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Related Experiment Videos

Revision total hip arthroplasty using ultrasonically driven tools. A clinical evaluation

R Gardiner1, W J Hozack, C Nelson

  • 1Dickson Dively Orthopaedic Clinic, Kansas City, Missouri.

The Journal of Arthroplasty
|October 1, 1993
PubMed
Summary

Ultrasonic instruments safely aided cement removal during hip revision surgery. This valuable tool, used with hand instruments, showed a low rate of complications like bone burns or perforations.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Revision total hip arthroplasty presents challenges in removing hardened bone cement.
  • Effective cement removal is crucial for successful revision outcomes and minimizing complications.

Purpose of the Study:

  • To evaluate the efficacy and safety of ultrasonic instrumentation for cement removal in revision total hip arthroplasty.
  • To assess complication rates associated with ultrasonic cement removal.

Main Methods:

  • A three-center clinical study involving 90 revision total hip arthroplasties.
  • Ultrasonic instrumentation was used in conjunction with traditional hand tools for cement removal.

Main Results:

  • Ultrasonic tools facilitated cement removal in all cases.

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  • Superficial bone burns occurred in 9% of cases.
  • Bone perforations were observed in 4% of cases, with only 1% in the femoral shaft.

    • Conclusions:

    • Ultrasonic instrumentation is a beneficial adjunct for cement removal in revision total hip arthroplasty.
    • The technique demonstrates an acceptable safety profile when used appropriately.