title: Tibial cementing in UKA: a three-dimensional analysis of the bone cement implant interface and the effect of bone lavage.
abstract: Loosening is a common cause for revision in cemented UKA. In a cadaver study, we analyzed the three-dimensional cement distribution under the tibial implant and the effect of bone lavage (pulsed lavage, syringe lavage) on maximum cement penetration and penetration volume. Analyses were determined by performing bone cuts in medio-lateral direction and converting this data into a 3D model. Pulsed lavage led to an increased mean maximum cement penetration 5.79 ± 2.63 mm and penetration volume 6471.34 ± 1156.43 mm(3) compared to syringe lavage 4.62 ± 2.61 mm, 5069.81 ± 1177.09 mm(3) (P<0.001; P<0.001). Our results show a complete cement mantle for both investigated lavage techniques. Cleansing the cancellous tibial bone bed using pulsed lavage is more effective than conventional syringe lavage and leads to a deeper cement penetration and lager cement penetration volume under the tibial component.
authors.affiliation: Department of Orthopaedics, Traumatology and Paraplegiology, Heidelberg University Hospital, Laboratory of Biomechanics and Implant Research, Schlierbacher Landstrasse 200a, Heidelberg, Germany.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Jaeger
authors.forename: Joern B
authors.initials: JB
authors.lastname: Seeger
authors.forename: Christian
authors.initials: C
authors.lastname: Schuld
authors.forename: Rudi G
authors.initials: RG
authors.lastname: Bitsch
authors.forename: Michael
authors.initials: M
authors.lastname: Clarius
mesh_terms: D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D001843:Bone Cements; D002102:Cadaver; D002484:Cementation; D006801:Humans; D021621:Imaging, Three-Dimensional; D007720:Knee Prosthesis; D011475:Prosthesis Failure; D007507:Therapeutic Irrigation; D013977:Tibia / Q000601:surgery*
chemical_list: D001843:Bone Cements
keywords: cement interface; cement penetration; pulsed lavage; syringe lavage; unicompartmental knee arthroplasty