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Pulse-lavage brushing followed by hydrogen peroxide-gauze packing for bone-bed preparation in cemented total hip arthroplasty : a bovine model

Ackland, David C., Yap, Vincent, Ackland, Margaret L., Williams, John F. and de Steiger, Richard 2009, Pulse-lavage brushing followed by hydrogen peroxide-gauze packing for bone-bed preparation in cemented total hip arthroplasty : a bovine model, Journal of orthopaedic surgery, vol. 17, no. 3, pp. 296-300.

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Title Pulse-lavage brushing followed by hydrogen peroxide-gauze packing for bone-bed preparation in cemented total hip arthroplasty : a bovine model
Author(s) Ackland, David C.
Yap, Vincent
Ackland, Margaret L.ORCID iD for Ackland, Margaret L. orcid.org/0000-0002-7474-6556
Williams, John F.
de Steiger, Richard
Journal name Journal of orthopaedic surgery
Volume number 17
Issue number 3
Start page 296
End page 300
Total pages 5
Publisher Hong Kong Academy of Medicine Press
Place of publication Hong Kong
Publication date 2009-12
ISSN 1022-5536
Keyword(s) arthroplasty
replacement
hip
bone cements
femur
hip prosthesis
hydrogen peroxide
Summary To compare the effectiveness of pulse-lavage brushing followed by hydrogen peroxide-gauze packing with either technique alone or normal-saline irrigation in bone-bed preparation for cemented total hip arthroplasty. 44 fresh-frozen ox femoral canals were prepared for cemented total hip arthroplasty using 4 techniques: normal-saline irrigation, pulse-lavage brushing, hydrogen peroxide-soaked gauze packing, and a combination of the latter 2 techniques. The maximum tensile pull-out force required to separate the prosthesis from the femoral canal was measured as an indicator of the strength of the cement-bone interface. The mean pull-out force to separate the prosthesis from the femoral canal was significantly higher in specimens prepared with pulse-lavage brushing followed by hydrogen peroxide-soaked gauze packing or pulse-lavage brushing alone than those prepared with normal-saline irrigation or hydrogen peroxide-soaked gauze packing alone 300(p<0.001). Pulse-lavage brushing is more effective at cleansing the femoral canal and increasing mechanical strength at the cement-bone interface than preparation with normal-saline irrigation or hydrogen peroxide-soaked gauze packing.
Language eng
Field of Research 090302 Biomechanical Engineering
Socio Economic Objective 860899 Human Pharmaceutical Products not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2009, Hong Kong Academy of Medicine Press
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30032668

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.