A Humble Periodontal Probe Can Help Implant Removal During Revision Total Joint Arthroplasty: A Technical Note

IF 0.2 Q4 ORTHOPEDICS

Techniques in Orthopaedics Pub Date : 2022-05-16 DOI:10.1097/BTO.0000000000000590

A. Khalifa, A. Abdelaal, Mohamed M. A. Moustafa, M. Mahran

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引用次数: 0

Abstract

R evision total joint (hip and knee) arthroplasty is a complex procedure that usually necessitates implant removal, which, if done correctly, will ease the subsequent reconstruction.1 Preoperative planning is of paramount importance in the revision of total joint arthroplasty surgeries; the surgeon should make sure that he/she has both the skills and the equipment needed for the surgery, an integral part of this plan is how the surgeon is going to remove the implants with the minimal force (to avoid soft tissue disruption) and with the least bone loss possible.2,3 Various tools had been introduced to facilitate fixed knee or hip implants removal, such as drills, oscillating saws, Gigli saws, reciprocating saws, thin flexible osteotomes, high-speed metal cutting burrs, punches, impactors, and universal distraction devices for cement removal, hooks, curettes, flag splitter, and ultrasonic devices could be used.1–4 In this technical note, we described how a humble periodontal probe (from dental surgery tools) could be a helpful tool for removing fixed implants in revision total joint arthroplasty surgery. TECHNIQUE

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一个不起眼的牙周探针可以帮助在全关节置换术翻修期间去除种植体:一个技术说明

全关节(髋关节和膝关节)置换术是一项复杂的手术，通常需要移除植入物，如果操作正确，将有助于随后的重建术前计划在全关节置换术翻修中是至关重要的;外科医生应该确保他/她有手术所需的技能和设备，这个计划的一个组成部分是外科医生如何用最小的力(避免软组织破裂)和尽可能少的骨质流失来移除植入物。2,3为了方便固定膝关节或髋关节植入物的移除，已经引入了各种工具，如钻头、振荡锯、吉利锯、往复锯、薄的柔性截骨器、高速金属切割毛刺、冲床、冲击器和用于移除水泥的通用分散装置、钩子、刮匙、拆flag分离器和超声波装置。在这篇技术笔记中，我们描述了一个简陋的牙周探针(来自牙科手术工具)是如何在翻修全关节置换术中移除固定种植体的有用工具。技术

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Techniques in Orthopaedics ORTHOPEDICS-

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： The purpose of Techniques in Orthopaedics is to provide information on the latest orthopaedic procedure as they are devised and used by top orthopaedic surgeons. The approach is technique-oriented, covering operations, manipulations, and instruments being developed and applied in such as arthroscopy, arthroplasty, and trauma. Each issue is guest-edited by an expert in the field and devoted to a single topic.