The Protective Effect of Pulsed Lavage Against Implant Subsidence and Micromotion for Cemented Tibial Unicompartmental Knee Components: An Experimental Cadaver Study

Abstract Cemented UKAs were performed in 12 pairs of human cadaver legs and the bone bed was cleansed using pulsed lavage (group A) and conventional syringe lavage (group B). Subsidence and micromotion of the loaded tibial trays were measured. There was a significant effect of BMD on subsidence ( P = 0.043) but not on micromotion. Cement penetration of group A was significantly increased ( P = 0.005). Group A showed a reduced implant subsidence ( P = 0.025) and micromotion ( P = 0.026) compared to group B. The group differences in micromotion and implant subsidence of UKA tibial components were statistically significant but rather small and might clinically be of minor importance. Nevertheless a worse bone quality adversely affected implant subsidence and pulsed lavage had a protective effect in these specimens.