Aidan C. McGrory, Lee Replogle, MD, Donald Endrizzi, MD

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Presentation transcript:

Ultrasound gel minimizes third body debris with partial hardware removal in joint arthroplasty Aidan C. McGrory, Lee Replogle, MD, Donald Endrizzi, MD Arthroplasty Today Volume 3, Issue 1, Pages 29-31 (March 2017) DOI: 10.1016/j.artd.2016.08.007 Copyright © 2016 The Authors Terms and Conditions

Figure 1 Photograph of an experimental jig using a Sawbones (Pacific Research Laboratories, Vashon Island, WA) hemipelvis with a pelvic reconstruction plate (SynthesDepuy, West Chester, PA) applied to a posterior wall fragment. Ultrasound gel has been placed on the intraarticular cobalt-chromium screw that will be removed by high-speed burr. Arthroplasty Today 2017 3, 29-31DOI: (10.1016/j.artd.2016.08.007) Copyright © 2016 The Authors Terms and Conditions

Figure 2 Photograph of the partial removal of a cobalt-chromium screw with a high-speed burr in the experimental model, without any protection to minimize debris spread. Arthroplasty Today 2017 3, 29-31DOI: (10.1016/j.artd.2016.08.007) Copyright © 2016 The Authors Terms and Conditions

Figure 3 Photograph of experimental jig after partial removal of retained hardware with a high-speed burr without (a) and with (b) ultrasound gel applied over the hardware during removal. Arthroplasty Today 2017 3, 29-31DOI: (10.1016/j.artd.2016.08.007) Copyright © 2016 The Authors Terms and Conditions

Figure 4 Radiograph of experimental jig after partial removal of retained hardware with a high-speed burr without (a) and with (b) ultrasound gel applied over the hardware during removal. Note how the debris from the removal is distributed throughout the model acetabulum when no protection is used (a); but is collected in the gel so it can be easily removed by suction (b). Arthroplasty Today 2017 3, 29-31DOI: (10.1016/j.artd.2016.08.007) Copyright © 2016 The Authors Terms and Conditions