Wound cleansing by irrigation for implant surgery.
Wound irrigation is an adjunct to all implant surgeries involving surgical incisions or arthroplasties. An understanding of the physics of wound irrigation provides a scientific basis for recommending wound irrigation systems for implant surgery. When inserting implants through surgical incisions, a low-pressure irrigation system is recommended for removing blood from the wound surface. In contrast, high-pressure irrigation systems are indicated to cleanse the intramedullary canal before cemented arthroplasty. With the advent of static and dynamic pressure transducers, irrigation systems can now be specifically designed to achieve these goals.
Leslie
L F
LF
Department of Plastic Surgery, University of Virginia School of Medicine, Charlottesville 22908, USA.
Faulkner
B C
BC
Woods
J A
JA
Hill
R A
RA
Thacker
J G
JG
Rodeheaver
G T
GT
Edlich
R F
RF
D000818:Animals; D006622:Hip Prosthesis / Q000379:methods; D006801:Humans; D007595:Joint Prosthesis / Q000379:methods; D013530:Surgical Wound Infection / Q000517:prevention & control; D007507:Therapeutic Irrigation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D014947:Wounds and Injuries / Q000628:therapy*