Waterjet cutting of periprosthetic interface tissue in loosened hip prostheses: An in vitro feasibility study

Gert Kraaij; Gabrielle J.M. Tuijthof; Jenny Dankelman; Rob G.H.H. Nelissen; Edward R. Valstar

doi:10.1016/j.medengphy.2014.12.009

Waterjet cutting of periprosthetic interface tissue in loosened hip prostheses: An in vitro feasibility study

Gert Kraaij^*, Gabrielle J.M. Tuijthof, Jenny Dankelman, Rob G.H.H. Nelissen, Edward R. Valstar

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

15 Citations (Scopus)

Abstract

Waterjet cutting technology is considered a promising technology to be used for minimally invasive removal of interface tissue surrounding aseptically loose hip prostheses. The goal of this study was to investigate the feasibility of waterjet cutting of interface tissue membrane. Waterjets with 0.2mm and 0.6mm diameter, a stand-off distance of 5mm, and a traverse speed of 0.5mm/s were used to cut interface tissue samples in half. The water flow through the nozzle was controlled by means of a valve. By changing the flow, the resulting waterjet pressure was regulated. Tissue sample thickness and the required waterjet pressures were measured. Mean thickness of the samples tested within the 0.2mm nozzle group was 2.3mm (SD 0.7mm) and within the 0.6mm nozzle group 2.6mm (SD 0.9mm). The required waterjet pressure to cut samples was between 10 and 12MPa for the 0.2mm nozzle and between 5 and 10MPa for the 0.6mm nozzle. Cutting bone or bone cement requires about 3 times higher waterjet pressure (30-50MPa, depending on used nozzle diameter) and therefore we consider waterjet cutting as a safe technique to be used for minimally invasive interface tissue removal.

Original language	English
Pages (from-to)	245-250
Number of pages	6
Journal	Medical Engineering and Physics
Volume	37
Issue number	2
DOIs	https://doi.org/10.1016/j.medengphy.2014.12.009
Publication status	Published - 1 Feb 2015
Externally published	Yes

Keywords

Hip prosthesis
Interface membrane
Loosening
Orthopedic surgery
Waterjet cutting
n/a OA procedure

Access to Document

10.1016/j.medengphy.2014.12.009

Cite this

@article{8f02696b7fe742e5a37a1871d52f6439,

title = "Waterjet cutting of periprosthetic interface tissue in loosened hip prostheses: An in vitro feasibility study",

abstract = "Waterjet cutting technology is considered a promising technology to be used for minimally invasive removal of interface tissue surrounding aseptically loose hip prostheses. The goal of this study was to investigate the feasibility of waterjet cutting of interface tissue membrane. Waterjets with 0.2mm and 0.6mm diameter, a stand-off distance of 5mm, and a traverse speed of 0.5mm/s were used to cut interface tissue samples in half. The water flow through the nozzle was controlled by means of a valve. By changing the flow, the resulting waterjet pressure was regulated. Tissue sample thickness and the required waterjet pressures were measured. Mean thickness of the samples tested within the 0.2mm nozzle group was 2.3mm (SD 0.7mm) and within the 0.6mm nozzle group 2.6mm (SD 0.9mm). The required waterjet pressure to cut samples was between 10 and 12MPa for the 0.2mm nozzle and between 5 and 10MPa for the 0.6mm nozzle. Cutting bone or bone cement requires about 3 times higher waterjet pressure (30-50MPa, depending on used nozzle diameter) and therefore we consider waterjet cutting as a safe technique to be used for minimally invasive interface tissue removal.",

keywords = "Hip prosthesis, Interface membrane, Loosening, Orthopedic surgery, Waterjet cutting, n/a OA procedure",

author = "Gert Kraaij and Tuijthof, {Gabrielle J.M.} and Jenny Dankelman and Nelissen, {Rob G.H.H.} and Valstar, {Edward R.}",

note = "Funding Information: This research is supported by the Dutch Technology Foundation STW, which is the applied science division of NWO, and the Technology Programme of the Ministry of Economic Affairs (project number LKG 7943). The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Publisher Copyright: {\textcopyright} 2015 IPEM.",

year = "2015",

month = feb,

day = "1",

doi = "10.1016/j.medengphy.2014.12.009",

language = "English",

volume = "37",

pages = "245--250",

journal = "Medical Engineering and Physics",

issn = "1350-4533",

publisher = "Elsevier Ltd",

number = "2",

}

TY - JOUR

T1 - Waterjet cutting of periprosthetic interface tissue in loosened hip prostheses

T2 - An in vitro feasibility study

AU - Kraaij, Gert

AU - Tuijthof, Gabrielle J.M.

AU - Dankelman, Jenny

AU - Nelissen, Rob G.H.H.

AU - Valstar, Edward R.

N1 - Funding Information: This research is supported by the Dutch Technology Foundation STW, which is the applied science division of NWO, and the Technology Programme of the Ministry of Economic Affairs (project number LKG 7943). The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Publisher Copyright: © 2015 IPEM.

PY - 2015/2/1

Y1 - 2015/2/1

N2 - Waterjet cutting technology is considered a promising technology to be used for minimally invasive removal of interface tissue surrounding aseptically loose hip prostheses. The goal of this study was to investigate the feasibility of waterjet cutting of interface tissue membrane. Waterjets with 0.2mm and 0.6mm diameter, a stand-off distance of 5mm, and a traverse speed of 0.5mm/s were used to cut interface tissue samples in half. The water flow through the nozzle was controlled by means of a valve. By changing the flow, the resulting waterjet pressure was regulated. Tissue sample thickness and the required waterjet pressures were measured. Mean thickness of the samples tested within the 0.2mm nozzle group was 2.3mm (SD 0.7mm) and within the 0.6mm nozzle group 2.6mm (SD 0.9mm). The required waterjet pressure to cut samples was between 10 and 12MPa for the 0.2mm nozzle and between 5 and 10MPa for the 0.6mm nozzle. Cutting bone or bone cement requires about 3 times higher waterjet pressure (30-50MPa, depending on used nozzle diameter) and therefore we consider waterjet cutting as a safe technique to be used for minimally invasive interface tissue removal.

AB - Waterjet cutting technology is considered a promising technology to be used for minimally invasive removal of interface tissue surrounding aseptically loose hip prostheses. The goal of this study was to investigate the feasibility of waterjet cutting of interface tissue membrane. Waterjets with 0.2mm and 0.6mm diameter, a stand-off distance of 5mm, and a traverse speed of 0.5mm/s were used to cut interface tissue samples in half. The water flow through the nozzle was controlled by means of a valve. By changing the flow, the resulting waterjet pressure was regulated. Tissue sample thickness and the required waterjet pressures were measured. Mean thickness of the samples tested within the 0.2mm nozzle group was 2.3mm (SD 0.7mm) and within the 0.6mm nozzle group 2.6mm (SD 0.9mm). The required waterjet pressure to cut samples was between 10 and 12MPa for the 0.2mm nozzle and between 5 and 10MPa for the 0.6mm nozzle. Cutting bone or bone cement requires about 3 times higher waterjet pressure (30-50MPa, depending on used nozzle diameter) and therefore we consider waterjet cutting as a safe technique to be used for minimally invasive interface tissue removal.

KW - Hip prosthesis

KW - Interface membrane

KW - Loosening

KW - Orthopedic surgery

KW - Waterjet cutting

KW - n/a OA procedure

UR - http://www.scopus.com/inward/record.url?scp=84964292263&partnerID=8YFLogxK

U2 - 10.1016/j.medengphy.2014.12.009

DO - 10.1016/j.medengphy.2014.12.009

M3 - Article

C2 - 25619611

AN - SCOPUS:84964292263

SN - 1350-4533

VL - 37

SP - 245

EP - 250

JO - Medical Engineering and Physics

JF - Medical Engineering and Physics

IS - 2

ER -

Waterjet cutting of periprosthetic interface tissue in loosened hip prostheses: An in vitro feasibility study

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this