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High-pressure pulse lavage was performed to remove blood and provide better cement interdigitation.
The bone bed was rinsed with pulse lavage after removal of the cup, cement, and interface.
Modern cementing technique was used that involved meticulous pulse lavage of debridement before cement application.
Then the wound and medullar canal were irrigated thoroughly with pulse lavage.
Remaining tibial and femoral canals were reamed and sized with pulse lavage irrigation before and after reaming.
Surgery involved intralesional curettage through a generous cortical window followed by burring, brushing, and pulse lavage of the lesion.
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After placement of the knee prosthesis, pulse-lavage was applied with 1 L of saline in which 240 mg gentamicin had been dissolved.
In the cemented group, Palacos bone cement (Schering, Kenilworth, NJ) was used after mechanical pulse-lavage of the cut bone surfaces.
Blood loss was registered at this point and a tourniquet was inflated to 350 mmHg prior to extensively rinsing the knee with a pulse-lavage system.
In contrast, rinsing by pulse-lavage may cause smaller bone graft particles to be lost, thus narrowing the particle-size distribution.
Different methods have been used for rinsing of the bone graft, including pulse-lavage washing (Hirn 2001, Dunlop et al. 2003, Haimi et al. 2008, Ibrahim et al. 2012) and manual rinsing (Voor et al. 2008).
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