Neurobionplus
Home About Journal AHEAD OF PRINT Current Issue Back Issues Instructions Submission Search Subscribe Blog    
Login 

Users Online: 1473 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size 
ORIGINAL ARTICLE
Year : 2013  |  Volume : 47  |  Issue : 1  |  Page : 18-22

Tibial cleaning method for cemented total knee arthroplasty: An experimental study


Department of Orthopaedics and Traumatology, University Hospital Freiburg, Hugstetter str 55, Freiburg, Germany

Correspondence Address:
Peter Helwig
Department of Orthopaedics and Traumatology, Albert Ludwigs University Freiburg, Hugstetter str 55, Freiburg
Germany
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.106887

Rights and Permissions

Background: The survival rate of cemented knee prosthesis depends among other factors on optimal cement-bone contact, nevertheless no standard exists for cementing technique of tibial components. The aim of this study was to determine which tibial surface preparation technique leads to the best bone-cement contact. Materials and Methods: Human tibial plateau specimens were cleaned in four different ways before cementing: a) no cleaning, b) manual syringe irrigation, c) fracture brush cleaning, and d) pulsatile jet-lavage. The specimens were cut into transverse sections and the bone cement contact distance was calculated for every 10 mm and the cement penetration depth was measured. Both values were statistically analyzed (ANOVA). Results: The longest bone-cement contact (62 mm) was seen after PJL, the shortest (10.6 mm) after no cleaning at all. The deepest cement penetration (4.1 mm) again was seen after PJL, the least (0.7 mm) after no cleaning. Statistically, PJL yielded the longest bone-cement contact and deepest cement penetration. Conclusion: The results supports the use of pulsatile jet-lavage before cementing tibial components in knee arthroplasty.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2147    
    Printed58    
    Emailed0    
    PDF Downloaded87    
    Comments [Add]    
    Cited by others 1    

Recommend this journal