Surgical Technique of a Cement-On-Cement Removal System for Hip and Knee Arthroplasty Revision Surgery

Cement removal during hip or knee arthroplasty revision surgery is technically demanding and prone to severe complications such as periprosthetic fractures, incomplete cement removal, or perforations. Several alternative techniques have been developed to enable complete, accurate, and safe removal o...

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Main Authors: Miguel Tovar-Bazaga, MD, David Sáez-Martínez, MD, Álvaro Auñón, MD, PhD, Felipe López-Oliva, MD, Belén Pardos-Mayo, MD, Emilio Calvo, MD, PhD
Format: Article
Language:English
Published: Elsevier 2021-06-01
Series:Arthroplasty Today
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352344121000819
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spelling doaj-d8c9f93437c443abb018c7f936b7b5142021-07-01T04:34:26ZengElsevierArthroplasty Today2352-34412021-06-019112117Surgical Technique of a Cement-On-Cement Removal System for Hip and Knee Arthroplasty Revision SurgeryMiguel Tovar-Bazaga, MD0David Sáez-Martínez, MD1Álvaro Auñón, MD, PhD2Felipe López-Oliva, MD3Belén Pardos-Mayo, MD4Emilio Calvo, MD, PhD5Corresponding author. Department of Orthopedics and Traumatology Surgery. IIS-Fundación Jiménez Díaz, Av. Reyes Católicos 2. 28040, Madrid, Spain. Tel.: +34915504800.; Departments of Orthopedic and Traumatology Surgery. IIS-Fundación Jiménez Díaz, Madrid, SpainDepartments of Orthopedic and Traumatology Surgery. IIS-Fundación Jiménez Díaz, Madrid, SpainDepartments of Orthopedic and Traumatology Surgery. IIS-Fundación Jiménez Díaz, Madrid, SpainDepartments of Orthopedic and Traumatology Surgery. IIS-Fundación Jiménez Díaz, Madrid, SpainDepartments of Orthopedic and Traumatology Surgery. IIS-Fundación Jiménez Díaz, Madrid, SpainDepartments of Orthopedic and Traumatology Surgery. IIS-Fundación Jiménez Díaz, Madrid, SpainCement removal during hip or knee arthroplasty revision surgery is technically demanding and prone to severe complications such as periprosthetic fractures, incomplete cement removal, or perforations. Several alternative techniques have been developed to enable complete, accurate, and safe removal of cement from bone, including osteotomies and cortical windows, endoscopic instruments, ultrasound devices, lithotripsy, and laser-assisted removal. We describe a cement-on-cement technique with a sterile, single-use tool for cement removal. The cement is removed piece by piece using a specifically designed device, without osteotomies or cortical windows.http://www.sciencedirect.com/science/article/pii/S2352344121000819Total knee arthroplastyTotal hip arthroplastyRevisionCement removalInfectionMetal cemover
collection DOAJ
language English
format Article
sources DOAJ
author Miguel Tovar-Bazaga, MD
David Sáez-Martínez, MD
Álvaro Auñón, MD, PhD
Felipe López-Oliva, MD
Belén Pardos-Mayo, MD
Emilio Calvo, MD, PhD
spellingShingle Miguel Tovar-Bazaga, MD
David Sáez-Martínez, MD
Álvaro Auñón, MD, PhD
Felipe López-Oliva, MD
Belén Pardos-Mayo, MD
Emilio Calvo, MD, PhD
Surgical Technique of a Cement-On-Cement Removal System for Hip and Knee Arthroplasty Revision Surgery
Arthroplasty Today
Total knee arthroplasty
Total hip arthroplasty
Revision
Cement removal
Infection
Metal cemover
author_facet Miguel Tovar-Bazaga, MD
David Sáez-Martínez, MD
Álvaro Auñón, MD, PhD
Felipe López-Oliva, MD
Belén Pardos-Mayo, MD
Emilio Calvo, MD, PhD
author_sort Miguel Tovar-Bazaga, MD
title Surgical Technique of a Cement-On-Cement Removal System for Hip and Knee Arthroplasty Revision Surgery
title_short Surgical Technique of a Cement-On-Cement Removal System for Hip and Knee Arthroplasty Revision Surgery
title_full Surgical Technique of a Cement-On-Cement Removal System for Hip and Knee Arthroplasty Revision Surgery
title_fullStr Surgical Technique of a Cement-On-Cement Removal System for Hip and Knee Arthroplasty Revision Surgery
title_full_unstemmed Surgical Technique of a Cement-On-Cement Removal System for Hip and Knee Arthroplasty Revision Surgery
title_sort surgical technique of a cement-on-cement removal system for hip and knee arthroplasty revision surgery
publisher Elsevier
series Arthroplasty Today
issn 2352-3441
publishDate 2021-06-01
description Cement removal during hip or knee arthroplasty revision surgery is technically demanding and prone to severe complications such as periprosthetic fractures, incomplete cement removal, or perforations. Several alternative techniques have been developed to enable complete, accurate, and safe removal of cement from bone, including osteotomies and cortical windows, endoscopic instruments, ultrasound devices, lithotripsy, and laser-assisted removal. We describe a cement-on-cement technique with a sterile, single-use tool for cement removal. The cement is removed piece by piece using a specifically designed device, without osteotomies or cortical windows.
topic Total knee arthroplasty
Total hip arthroplasty
Revision
Cement removal
Infection
Metal cemover
url http://www.sciencedirect.com/science/article/pii/S2352344121000819
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