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. 2013 Jan;47(1):18-22.
doi: 10.4103/0019-5413.106887.

Tibial cleaning method for cemented total knee arthroplasty: An experimental study

Peter Helwig  1 , Lukas Konstantinidis, Anja Hirschmüller, Verena Miltenberger, Kerstin Kuminack, Norbert P Südkamp, Oliver Hauschild
Affiliations

Tibial cleaning method for cemented total knee arthroplasty: An experimental study

Peter Helwig et al. Indian J Orthop. 2013 Jan.

Abstract

Background: The survival rate of cemented knee prosthesis depends among other factors on optimal cement-bone contact, nevertheless no standard exists for cementing technique of tibial components. The aim of this study was to determine which tibial surface preparation technique leads to the best bone-cement contact.

Materials and methods: HUMAN TIBIAL PLATEAU SPECIMENS WERE CLEANED IN FOUR DIFFERENT WAYS BEFORE CEMENTING: a) no cleaning, b) manual syringe irrigation, c) fracture brush cleaning, and d) pulsatile jet-lavage. The specimens were cut into transverse sections and the bone cement contact distance was calculated for every 10 mm and the cement penetration depth was measured. Both values were statistically analyzed (ANOVA).

Results: The longest bone-cement contact (62 mm) was seen after PJL, the shortest (10.6 mm) after no cleaning at all. The deepest cement penetration (4.1 mm) again was seen after PJL, the least (0.7 mm) after no cleaning. Statistically, PJL yielded the longest bone-cement contact and deepest cement penetration.

Conclusion: The results supports the use of pulsatile jet-lavage before cementing tibial components in knee arthroplasty.

Keywords: Bone preparation; cemented total knee arthroplasty; cementing technique; pulsatile jet-lavage.

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Conflict of interest statement

Conflict of Interest: None

Figures

Figure 1
Figure 1
Bone-cement contact distance per 10 mm measurement
Figure 2
Figure 2
Bar diagram showing average bone cement contact values in relation to the cleaning method
Figure 3
Figure 3
Bar diagram showing average cement penetration depth in mm in relation to the cleaning method
See this image and copyright information in PMC

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