A Model of the Action of the Shockwave Generated by a Multichannel Discharge on the Union of Bone Tissue with Bone Cement.
BACKGROUND
In reoperation of femoral prostheses, there is a higher percentage of complications associated with the extraction of bone cement from the femoral channel, which is technically and time consumingly tedious. Shockwaves have been used in medicine for years, particularly in urology for the destruction of concretions and orthopaedics, as a method of treating pain in patients with calcifying enthesopathy.


METHODS
We studied the use of shockwaves generated by a new source based on the multichannel discharge principle in facilitating extraction of bone cement. Femurs of experimental minipigs were chosen as models. We implanted bone cement into the femoral channel and subsequently applied shockwaves. We then measured the force necessary to extract bone cement.


RESULTS
The results indicate that the force necessary for extracting cement was consistently statistically significantly lower in the group treated with multichannel discharge shockwaves compared to that for the controls.
Institute of Biophysics and Informatics, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic jan.zeman@lf1.cuni.cz.
Jan
J
Zeman
First Department of Orthopaedics, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic Motol University Hospital, Prague, Czech Republic.
Jan
J
Hach
First Department of Orthopaedics, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic Motol University Hospital, Prague, Czech Republic.
Wioletta
W
Mikulaková
Department of Nursing, Faculty of Health Care, University of Presov, Prešov, Slovakia.
Ľubica
Ľ
Derňarová
Department of Nursing, Faculty of Health Care, University of Presov, Prešov, Slovakia.
Anna
A
Eliášová
Institute of Plasma Physics AS CR, Prague, Czech Republic.
Petr
P
Lukeš
Institute of Biophysics and Informatics, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
Lenka
L
Balážová
Institute of Biophysics and Informatics, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
Jiří
J
Beneš
D000818:Animals; D001843:Bone Cements; D001842:Bone and Bones; D005269:Femur / Q000601:surgery*; D019220:High-Energy Shock Waves; D006801:Humans; D023421:Models, Animal; D019736:Prostheses and Implants; D012086:Reoperation / Q000379:methods; D013552:Swine; D013556:Swine, Miniature
D001843:Bone Cements
Shockwave; bone cement extractions; surgical revision