Abstract
Cemented implant fixation in total joint arthroplasty has been proven to be safe and reliable with good long-term results. However, aseptic loosening is one of the main reasons for revision, potentially caused by poor cementation with low penetration depth in the cancellous bone. Aim of this prospective laboratory study was, to compare impact pressure and cleaning effects of pulsatile saline lavage to novel carbon dioxide lavage in a standardized carbon foam setup, to determine whether or not additional use of carbon dioxide lavage has any impact on cleaning volume or cleaning depth in cancellous bone. Carbon specimens simulating human cancellous bone were filled with industrial grease and then underwent a standardized cleaning procedure. Specimens underwent computed tomography pre- and post-cleaning. Regarding the impact pressure, isolated carbon dioxide lavage showed significant lower pressure compared to pulsatile saline lavage. Even though the combination of carbon dioxide lavage and pulsatile saline lavage had a positive cleaning effect compared to the isolated use of pulsatile saline lavage or carbon dioxide lavage, this was not significant in terms of cleaning volume or cleaning depth.
Highlights
Cemented implant fixation in total joint arthroplasty has demonstrated to be a reliable and safe procedure with excellent long-term results [1,2,3,4]
Cases of embolic events using carbon dioxide lavage in intramedullary cleaning during cemented hip arthroplasty have been reported [33,34]. Aim of this prospective laboratory study was to compare impact pressure and cleaning effects of pulsatile saline lavage to novel carbon dioxide lavage in a standardized carbon foam setup and to determine whether or not additional use of carbon dioxide lavage has any impact on cleaning volume or cleaning depth in cancellous bone
The use of pulsatile lavage is known to enhance the fixation of cemented total knee arthroplasty [38]
Summary
Cemented implant fixation in total joint arthroplasty has demonstrated to be a reliable and safe procedure with excellent long-term results [1,2,3,4]. A reliable method for this crucial cleaning procedure of cancellous bone is using saline high-pressure pulsatile lavage and subsequent drying of bone bed with abdominal cloth and suction After this procedure liquid and fatty material often remains and may prevent cement from penetrating in the desired depth into the cancellous bone. Cases of embolic events using carbon dioxide lavage in intramedullary cleaning during cemented hip arthroplasty have been reported [33,34] Aim of this prospective laboratory study was to compare impact pressure and cleaning effects of pulsatile saline lavage to novel carbon dioxide lavage in a standardized carbon foam setup and to determine whether or not additional use of carbon dioxide lavage has any impact on cleaning volume or cleaning depth in cancellous bone
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
