December 9, 2019
Dear Kinamed Agents, Reps and Distributors,
We recently came across a great new article and video on the benefits of Tourniquetless TKA and how CarboJet facilitates the technique: No tourniquet total knee combined with novel device (CarboJet) improves implant stability, by Dr. William A. Leone, head of the Leone Center for Orthopedic Care at Holy Cross Hospital in Fort Lauderdale, Florida.
Here are several reasons for you to read this article, and then share it with your surgeons:
- The video may be the best CarboJet technique video available (or at least a close 2nd to Meneghini’s). The lap sponge and suction technique is textbook (notice how the sponge captures all the debris blown up and away from the surface). The cancellous bone close up at the end of the video is perfection:
- The detailed, simple explanation about the harm a tourniquet can cause is excellent reading. Some of the issues he covers include:
- Challenges in determining soft tissue releases. According to Dr. Leone, “the tourniquet binds the thigh musculature including the quadriceps near the groin” making accurate determinations difficult.
- Development of post tourniquet syndrome.
- His own first-hand experience seeing his patients “getting well even faster and going home from the hospital sooner with less pain and swelling and less need for prolonged formal therapy than ever before”
- His “Tourniquetless TKA” tips for anesthesia, such as “Insuring that the patients’ blood pressure is low (another advantage of using a spinal or regional anesthetic), also helps keep the bone surface dry and improves the cement interdigitation.”
- His explanation that he previously held reservations about cement mantle quality in Tourniquetless TKA, yet the introduction of CarboJet enabled him to begin the Tourniquetless technique.
- Quotes like these:
- “I marvel at how much cleaner and optimized the bone surfaces then appear for cementation. [after CarboJet]”
- “I couldn’t justify this [Tourniquetless TKA] if the ultimate construct, that is, the prosthetic bone-interface was made weaker. Studies have shown that by further improving cement penetration using the CarboJet technique with compressed filtered sterile CO2 gas, cement penetration is better than when the TKR is performed using a tourniquet alone”
- Images like these:
- Perhaps the best part about this article is that it was 100% independently produced by a highly experienced and respected orthopedic surgeon, without any involvement or knowledge of Kinamed. Further, Dr. Leone is not a paid consultant and has not received any payments from Kinamed (https://openpaymentsdata.cms.gov/physician/243934/general-payments)
The full article and video can be found here: https://holycrossleonecenter.com/carbojet/.
Yes, this is what it looks like when a product starts to become the “standard of care”… let’s make it happen!
Best Regards,
Patrick Miller
Sales & Marketing Manager