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Volume 5 Issue 11 (November, 2017)

Original Articles

Tibial cleaning method for cemented total Knee Arthroplasty- A clinical study
Rakesh Thakkar, Mohd Sameer Qureshi

Background: Major joint arthroplasty is undoubtedly one of the surgical success stories of modern times. The number of primary knee arthroplasties performed annually increased exponentially over the last half of the 20th century. The present study determined optimal cleaning method in terms of cement-bone contact at the tibial resection surface. Materials & Methods: 30 tibial plateau specimens obtained during surgery for knee resurfacing arthroplasty of both genders were cleaned in four different ways before cementing no cleaning (group I), manual syringe irrigation (group II), fracture brush cleaning (group III) and pulsatile jet-lavage (group IV). Results: Out of 30 patients, males were 18 and females were 12. The mean bone-cement contact distance in group I was 13.9 mm, in group II was 19.2 mm, in group III was 20.4 mm and in group IV was 31.4 mm. The mean cement penetration was 1.26 mm in group I, 1.95 mm in group II, 1.76 mm in group III and 3.00 mm in group IV. The difference was significant (P< 0.05). Conclusion: Better results were found with pulsatile jet-lavage before cementing tibial components in knee arthroplasty. Key words: Knee arthroplasty, Pulsatile jet-lavage, Tibia.

 
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