EFFICIENCY OF USING ULTRASONIC FOR REMOVING BONE CEMENT IN REVISION ARTHROPLASTY

封面


如何引用文章

全文:

详细

In the experiment on 5 dogs weighing from 6 to 10 kg the results of applying ultrasonic technology of polymer removal and treatment of bone mantle in revision total hip and knee arthroplasty were examined. As a source of high-amplitude low-frequency ultrasound an ultrasonic surgical apparatus «Tier», operating at 42 kHz, and provides the intensity of exposure at the end of the waveguide to 1200 W / cm2 was applied. The physical parameters of the influence of ultrasound on the bone were studied. The analysis of the rate of removal of the old plastic mantle was performed. The results of experimental and clinical studies proved that the use of ultrasound frequency of 42.5 kHz facilitates the removal of old bone cement in revision arthroplasty of large joints, reduces the duration and severity of the operation.

作者简介

L. Reznik

ГОУ ВПО «Омская государственная медицинская академия»

编辑信件的主要联系方式.
Email: Е-mail leo-reznik@yandex.ru
俄罗斯联邦

G. Dzuba

ГОУ ВПО «Омская государственная медицинская академия»

Email: germanort@mail.ru
俄罗斯联邦

A. Novikov

ГБОУ ВПО «Омский государственный технический университет»

Email: yarus 952@ mail.ru.
俄罗斯联邦

参考

  1. Неверов, В.А. Ревизионное эндопротезирование тазобедренного сустава / В.А. Неверов, С.М. Закари. - СПб., 1997. - 109 с.
  2. Патент РФ 2255685 МПК7 A61B17/32, A61B18/00. Ультразвуковой хирургический аппарат / Новиков А.А., Шустер Я.Б., Негров Д.А., Резник Л.Б. -№ 2003116806 /14, Заявл. 04.06.2003; Опубл. 10.07.05, Бюл. №19.
  3. Патент РФ A61B17/56, A61N7/00. Способ эндопротезирования крупных суставов / Новиков А.А., Шустер Я.Б., Негров Д.А., Резник Л.Б. [и др.] -№ 2001133132/14; заявл. 06.12.2001; опубл. 20.12.03, Бюл. № 35.
  4. Blacha, J. Ultrasonic technique for removing bone cement in total hip revision arthroplasty / J. Blacha, J. Kozak, A. Bednarek // Chir. Narzadow Ruchu Ortop. Pol. - 1995. - Vol. 60, N. 2. - Р. 107-110.
  5. Bohn, W.W. Modular femoral stems removal during total hip arthroplasty using a universal modular stem extractor / W.W. Bohn // Clin. Orthop. - 1992. - N. 285. - Р. 155-157.
  6. Brooks, A.T. Minimal femoral cortical thickness necessary to prevent perforation by ultrasonic tools in Joint revision surgery / A.T. Brooks, C.L. Nelson, O.E. Hofmann // J. Arthroplasty. - 1995. - Vol. 10, N. 3. -Р. 359-362.
  7. Collis, D.K. Revision totals hip replacement with cement / D.K. Collis // Semin. Arthroplasty. - 1993. - Vol. 4, N. 1 - Р. 38-49.
  8. Emission of air pollutants in removal of bone cement with ultrasound instruments in revision endoprosthetics / P.R. Aldinger, H. Kleine, A. Goebel [et al.] // Biomed. Tech. [Berl.]. - 2001. - Vol. 46, N. 10. - P. 287-289.
  9. Havelin, L. The effect of the type of cement on early revision of Charnley total hip prostheses / L. Havelin // J. Bone Joint Surg. - 1995. - Vol. 77-A. - P. 1543-1550.
  10. Kuhn, K.-D. Bone cements / K. Kuhn. - Berlin: Springer, 2001. - 272 p.
  11. Possibilities of using ultrasonic tools in changing endoprostheses / Nieder E., Engelbrecht E., Roder U. [et al.] // Chirurg. - 1979. - Vol. 50, N. 4. - Р. 257-261. German.
  12. Revision arthroplasty facilitated by ultrasonic tool cement removal. An evaluation of whole bone strength in a canine model / J.J. Callaghan, S.H. Elder, S.K. Stranne [et al.] // J. Arthroplasty. - 1992. - Vol. 7, N. 4. - Р. 495-500.
  13. Revision arthroplasty facilitated by ultrasonic tool cement removal. Part I.I. Histologic analysis of endosteal bone after cement removal / J.T. Caillouette, R.S. Gorab, R.C. Klapper [et al.] // Orthop. Rev. - 1991. -Vol. 20, N. 5. - Р. 435-440.
  14. Schurman, D.J. Segmental cement extraction at revision total hip arthroplasty / D.J. Schurman, W.J. Maloney // Clin. Orthop. - 1992. - N. 285. - Р. 158-163.
  15. Shepherd, B.D. The fate of femoral windows in revision Joint arthroplasty / B.D. Shepherd, A. Turnbull // J. Bone Joint Surg. - 1989. - Vol. 71-A, N. 5. - Р. 716-718.
  16. The national register of joint replacements of the Chech republic 2003-2009/ Hip Joint Replacement / P. Vavrik, I. Landor. S. Popelka [et al.] // Acta Chir. Orthop. Traumat. Cechoslovaca. - 2011. - Vol.78, Suppl. - P. 5-72.
  17. Ultrasonic technology in revision joint arthroplasty / R.C. Klapper, J.T. Caillouette, J.J. Callaghan [et al.] // Clin. Orthop. - 1992. - N. 285. - P. 147-154.
  18. Ultrasonically driven instruments in the transfemoral approach - an aid to preservation of bone stock and reduction of implant length / M. Fletcher, G.J. Jennings, P.J. Warren// Arch. Orthop. Trauma. Surg. -2000. - Vol. 120, N. 10. - P. 559-561.
  19. Wang, J.F. Analysis of the cause of revision after hip joint replacement / J.F. Wang, S.B. Lu, S.Q. Xu // Zhonghua Wai Ke Za Zhi. - 1986. - Vol. 24, N. 12. - P. 740-743, 781.

补充文件

附件文件
动作
1. JATS XML

版权所有 © ,



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 82474 от 10.12.2021.


##common.cookie##