The Journal of Arthroplasty
Volume 22, Issue 1 , Pages 95-99 , January 2007

How Much Sterile Saline Should be Used for Efficient Lavage During Total Knee Arthroplasty? Effects of Pulse Lavage Irrigation on Removal of Bone and Cement Debris

  • Yasuo Niki

      Affiliations

    • Department of Orthopaedic Surgery, Keio University, Shinjuku-ku, Tokyo, Japan
    • Istitute of Rheumatology, Tokyo Women's Medical University, Shinjuku-ku, Tokyo, Japan
    • Corresponding Author InformationReprint requests: Yasuo Niki, MD, PhD, Institute of Rheumatology, Tokyo Women's Medical University, 10-22, Kawadacho, Shinjuku-ku, Tokyo 160-0054, Japan. Address correspondence to: Department of Orthopaedic Surgery, Keio University, 35, Shinanomachi, Shinjuku, Tokyo 162-0054, Japan.
    • ,
  • Hideo Matsumoto

      Affiliations

    • Department of Orthopaedic Surgery, Keio University, Shinjuku-ku, Tokyo, Japan
    • ,
  • Toshiro Otani

      Affiliations

    • Department of Orthopaedic Surgery, Keio University, Shinjuku-ku, Tokyo, Japan
    • ,
  • Taisuke Tomatsu

      Affiliations

    • Istitute of Rheumatology, Tokyo Women's Medical University, Shinjuku-ku, Tokyo, Japan
    • ,
  • Yoshiaki Toyama

      Affiliations

    • Department of Orthopaedic Surgery, Keio University, Shinjuku-ku, Tokyo, Japan

Received 30 August 2005 ,Accepted 1 February 2006.

References 

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  15. Gelb H, Schumacher HR, Cuckler J, et al. In vivo inflammatory response to polymethylmethacrylate particulate debris: effect of size, morphology, and surface area. J Orthop Res. 1994;12:83
  16. Margvicius KJ, Bauer TW, McMahon JT, et al. Isolation and characterization of debris in membranes around total joint prostheses. J Bone Joint Surg Am. 1994;76-A:1664
  17. Campbell P, Ma S, Yeom B, et al. Isolation of predominantly submicron-sized UHMWPE wear particles from periprosthetic tissues. J Biomed Mater Res. 1995;29:127
  18. Hirakawa K, Bauer TW, Stulberg BN, et al. Comparison and quantitation of wear debris of failed total hip and total knee arthroplasty. J Biomed Mater Res. 1996;31:257
  19. Niki Y, Matsumoto H, Otani T, et al. Flow cytometric technique for the detection of phagocytosed wear particles in patients with total joint arthroplasty. Biomaterials. 2003;24:3715
  20. Niki Y, Matsumoto H, Otani T, et al. Gigantic popliteal synovial cyst caused by wear particles after total knee arthroplasty. J Arthroplasy. 2003;18:1071

 No benefits of funds were received in support of the study.

PII: S0883-5403(06)00071-4

doi: 10.1016/j.arth.2006.02.078

The Journal of Arthroplasty
Volume 22, Issue 1 , Pages 95-99 , January 2007

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