| Single-Use Instrumentation, Cutting Blocks, and Trials Decrease Contamination during Total Knee Arthroplasty: A Prospective Comparison of Navigated and Nonnavigated Cases. | |
| | |
MedLine Citation:
|
PMID: 23359398 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
The purpose of this prospective controlled trial was to determine whether decrease in contamination could be achieved in nonnavigated and navigated total knee arthroplasties by replacing traditional saws, cutting blocks, and trials with specialized saws and single-use cutting blocks and trials. Various tray wrapping metrics during total knee arthroplasty were measured in 400 procedures performed by 8 different surgeons at 6 institutions. Instrumentation contamination was determined by counting the number of tray sterility indicators, pans, and instruments that were compromised. The results show that a decrease in contamination was evident in 57% (nonnavigated) and 32% (navigated) fewer compromises of tray sterility indicators, pans, and instruments. Single-use instruments show promising benefits, but further study is needed to confirm safety and efficacy before they can be widely adopted. The authors believe that the use of single-use instruments, cutting guides, and trial implants for total knee arthroplasty will play an increasing role in decreasing operating room contamination and potential deep infections. |
| | |
Authors:
|
Michael A Mont; Aaron J Johnson; Kimona Issa; Robert Pivec; Kurt E Blasser; David McQueen; Lalit Puri; Daniel A Dethmers; David W Miller; Philip H Ireland; John R Shurman; Petter Bonutti |
Related Documents
:
|
8042488 - Back pain and arthralgia before and after lengthening. 75 patients questioned after 6 (... 2355038 - The results of arthrodesis of the ankle for leprotic neuroarthropathy. 15911668 - Indirect reduction and percutaneous fixation versus open reduction and internal fixatio... 8886778 - Outcome of nonsurgical treatment for plantar fasciitis. 610288 - Clinical results and recurrences 1-4 years after parietal cell vagotomy in duodenal ulc... 20130868 - Impact of prophylactic central neck lymph node dissection on early recurrence in papill... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2013-1-28 |
Journal Detail:
|
Title: The journal of knee surgery Volume: - ISSN: 1538-8506 ISO Abbreviation: J Knee Surg Publication Date: 2013 Jan |
Date Detail:
|
Created Date: 2013-1-29 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101137599 Medline TA: J Knee Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA. |
Affiliation:
|
Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The EIUS Unicompartmental Knee Design: Early Failure in Elderly Patients.
Next Document: Obesity and Operative Time in Primary Total Joint Arthroplasty.