| Autor: |
Clive Lee, Andrew Toms, Thomas A. Bucher, KS Eyres, Michael Butler, Vipul Mandalia |
| Rok vydání: |
2015 |
| Předmět: |
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| Zdroj: |
Journal of Arthroscopy and Joint Surgery. 2:62-66 |
| ISSN: |
2214-9635 |
| Popis: |
Purpose The majority of cemented knee replacements worldwide are performed with a tourniquet. The benefits of surgery in TKR without a tourniquet have been well described but questions have been raised about the ability to prepare the bone for cementation, and take up of a tourniquet-less technique has been slow. A laboratory based model was constructed to directly compare the quality of cementing between tourniquet and tourniquet-less knee replacement supplemented by metaphyseal suction and a cement gun. Methods A Sawbone model to represent the metaphyseal proximal tibia was constructed. The model allowed the inflow of simulated blood and the use of metaphyseal suction. The study compared four different techniques; the use of a tourniquet, no tourniquet, no tourniquet with cancellous suction and no tourniquet with cancellous suction and a cement gun. Each subtype of experiment was repeated 5 times. Quality of cementation was assessed using a calibrated engineering planimeter. Results This model has shown that combining the use of metaphyseal suction and a cement gun but without the use of a tourniquet offers significantly better cement penetration (p Conclusions This study offers further in vitro evidence to the argument that tourniquet-less surgery when supplemented by appropriate techniques can achieve a good cement–bone interface, whilst avoiding the additional risk of using a tourniquet to perform the procedure. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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Full Text from ScienceDirect