scholarly journals A Device to Control Implant and Bone-Cement Temperatures in Cemented Arthroplasty

2011 ◽  
Vol 5 (2) ◽  
Author(s):  
Antonio Completo ◽  
Marco Coutinho ◽  
Marcelo Schiller ◽  
António Ramos ◽  
Carlos Relvas ◽  
...  
2021 ◽  
Vol 10 (22) ◽  
pp. 5361
Author(s):  
Kevin Knappe ◽  
Christian Stadler ◽  
Moritz M. Innmann ◽  
Mareike Schonhoff ◽  
Tobias Gotterbarm ◽  
...  

The modern cementing technique in cemented arthroplasty is a highly standardized and, therefore, safe procedure. Nevertheless, aseptic loosening is still the main reason for revision after cemented total knee or cemented total hip arthroplasty. To investigate whether an additional carbon dioxide lavage after a high-pressure pulsatile saline lavage has a positive effect on the bone–cement interface or cement penetration, we set up a standardized laboratory experiment with 28 human femoral heads. After a standardized cleaning procedure, the test implants were cemented onto the cancellous bone. Subsequently, the maximum failure load of the bone–cement interface was determined using a material testing machine to pull off the implant, and the cement penetration was determined using computed tomography. Neither the maximum failure load nor cement penetration into the cancellous bone revealed significant differences between the groups. In conclusion, according to our experiments, the additive use of the carbon dioxide lavage after the high-pressure pulsatile lavage has no additional benefit for the cleaning of the cancellous bone and, therefore, cannot be recommended without restrictions.


2018 ◽  
Vol 9 (12) ◽  
Author(s):  
Irene Katharina Sigmund ◽  
Jutta Gamper ◽  
Anna Antoni ◽  
Joannis Panotopoulos ◽  
Philipp T. Funovics ◽  
...  

2000 ◽  
Vol 28 (3-4) ◽  
pp. 457-461 ◽  
Author(s):  
Aaron D. Puckett ◽  
Brad Roberts ◽  
Lujia Bu ◽  
Jimmy W. Mays

2018 ◽  
Vol 60 (4) ◽  
pp. 393-398
Author(s):  
Murat Yavuz Solmaz ◽  
Ismail Hakki Sanliturk ◽  
Aydin Turgut ◽  
Serkan Dundar ◽  
Tolga Topkaya

2011 ◽  
Vol 26 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Jia-Can SU ◽  
Lie-Hu CAO ◽  
Bao-Qing YU ◽  
Zhi-Wei WANG ◽  
Ming LI
Keyword(s):  

2007 ◽  
Vol 17 (4) ◽  
pp. 218-223 ◽  
Author(s):  
K. Shiramizu ◽  
V. Lovric ◽  
A.M.D. Leung ◽  
W.R. Walsh

Purpose To mix high dose antibiotic powder to the bone cement more easily, Hanssen et al reported mixing the antibiotics with the cement during its liquid phase but made no comments about the relevance of cement viscosity and antibiotic distribution. The purpose of this study was to investigate the effect of the cement mixing technique and cement viscosity on the antibiotics distribution in a cement spacer model. Methods Thirty cylindrical models from three groups were examined. Group A was made by mixing the antibiotics with medium viscosity cement prior to adding the liquid monomer (traditional technique). Group B was made by mixing the antibiotics with medium viscosity cement during its liquid phase (Hanssen's technique). Group C was made by traditional technique with low viscosity cement. In all groups 2 g of tetracycline was used. Three 0.1 mm thick cross sections from each spacer model were examined under the fluorescent microscope. The fluorescent spots of tetracycline were calculated automatically in pixels. To evaluate the distribution of the antibiotics in the spacer model, we selected the cross section with the highest number of pixels and the one with the lowest number of pixels from each of the three cross sections and calculated the difference between them. The distribution disequilibrium was compared between group A and B, A and C. Results No significant difference was observed in either comparison. Conclusion The Hanssen's mixing technique can be used when using high dose antibiotics, and either medium or low viscosity cement could be used in terms of antibiotic distribution.


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