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General Orthopaedics

SURFACE PREPARATION IN CEMENTED TKA: THE HUMBLE TOOTHBRUSH

Current Concepts in Joint Replacement (CCJR) – Spring 2014



Abstract

Lavage and preparation of cancellous bone surface is essential to ensure adequate fixation of components in cemented total knee arthroplasty (TKA). Commonly used techniques for bone preparation such as pulse lavage, apart from adding to the cost, may cause local loss of loose cancellous bone and may even drive contaminants deeper into the tissue when used during TKA. We describe a simple, inexpensive and effective tool of using a sterilised toothbrush for preparing bone surface during cemented TKA.