Loose bone and cement can promote polyethylene wear that may lead to failure in total knee arthroplasty. The authors propose a technique to enhance the debridement of loose bodies by distracting the cemented components with a lamina spreader following standard debridement with pulsatile lavage. Cement and bone/soft tissue debris was recovered from 51 consecutive primary total knee arthroplasty patients. This technique facilitated the removal of hidden debris in 80% of patients (41/51). On average, 2.6 fragments measuring 158 mm3 were removed per patient. The authors advocate that distraction with a lamina spreader be used to reduce potential sources of wear.
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Ozgur, Sinan E.; Oliashirazi, Ali; Buchanan, Grant S.; and Shuler, Franklin D.
"Lamina Spreader Technique Improves Debridement of Loose Bone and Cement in Total Knee Arthroplasty,"
Marshall Journal of Medicine:
4, Article 14.
Available at: https://mds.marshall.edu/mjm/vol2/iss4/14