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...
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| Veröffentlicht in: | The Journal of arthroplasty 2014-04, Vol.29 (4), p.727-732 |
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| container_title | The Journal of arthroplasty |
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| creator | Jaeger, Sebastian, MSc Rieger, Johannes S., MSc Bruckner, Thomas, PhD Kretzer, J. Philippe, PhD Clarius, Michael, MD, PhD Bitsch, Rudi G., MD, PhD |
| description | 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. |
| doi_str_mv | 10.1016/j.arth.2013.09.020 |
| format | Article |
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Philippe, PhD ; Clarius, Michael, MD, PhD ; Bitsch, Rudi G., MD, PhD</creator><creatorcontrib>Jaeger, Sebastian, MSc ; Rieger, Johannes S., MSc ; Bruckner, Thomas, PhD ; Kretzer, J. Philippe, PhD ; Clarius, Michael, MD, PhD ; Bitsch, Rudi G., MD, PhD</creatorcontrib><description>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.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2013.09.020</identifier><identifier>PMID: 24184324</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Knee - methods ; BMD ; Bone Density ; Cadaver ; cement penetration ; Cementation ; Female ; Humans ; implant subsidence ; Knee Joint - physiopathology ; Knee Joint - surgery ; Knee Prosthesis ; Male ; micromotion ; Middle Aged ; Orthopedics ; Prosthesis Failure ; pulsed lavage ; Therapeutic Irrigation ; Tibia - physiopathology ; Tibia - surgery ; unicompartmental</subject><ispartof>The Journal of arthroplasty, 2014-04, Vol.29 (4), p.727-732</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>2014.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-23d1ab1618c848a8e5c6e6334ebd1c99742fee8166c595c574ebaf18f5ff104f3</citedby><cites>FETCH-LOGICAL-c477t-23d1ab1618c848a8e5c6e6334ebd1c99742fee8166c595c574ebaf18f5ff104f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883540313007018$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24184324$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jaeger, Sebastian, MSc</creatorcontrib><creatorcontrib>Rieger, Johannes S., MSc</creatorcontrib><creatorcontrib>Bruckner, Thomas, PhD</creatorcontrib><creatorcontrib>Kretzer, J. Philippe, PhD</creatorcontrib><creatorcontrib>Clarius, Michael, MD, PhD</creatorcontrib><creatorcontrib>Bitsch, Rudi G., MD, PhD</creatorcontrib><title>The Protective Effect of Pulsed Lavage Against Implant Subsidence and Micromotion for Cemented Tibial Unicompartmental Knee Components: An Experimental Cadaver Study</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>BMD</subject><subject>Bone Density</subject><subject>Cadaver</subject><subject>cement penetration</subject><subject>Cementation</subject><subject>Female</subject><subject>Humans</subject><subject>implant subsidence</subject><subject>Knee Joint - physiopathology</subject><subject>Knee Joint - surgery</subject><subject>Knee Prosthesis</subject><subject>Male</subject><subject>micromotion</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Prosthesis Failure</subject><subject>pulsed lavage</subject><subject>Therapeutic Irrigation</subject><subject>Tibia - physiopathology</subject><subject>Tibia - surgery</subject><subject>unicompartmental</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UsGO0zAQtRCILQs_wAH5yKXBju3ERQipigqsKGKlds-W64x3XRK7aycV_SD-E0ctHDhwsvXmvdHMe4PQa0oKSmj1bl_oODwUJaGsIIuClOQJmlHByrnkpHqKZkRKNhecsCv0IqU9IZQKwZ-jq5JTyVnJZ-jX9gHwbQwDmMEdAa-szT8cLL4duwQtXuujvge8vNfOpwHf9IdO-wFvxl1yLXgDWPsWf3Mmhj4MLnhsQ8QN9OCHLN-6ndMdvvPOhP6Q553wDHz1ALjJUPAZSO_x0uPVzwNEdyE0utVHiHgzjO3pJXpmdR7n1eW9RnefVtvmy3z9_fNNs1zPDa_rYV6yluodrag0kkstQZgKKsY47FpqFoualxZA0qoyYiGMqHNBWyqtsJYSbtk1envue4jhcYQ0qN4lA11eGcKYFBXZeCJEWWdqeabmxVOKYNUhz67jSVGipnjUXk3xqCkeRRYqx5NFby79x10P7V_Jnzwy4cOZAHnLo4OoknGTy62LORfVBvf__h__kZvOZet19wNOkPZhjD77p6hKpSJqMx3IdB-UEVITKtlv_SW4nQ</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Jaeger, Sebastian, MSc</creator><creator>Rieger, Johannes S., MSc</creator><creator>Bruckner, Thomas, PhD</creator><creator>Kretzer, J. Philippe, PhD</creator><creator>Clarius, Michael, MD, PhD</creator><creator>Bitsch, Rudi G., MD, PhD</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>20140401</creationdate><title>The Protective Effect of Pulsed Lavage Against Implant Subsidence and Micromotion for Cemented Tibial Unicompartmental Knee Components: An Experimental Cadaver Study</title><author>Jaeger, Sebastian, MSc ; Rieger, Johannes S., MSc ; Bruckner, Thomas, PhD ; Kretzer, J. Philippe, PhD ; Clarius, Michael, MD, PhD ; Bitsch, Rudi G., MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-23d1ab1618c848a8e5c6e6334ebd1c99742fee8166c595c574ebaf18f5ff104f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>BMD</topic><topic>Bone Density</topic><topic>Cadaver</topic><topic>cement penetration</topic><topic>Cementation</topic><topic>Female</topic><topic>Humans</topic><topic>implant subsidence</topic><topic>Knee Joint - physiopathology</topic><topic>Knee Joint - surgery</topic><topic>Knee Prosthesis</topic><topic>Male</topic><topic>micromotion</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Prosthesis Failure</topic><topic>pulsed lavage</topic><topic>Therapeutic Irrigation</topic><topic>Tibia - physiopathology</topic><topic>Tibia - surgery</topic><topic>unicompartmental</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jaeger, Sebastian, MSc</creatorcontrib><creatorcontrib>Rieger, Johannes S., MSc</creatorcontrib><creatorcontrib>Bruckner, Thomas, PhD</creatorcontrib><creatorcontrib>Kretzer, J. 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Philippe, PhD</au><au>Clarius, Michael, MD, PhD</au><au>Bitsch, Rudi G., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Protective Effect of Pulsed Lavage Against Implant Subsidence and Micromotion for Cemented Tibial Unicompartmental Knee Components: An Experimental Cadaver Study</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>29</volume><issue>4</issue><spage>727</spage><epage>732</epage><pages>727-732</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24184324</pmid><doi>10.1016/j.arth.2013.09.020</doi><tpages>6</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Arthroplasty, Replacement, Knee - methods BMD Bone Density Cadaver cement penetration Cementation Female Humans implant subsidence Knee Joint - physiopathology Knee Joint - surgery Knee Prosthesis Male micromotion Middle Aged Orthopedics Prosthesis Failure pulsed lavage Therapeutic Irrigation Tibia - physiopathology Tibia - surgery unicompartmental |
| title | The Protective Effect of Pulsed Lavage Against Implant Subsidence and Micromotion for Cemented Tibial Unicompartmental Knee Components: An Experimental Cadaver Study |
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