Next Article in Journal
Alkali-Activated Mortars Modified by Epoxy-Carbon Fiber Composites Wastes
Next Article in Special Issue
Does Pelvic Orientation Influence Wear Measurement of the Acetabular Cup in Total Hip Arthroplasty—An Experimental Study
Previous Article in Journal
Co-Package Technology Platform for Low-Power and Low-Cost Data Centers
Previous Article in Special Issue
What Is the Impact of a CAM Impingement on the Gait Cycle in Patients with Progressive Osteoarthritis of the Hip?
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Applied Sciences
Volume 11
Issue 13
10.3390/app11136103
applsci-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Does Pressurized Carbon Dioxide Lavage Improve Bone Cleaning in Cemented Arthroplasty?

by
Kevin Knappe
1,2,*,
Christian Stadler
3,
Moritz Innmann
1,2,
Mareike Schonhoff
2,
Tobias Gotterbarm
3,
Tobias Renkawitz
1 and
Sebastian Jaeger
2
1
Clinic for Orthopedic and Trauma Surgery, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany
2
Laboratory of Biomechanics and Implant Research, Clinic for Orthopedics and Trauma Surgery, Heidelberg University Hospital, 69118 Heidelberg, Germany
3
Clinic for Orthopedics and Trauma Surgery, Kepler University Hospital, 4020 Linz, Austria
*
Author to whom correspondence should be addressed.
Appl. Sci. 2021, 11(13), 6103; https://doi.org/10.3390/app11136103
Submission received: 20 March 2021 / Revised: 21 June 2021 / Accepted: 26 June 2021 / Published: 30 June 2021
(This article belongs to the Special Issue Musculoskeletal Research: Biomechanics and Biomaterials for the Treatment of Orthopedic Diseases)
Browse Figures
Versions Notes

Abstract

Cemented implant fixation in total joint arthroplasty has been proven to be safe and reliable with good long-term results. However, aseptic loosening is one of the main reasons for revision, potentially caused by poor cementation with low penetration depth in the cancellous bone. Aim of this prospective laboratory study was, to compare impact pressure and cleaning effects of pulsatile saline lavage to novel carbon dioxide lavage in a standardized carbon foam setup, to determine whether or not additional use of carbon dioxide lavage has any impact on cleaning volume or cleaning depth in cancellous bone. Carbon specimens simulating human cancellous bone were filled with industrial grease and then underwent a standardized cleaning procedure. Specimens underwent computed tomography pre- and post-cleaning. Regarding the impact pressure, isolated carbon dioxide lavage showed significant lower pressure compared to pulsatile saline lavage. Even though the combination of carbon dioxide lavage and pulsatile saline lavage had a positive cleaning effect compared to the isolated use of pulsatile saline lavage or carbon dioxide lavage, this was not significant in terms of cleaning volume or cleaning depth.
Keywords: carbon dioxide lavage; pulsatile lavage; joint arthroplasty; bone preparation; cement; total knee arthroplasty; total hip arthroplasty carbon dioxide lavage; pulsatile lavage; joint arthroplasty; bone preparation; cement; total knee arthroplasty; total hip arthroplasty

Share and Cite

MDPI and ACS Style

Knappe, K.; Stadler, C.; Innmann, M.; Schonhoff, M.; Gotterbarm, T.; Renkawitz, T.; Jaeger, S. Does Pressurized Carbon Dioxide Lavage Improve Bone Cleaning in Cemented Arthroplasty? Appl. Sci. 2021, 11, 6103. https://doi.org/10.3390/app11136103

AMA Style

Knappe K, Stadler C, Innmann M, Schonhoff M, Gotterbarm T, Renkawitz T, Jaeger S. Does Pressurized Carbon Dioxide Lavage Improve Bone Cleaning in Cemented Arthroplasty? Applied Sciences. 2021; 11(13):6103. https://doi.org/10.3390/app11136103

Chicago/Turabian Style

Knappe, Kevin, Christian Stadler, Moritz Innmann, Mareike Schonhoff, Tobias Gotterbarm, Tobias Renkawitz, and Sebastian Jaeger. 2021. "Does Pressurized Carbon Dioxide Lavage Improve Bone Cleaning in Cemented Arthroplasty?" Applied Sciences 11, no. 13: 6103. https://doi.org/10.3390/app11136103

APA Style

Knappe, K., Stadler, C., Innmann, M., Schonhoff, M., Gotterbarm, T., Renkawitz, T., & Jaeger, S. (2021). Does Pressurized Carbon Dioxide Lavage Improve Bone Cleaning in Cemented Arthroplasty? Applied Sciences, 11(13), 6103. https://doi.org/10.3390/app11136103

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop