Sterilization of Fuji pressure-sensitive film

Fuji Prescale film is a pressure-sensitive medium which produces a characteristic pink stain on the application of pressure. Up to a saturation level, increases in pressure will produce a denser stain, thereby providing a method of determining pressures within the interface between two articulating surfaces. The relationship between the magnitude of applied pressure and the optical density of the resulting stain is non-linear; this relationship also varies with ambient temperature and humidity, in addition to load rate, and therefore requires a calibration procedure prior to use. The use of Fuji prescale film for recording interface pressures within the joint space in vivo has been widely reported; however, the object of this study was to assess the effects of sterilizing this medium, with a view to future in vivo applications. Samples of Fuji film were sterilized using a standard ethylene oxide (ETO) gas process and their subsequent pressure-recording properties were compared to a control group of samples. The 'optical-density vs pressure' relationship for the sterilized group was significantly different from that of the control group (paired Student's t-test, P < = 0.001); however, both groups provided reliable data across the same pressure-range and both exhibited an excellent degree of repeatability (coefficient of variation < 2.5%). It was concluded that Fuji film will continue to produce pressure-stains following ETO sterilization; however, the calibration of this film will only be valid if it is conducted using film from the sterilized group.