Pulse Lavage - Bone Bed Cleaning with palaJet®

Modern cementing technique is critical for the long-term success of a cemented endoprosthesis. Cleaning the bone bed using a pulse lavage system is an essential element and the first step in the modern cementing technique, where all cement-receiving bone surfaces are thoroughly cleaned to remove any fat residue, bone debris, marrow, and blood.1,2

Why is pulse lavage important?

  • Better cement interlocking with the cancellous bone3
  • Fewer thromboembolic complications4
  • Significantly lower risk of revision5
  • Lower postoperative infection rate in hemiarthroplasty6

palaJet® - Removing and Improving

palaJet - the disposable pulse lavage system with additional nozzles for Hip and Knee

palaJet®, the powerful disposable system at a glance:

  • Hip and Knee nozzles included in each set
  • Simple to use design, batteries included
  • High flow rate (up to 1,300 ml/min) and pressure (up to 15 psi) - regulated by switch on handpiece - 2 options
  • Pre-sterile
  • Lower risk of cross-contamination (compared to reusable systems)

1 Breusch SJ et al. Lavage technique in total hip arthroplasty: jet lavage produces better cement penetration than syringe lavage in the proximal femur. J Arthroplasty 2000; 15 (7): 921–927.

2 Seeger JB et al. The effect of bone lavage on femoral cement penetration and interface temperature during Oxford unicompartmental knee arthroplasty with cement. J Bone Joint Surg Am 2013; 95 (1): 48–53.

3 Helwig P et al. Tibial cleaning method for cemented total knee arthroplasty: An experimental study. Indian J Orthop 2013; 47 (1): 18–22.

4 Breusch SJ et al. Zementierte Hüftendoprothetik – Verminderung des Fettembolierisikos mittels gepulster Druckspülung. Orthopäde 2000; 29: 578–586.

5 Malchau H et al. Prognosis of Total Hip Replacement – Update and Validation of Results from the Swedish National Hip Arthroplasty Register 1979 – 1998. The international journal of risk and safety in medicine 1996; 8(1): 27–45.

6 Hargrove R et al. Does pulse lavage reduce hip hemiarthroplasty infection rates. J Hosp Infect. 2006; 62(4): 446–449.