Does Additive Pressurized Carbon Dioxide Lavage Improve Cement Penetration and Bond Strength in Cemented Arthroplasty?

The modern cementing technique in cemented arthroplasty is a highly standardized and, therefore, safe procedure. Nevertheless, aseptic loosening is still the main reason for revision after cemented total knee or cemented total hip arthroplasty. To investigate whether an additional carbon dioxide lav...

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Autores principales:	Kevin Knappe, Christian Stadler, Moritz M. Innmann, Mareike Schonhoff, Tobias Gotterbarm, Tobias Renkawitz, Sebastian Jaeger
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	cemented arthroplasty pressurized carbon dioxide lavage high-pressure pulsatile saline lavage cement penetration aseptic loosening revision arthroplasty Medicine R
Acceso en línea:	https://doaj.org/article/6568f5e7e4754090a7ecac338710fd79
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spelling	oai:doaj.org-article:6568f5e7e4754090a7ecac338710fd792021-11-25T18:02:07ZDoes Additive Pressurized Carbon Dioxide Lavage Improve Cement Penetration and Bond Strength in Cemented Arthroplasty?10.3390/jcm102253612077-0383https://doaj.org/article/6568f5e7e4754090a7ecac338710fd792021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5361https://doaj.org/toc/2077-0383The modern cementing technique in cemented arthroplasty is a highly standardized and, therefore, safe procedure. Nevertheless, aseptic loosening is still the main reason for revision after cemented total knee or cemented total hip arthroplasty. To investigate whether an additional carbon dioxide lavage after a high-pressure pulsatile saline lavage has a positive effect on the bone–cement interface or cement penetration, we set up a standardized laboratory experiment with 28 human femoral heads. After a standardized cleaning procedure, the test implants were cemented onto the cancellous bone. Subsequently, the maximum failure load of the bone–cement interface was determined using a material testing machine to pull off the implant, and the cement penetration was determined using computed tomography. Neither the maximum failure load nor cement penetration into the cancellous bone revealed significant differences between the groups. In conclusion, according to our experiments, the additive use of the carbon dioxide lavage after the high-pressure pulsatile lavage has no additional benefit for the cleaning of the cancellous bone and, therefore, cannot be recommended without restrictions.Kevin KnappeChristian StadlerMoritz M. InnmannMareike SchonhoffTobias GotterbarmTobias RenkawitzSebastian JaegerMDPI AGarticlecemented arthroplastypressurized carbon dioxide lavagehigh-pressure pulsatile saline lavagecement penetrationaseptic looseningrevision arthroplastyMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5361, p 5361 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cemented arthroplasty pressurized carbon dioxide lavage high-pressure pulsatile saline lavage cement penetration aseptic loosening revision arthroplasty Medicine R
spellingShingle	cemented arthroplasty pressurized carbon dioxide lavage high-pressure pulsatile saline lavage cement penetration aseptic loosening revision arthroplasty Medicine R Kevin Knappe Christian Stadler Moritz M. Innmann Mareike Schonhoff Tobias Gotterbarm Tobias Renkawitz Sebastian Jaeger Does Additive Pressurized Carbon Dioxide Lavage Improve Cement Penetration and Bond Strength in Cemented Arthroplasty?
description	The modern cementing technique in cemented arthroplasty is a highly standardized and, therefore, safe procedure. Nevertheless, aseptic loosening is still the main reason for revision after cemented total knee or cemented total hip arthroplasty. To investigate whether an additional carbon dioxide lavage after a high-pressure pulsatile saline lavage has a positive effect on the bone–cement interface or cement penetration, we set up a standardized laboratory experiment with 28 human femoral heads. After a standardized cleaning procedure, the test implants were cemented onto the cancellous bone. Subsequently, the maximum failure load of the bone–cement interface was determined using a material testing machine to pull off the implant, and the cement penetration was determined using computed tomography. Neither the maximum failure load nor cement penetration into the cancellous bone revealed significant differences between the groups. In conclusion, according to our experiments, the additive use of the carbon dioxide lavage after the high-pressure pulsatile lavage has no additional benefit for the cleaning of the cancellous bone and, therefore, cannot be recommended without restrictions.
format	article
author	Kevin Knappe Christian Stadler Moritz M. Innmann Mareike Schonhoff Tobias Gotterbarm Tobias Renkawitz Sebastian Jaeger
author_facet	Kevin Knappe Christian Stadler Moritz M. Innmann Mareike Schonhoff Tobias Gotterbarm Tobias Renkawitz Sebastian Jaeger
author_sort	Kevin Knappe
title	Does Additive Pressurized Carbon Dioxide Lavage Improve Cement Penetration and Bond Strength in Cemented Arthroplasty?
title_short	Does Additive Pressurized Carbon Dioxide Lavage Improve Cement Penetration and Bond Strength in Cemented Arthroplasty?
title_full	Does Additive Pressurized Carbon Dioxide Lavage Improve Cement Penetration and Bond Strength in Cemented Arthroplasty?
title_fullStr	Does Additive Pressurized Carbon Dioxide Lavage Improve Cement Penetration and Bond Strength in Cemented Arthroplasty?
title_full_unstemmed	Does Additive Pressurized Carbon Dioxide Lavage Improve Cement Penetration and Bond Strength in Cemented Arthroplasty?
title_sort	does additive pressurized carbon dioxide lavage improve cement penetration and bond strength in cemented arthroplasty?
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/6568f5e7e4754090a7ecac338710fd79
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Does Additive Pressurized Carbon Dioxide Lavage Improve Cement Penetration and Bond Strength in Cemented Arthroplasty?

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