The Influence of Sterilization Method on Articular Surface Damage of Retrieved Cruciate-Retaining Tibial Inserts
Abstract This observational study was designed to determine the importance of sterilization method and insert thickness as predictors of articular damage of cruciate-retaining polyethylene components used in total knee arthroplasty. Ninety-nine explanted tibial inserts were evaluated for surface dam...
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| Veröffentlicht in: | The Journal of arthroplasty 2012-06, Vol.27 (6), p.1085-1093 |
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| container_title | The Journal of arthroplasty |
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| creator | Greulich, Matthew T., MD Roy, Marcel E., PhD Whiteside, Leo A., MD |
| description | Abstract This observational study was designed to determine the importance of sterilization method and insert thickness as predictors of articular damage of cruciate-retaining polyethylene components used in total knee arthroplasty. Ninety-nine explanted tibial inserts were evaluated for surface damage. Severe damage modes were observed in 36 of 52 of γ -irradiated inserts but none of those sterilized by ethylene oxide. Articular damage significantly correlated to time in vivo but not to insert thickness. Inserts sterilized by ethylene oxide gas in gas-permeable packaging exhibited a significantly lower damage accumulation rate compared with inserts sterilized by γ radiation and stored in air or an inert environment. γ irradiation and storage in argon instead of air reduced the frequency of severe damage such as delamination but not the overall damage rate. |
| doi_str_mv | 10.1016/j.arth.2011.10.023 |
| format | Article |
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Ninety-nine explanted tibial inserts were evaluated for surface damage. Severe damage modes were observed in 36 of 52 of γ -irradiated inserts but none of those sterilized by ethylene oxide. Articular damage significantly correlated to time in vivo but not to insert thickness. Inserts sterilized by ethylene oxide gas in gas-permeable packaging exhibited a significantly lower damage accumulation rate compared with inserts sterilized by γ radiation and stored in air or an inert environment. γ irradiation and storage in argon instead of air reduced the frequency of severe damage such as delamination but not the overall damage rate.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2011.10.023</identifier><identifier>PMID: 22177798</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Air ; Argon ; Arthroplasty, Replacement, Knee - instrumentation ; Device Removal ; Ethylene Oxide ; Female ; Gamma Rays ; Humans ; knee ; Knee Joint - pathology ; Knee Joint - surgery ; Knee Prosthesis ; Linear Models ; Male ; Orthopedics ; Polyethylene ; Posterior Cruciate Ligament - surgery ; Reoperation ; retrieval ; Sterilization - methods ; sterilization method ; Tibia - pathology ; Tibia - surgery ; total knee arthroplasty</subject><ispartof>The Journal of arthroplasty, 2012-06, Vol.27 (6), p.1085-1093</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>Copyright © 2012 Elsevier Inc. 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Ninety-nine explanted tibial inserts were evaluated for surface damage. Severe damage modes were observed in 36 of 52 of γ -irradiated inserts but none of those sterilized by ethylene oxide. Articular damage significantly correlated to time in vivo but not to insert thickness. Inserts sterilized by ethylene oxide gas in gas-permeable packaging exhibited a significantly lower damage accumulation rate compared with inserts sterilized by γ radiation and stored in air or an inert environment. γ irradiation and storage in argon instead of air reduced the frequency of severe damage such as delamination but not the overall damage rate.</description><subject>Air</subject><subject>Argon</subject><subject>Arthroplasty, Replacement, Knee - instrumentation</subject><subject>Device Removal</subject><subject>Ethylene Oxide</subject><subject>Female</subject><subject>Gamma Rays</subject><subject>Humans</subject><subject>knee</subject><subject>Knee Joint - pathology</subject><subject>Knee Joint - surgery</subject><subject>Knee Prosthesis</subject><subject>Linear Models</subject><subject>Male</subject><subject>Orthopedics</subject><subject>Polyethylene</subject><subject>Posterior Cruciate Ligament - surgery</subject><subject>Reoperation</subject><subject>retrieval</subject><subject>Sterilization - methods</subject><subject>sterilization method</subject><subject>Tibia - pathology</subject><subject>Tibia - surgery</subject><subject>total knee arthroplasty</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi1ERZfCH-CAcuSSxR9x7EgIqdpCW6kIiV3OlmOPu168yWI7ldpfj8OWHnrgZGv0vOPxMwi9I3hJMGk_7pY65u2SYkJKYYkpe4EWhDNaywa3L9ECS8lq3mB2il6ntMMF5Lx5hU4pJUKITi7QYbOF6npwYYLBQDW6ap0h-uAfdPbjUH2DvB1tVW7nMXszBR2r9RSdLvCF3uvbv5kfkKOHO7DVKk7G6wx1KWk_-OG22vje61AeSRBzeoNOnA4J3j6eZ-jn1y-b1VV98_3yenV-U5tGiFxrQlrW6d6J3jWClHmZbWwjcUelxsQ6LqDnBmxrTOdAQ0eZloxxDEIAJewMfTj2PcTx9wQpq71PBkLQA4xTUsUgp41knSwoPaImjilFcOoQ_V7H-wLNXKt2ajatZtNzrZguofeP_ad-D_Yp8k9tAT4dASi_vPMQVTJ-lmx9BJOVHf3_-39-Fjeh-DQ6_IJ7SLtxikPxp4hKVGG1nnc9r5oQjLmgHfsDmSyk-Q</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Greulich, Matthew T., MD</creator><creator>Roy, Marcel E., PhD</creator><creator>Whiteside, Leo A., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120601</creationdate><title>The Influence of Sterilization Method on Articular Surface Damage of Retrieved Cruciate-Retaining Tibial Inserts</title><author>Greulich, Matthew T., MD ; Roy, Marcel E., PhD ; Whiteside, Leo A., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-a11639abf7bf4712173d4d480928a01df57eb5ced6cc9feae923a83350e77e213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Air</topic><topic>Argon</topic><topic>Arthroplasty, Replacement, Knee - instrumentation</topic><topic>Device Removal</topic><topic>Ethylene Oxide</topic><topic>Female</topic><topic>Gamma Rays</topic><topic>Humans</topic><topic>knee</topic><topic>Knee Joint - pathology</topic><topic>Knee Joint - surgery</topic><topic>Knee Prosthesis</topic><topic>Linear Models</topic><topic>Male</topic><topic>Orthopedics</topic><topic>Polyethylene</topic><topic>Posterior Cruciate Ligament - surgery</topic><topic>Reoperation</topic><topic>retrieval</topic><topic>Sterilization - methods</topic><topic>sterilization method</topic><topic>Tibia - pathology</topic><topic>Tibia - surgery</topic><topic>total knee arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Greulich, Matthew T., MD</creatorcontrib><creatorcontrib>Roy, Marcel E., PhD</creatorcontrib><creatorcontrib>Whiteside, Leo A., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Greulich, Matthew T., MD</au><au>Roy, Marcel E., PhD</au><au>Whiteside, Leo A., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Influence of Sterilization Method on Articular Surface Damage of Retrieved Cruciate-Retaining Tibial Inserts</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>27</volume><issue>6</issue><spage>1085</spage><epage>1093</epage><pages>1085-1093</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract This observational study was designed to determine the importance of sterilization method and insert thickness as predictors of articular damage of cruciate-retaining polyethylene components used in total knee arthroplasty. 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| fulltext | fulltext |
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| ispartof | The Journal of arthroplasty, 2012-06, Vol.27 (6), p.1085-1093 |
| issn | 0883-5403 1532-8406 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Air Argon Arthroplasty, Replacement, Knee - instrumentation Device Removal Ethylene Oxide Female Gamma Rays Humans knee Knee Joint - pathology Knee Joint - surgery Knee Prosthesis Linear Models Male Orthopedics Polyethylene Posterior Cruciate Ligament - surgery Reoperation retrieval Sterilization - methods sterilization method Tibia - pathology Tibia - surgery total knee arthroplasty |
| title | The Influence of Sterilization Method on Articular Surface Damage of Retrieved Cruciate-Retaining Tibial Inserts |
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