| Behavior of arthroscopic irrigation systems. | |
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MedLine Citation:
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PMID: 15630604 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In the literature, no consensus exists about optimal irrigation of joints during arthroscopic operations. The goal of this paper is to study the behavior of irrigation systems resulting in the proposal of guidelines for optimal irrigation. To this end, optimal irrigation is defined as the steady state of irrigation of a joint in which a sufficient positive intra-articular pressure and a sufficient flow are maintained. A model of the complete irrigation system was created to schematically elucidate the behavior of pump systems. Additionally, clinical experiments were performed during arthroscopic knee operations in which the pressure at different locations and the irrigation flow were measured. The combination of model prediction and clinical results could well be used to derive guidelines, since the clinical results, which showed considerable variation, were used to verify the model, and the model could be used to explain the typical trends. The main findings are twofold the set pressure is always higher than the intra-articular pressure, and the scope-sheath combination has a significant influence on irrigation control, because of its large restriction. Based on the results, we advice to increase the set pressure during active suction, and to include the sheath-scope combination in the control loop. |
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Authors:
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G J M Tuijthof; L Dusée; J L Herder; C N van Dijk; P V Pistecky |
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Publication Detail:
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Type: Journal Article Date: 2005-01-04 |
Journal Detail:
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Title: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Volume: 13 ISSN: 0942-2056 ISO Abbreviation: Knee Surg Sports Traumatol Arthrosc Publication Date: 2005 Apr |
Date Detail:
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Created Date: 2005-04-12 Completed Date: 2005-08-02 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9314730 Medline TA: Knee Surg Sports Traumatol Arthrosc Country: Germany |
Other Details:
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Languages: eng Pagination: 238-46 Citation Subset: IM |
Affiliation:
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Man-Machine Systems and Control, Department of Design, Engineering, and Production, Delft University of Technology, Delft, The Netherlands. g.j.tuijthof@amc.uva.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Arthroscopes Arthroscopy / methods* Female Humans Irrigation / instrumentation* Knee Joint / surgery* Male Middle Aged Models, Theoretical Practice Guidelines as Topic Pressure Suction / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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