Lamina Spreader Technique Improves Debridement of Loose Bone and Cement in Total Knee Arthroplasty

Autor: Sinan E. Ozgur, Ali Oliashirazi, Grant S. Buchanan, Franklin D. Shuler
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Marshall Journal of Medicine, Vol 2, Iss 4, Pp 80-85 (2016)
Druh dokumentu: article
ISSN: 2379-9536
DOI: 10.18590/mjm.2016.vol2.iss4.14
Popis: Loose bone and cement can promote polyethylene wear that may lead to failure in total knee arthroplasty. The authors propose a technique to enhance the debridement of loose bodies by distracting the cemented components with a lamina spreader following standard debridement with pulsatile lavage. Cement and bone/soft tissue debris was recovered from 51 consecutive primary total knee arthroplasty patients. This technique facilitated the removal of hidden debris in 80% of patients (41/51). On average, 2.6 fragments measuring 158 mm3 were removed per patient. The authors advocate that distraction with a lamina spreader be used to reduce potential sources of wear.
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