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An in vitro comparison of tibial tray cementation using gun pressurization or pulsed lavage

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An in vitro comparison of tibial tray cementation using gun pressurization or pulsed lavage. / Schlegel, Ulf J; Püschel, Klaus; Morlock, Michael M; Nagel, Katrin.

In: INT ORTHOP, Vol. 38, No. 5, 01.05.2014, p. 967-71.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Schlegel, UJ, Püschel, K, Morlock, MM & Nagel, K 2014, 'An in vitro comparison of tibial tray cementation using gun pressurization or pulsed lavage', INT ORTHOP, vol. 38, no. 5, pp. 967-71. https://doi.org/10.1007/s00264-014-2303-4

APA

Schlegel, U. J., Püschel, K., Morlock, M. M., & Nagel, K. (2014). An in vitro comparison of tibial tray cementation using gun pressurization or pulsed lavage. INT ORTHOP, 38(5), 967-71. https://doi.org/10.1007/s00264-014-2303-4

Vancouver

Schlegel UJ, Püschel K, Morlock MM, Nagel K. An in vitro comparison of tibial tray cementation using gun pressurization or pulsed lavage. INT ORTHOP. 2014 May 1;38(5):967-71. https://doi.org/10.1007/s00264-014-2303-4

Bibtex

@article{57d721a0e0b8427da57ad90defdff177,
title = "An in vitro comparison of tibial tray cementation using gun pressurization or pulsed lavage",
abstract = "PURPOSE: Aseptic loosening of the tibial component remains a limitation to the highly successful procedure of total knee arthroplasty (TKA). Pulsed lavage improves bone cement penetration and interface strength in tibial tray cementation. This study tested whether pressurized cement application with a cement gun can compensate the use of jet lavage for bone surface preparation.METHODS: Tibial components were implanted in six pairs of cadaveric tibiae. On one side, pulsed lavage of the tibial bone was combined with finger packing of bone cement; on the other side, syringe lavage and gun cementing was used. Cement penetration into the bone was determined from computed tomography scans, and Interface strength was determined by pull-out testing.RESULTS: Cement penetration was greater (p = 0.004) and interface strength was higher (p = 0.028) in the pulsed lavage group.CONCLUSION: Pressurization of cement by gun application could not compensate for the omission of pulsed lavage. Thus, pulsed lavage should be considered a crucial factor in TKA to improve implant fixation, which cannot be compensated for by cement application technique.",
keywords = "Aged, Arthroplasty, Replacement, Knee, Bone Cements, Cementation, Equipment Design, Humans, In Vitro Techniques, Male, Therapeutic Irrigation, Tibia",
author = "Schlegel, {Ulf J} and Klaus P{\"u}schel and Morlock, {Michael M} and Katrin Nagel",
year = "2014",
month = may,
day = "1",
doi = "10.1007/s00264-014-2303-4",
language = "English",
volume = "38",
pages = "967--71",
journal = "INT ORTHOP",
issn = "0341-2695",
publisher = "Springer",
number = "5",

}

RIS

TY - JOUR

T1 - An in vitro comparison of tibial tray cementation using gun pressurization or pulsed lavage

AU - Schlegel, Ulf J

AU - Püschel, Klaus

AU - Morlock, Michael M

AU - Nagel, Katrin

PY - 2014/5/1

Y1 - 2014/5/1

N2 - PURPOSE: Aseptic loosening of the tibial component remains a limitation to the highly successful procedure of total knee arthroplasty (TKA). Pulsed lavage improves bone cement penetration and interface strength in tibial tray cementation. This study tested whether pressurized cement application with a cement gun can compensate the use of jet lavage for bone surface preparation.METHODS: Tibial components were implanted in six pairs of cadaveric tibiae. On one side, pulsed lavage of the tibial bone was combined with finger packing of bone cement; on the other side, syringe lavage and gun cementing was used. Cement penetration into the bone was determined from computed tomography scans, and Interface strength was determined by pull-out testing.RESULTS: Cement penetration was greater (p = 0.004) and interface strength was higher (p = 0.028) in the pulsed lavage group.CONCLUSION: Pressurization of cement by gun application could not compensate for the omission of pulsed lavage. Thus, pulsed lavage should be considered a crucial factor in TKA to improve implant fixation, which cannot be compensated for by cement application technique.

AB - PURPOSE: Aseptic loosening of the tibial component remains a limitation to the highly successful procedure of total knee arthroplasty (TKA). Pulsed lavage improves bone cement penetration and interface strength in tibial tray cementation. This study tested whether pressurized cement application with a cement gun can compensate the use of jet lavage for bone surface preparation.METHODS: Tibial components were implanted in six pairs of cadaveric tibiae. On one side, pulsed lavage of the tibial bone was combined with finger packing of bone cement; on the other side, syringe lavage and gun cementing was used. Cement penetration into the bone was determined from computed tomography scans, and Interface strength was determined by pull-out testing.RESULTS: Cement penetration was greater (p = 0.004) and interface strength was higher (p = 0.028) in the pulsed lavage group.CONCLUSION: Pressurization of cement by gun application could not compensate for the omission of pulsed lavage. Thus, pulsed lavage should be considered a crucial factor in TKA to improve implant fixation, which cannot be compensated for by cement application technique.

KW - Aged

KW - Arthroplasty, Replacement, Knee

KW - Bone Cements

KW - Cementation

KW - Equipment Design

KW - Humans

KW - In Vitro Techniques

KW - Male

KW - Therapeutic Irrigation

KW - Tibia

U2 - 10.1007/s00264-014-2303-4

DO - 10.1007/s00264-014-2303-4

M3 - SCORING: Journal article

C2 - 24619387

VL - 38

SP - 967

EP - 971

JO - INT ORTHOP

JF - INT ORTHOP

SN - 0341-2695

IS - 5

ER -