Honnart F
Service du Pr A. PATEL, Hôpital Raymond Poincaré, Garches.
Rev Chir Orthop Reparatrice Appar Mot. 1996;82(2):171-4.
One of the challenges facing the surgeon during revision procedures is the harduous task of complete acrylic cement removal while leaving the surrounding cortical bone intact. A set of ultra sonic driven instruments has been evaluated revisions of total hip and total knee prosthesis. The principle is to convert standard electrical energy into mechanical energy via an ultrasonic transducer.
10 revisions of cemented hip prosthesis and one of a total knee prosthesis (Guepar Howmedica) have been performed with success easily and safely.
The ultra-sonically driven tools used have reduced the incidence of perforation (1 cases), with no need to cut cortical windows to remove the distal plug, and have also reduced the time for cement removal and the intra-operative blood loss.
The author thinks that this technique provides a great facility in revision surgery. A larger study will be done soon.
