Rainer; Lang, Jan J; VON Eisenhart-Rothe, Rudiger; Pohlig, Florian.
Afiliación
  • Glowalla C; Department of Orthopaedic Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany.
  • Ertl M; BG Unfallklinik Murnau, Murnau am Staffelsee, Germany.
  • Lenze U; Department of Orthopaedic Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany.
  • Lazic I; Department of Orthopaedic Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany.
  • Burgkart R; Department of Orthopaedic Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany.
  • Lang JJ; Department of Orthopaedic Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany.
  • VON Eisenhart-Rothe R; Department of Orthopaedic Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany.
  • Pohlig F; Department of Mechanical Engineering, Chair of Nondestructive Testing, Technical University of Munich, Munich, Germany.
In Vivo ; 36(2): 672-677, 2022.
Article en En | MEDLINE | ID: mdl-35241521
BACKGROUND/AIM: Increasing economic pressure in modern healthcare necessitates an increase in efficiency in total knee arthroplasty (TKA) while maintaining high-quality outcomes. Removal of debris using pulsatile lavage (PL) during cement polymerization may considerably reduce the operative duration. However, water can penetrate the interface, resulting in impaired implant fixation. The aim of the present study was to investigate the impact of early-onset PL during bone cement polymerization on implant fixation and operative duration. MATERIALS AND METHODS: Cemented implantation of tibial trays was performed in 20 fresh-frozen human tibiae from 10 donors in a matched-pair study design in two groups: 1) PL during cement polymerization; and 2) PL after completion of the polymerization process. The cement penetration depth was analysed by computed tomography (CT), and the pull-out force was measured to evaluate primary implant fixation. The duration of the procedure was recorded for both groups. RESULTS: Comparable pull-out forces were observed in the experimental (2,213 N) and control groups (2,350 N; p=0.68). The mean depth of cement penetration was similar in both groups. PL during cement polymerization could decrease the operative duration by 10 min. CONCLUSION: The application of PL during cement polymerization could significantly reduce operative duration and had no adverse effect on the mechanical fixation of the tibial component.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Rodilla Límite: Humans Idioma: En Revista: In Vivo Asunto de la revista: NEOPLASIAS Año: 2022 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Grecia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Rodilla Límite: Humans Idioma: En Revista: In Vivo Asunto de la revista: NEOPLASIAS Año: 2022 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Grecia