Daher M, Haykal G, Aoun M, Moussallem M, Ghoul A, Tarchichi J, Sebaaly A. Pulsed lavage in joint arthroplasty: A systematic review and meta-analysis. World J Orthop 2024; 15(3): 293-301 [PMID: 38596185 DOI: 10.5312/wjo.v15.i3.293]
Corresponding Author of This Article
Mohammad Daher, BSc, MD, Doctor, Department of Orthopedics, Saint Joseph University, Damascus Street Beirut Lebanon, Beirut 1001, Lebanon. mohdaher06@gmail.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Meta-Analysis
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Mar 18, 2024; 15(3): 293-301 Published online Mar 18, 2024. doi: 10.5312/wjo.v15.i3.293
Pulsed lavage in joint arthroplasty: A systematic review and meta-analysis
Mohammad Daher, Gaby Haykal, Marven Aoun, Marc Moussallem, Ali Ghoul, Jean Tarchichi, Amer Sebaaly
Mohammad Daher, Gaby Haykal, Marven Aoun, Marc Moussallem, Ali Ghoul, Jean Tarchichi, Amer Sebaaly, Department of Orthopedics, Saint Joseph University, Beirut 1001, Lebanon
Author contributions: Daher M contributed to writing draft; Haykal G contributed to editing; Haykal G and Sebaaly A contributed to supervision; Aoun Mand Moussallem M contributed to data collection; Aoun M, Moussallem M, Ghoul A, Tarchichi J, and Sebaaly A contributed to writing; Sebaaly A contributed to editing.
Conflict-of-interest statement: All authors have no conflicts of interest to disclose.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mohammad Daher, BSc, MD, Doctor, Department of Orthopedics, Saint Joseph University, Damascus Street Beirut Lebanon, Beirut 1001, Lebanon. mohdaher06@gmail.com
Received: December 14, 2023 Peer-review started: December 14, 2023 First decision: December 23, 2023 Revised: December 26, 2023 Accepted: February 8, 2024 Article in press: February 8, 2024 Published online: March 18, 2024
ARTICLE HIGHLIGHTS
Research background
Many studies compared pulse lavage to standard lavage in the setting of joint replacement but no meta-analysis is present to assess the overall utility of pulse lavage.
Research motivation
This study will be the first to assess the utility of pulse lavage in the setting of total hip and total knee replacements.
Research objectives
In the setting of hip replacement, we assessed the formation of heterotopic ossification whereas in knee replacement, we assessed the formation of radiolucent lines and functional outcomes.
Research methods
PubMed, Cochrane, and Google Scholar (page 1-20) were searched till December 2023 including only comparative studies comparing pulsed lavage to standard lavage in total knee or total hip replacements.
Research results
We found no difference in heterotopic ossification in hip replacement and no difference in functional outcomes in knee replacement. However, we found a reduction in the formation of radiolucent lines in total knee replacement.
Research conclusions
We conclude that pulsed lavage may be beneficial in the setting of total knee replacement but has no added benefit in total hip replacement.
Research perspectives
Future research should assess the costs/benefits of pulsed lavage in the setting of total joint replacement.
