Gas chromatography-mass spectroscopy analysis of emissions from cement when using ultrasonically driven tools

Abstract

Background Ultrasonically driven tools have been used to reduce the incidence of complications during cement removal at revision hip replacement operations. These have been shown to be safe and effective in various ways, but produce fumes. Methods Using gas chromatography-mass spectroscopy, we analyzed the fumes produced during the use of these ultrasonic tools for the removal of bone cement, both in the laboratory and during actual surgery. Results Benzene, styrene, methylmethacrylate, xylene, toluene, isopropyl alcohol and dichlorobenzene were some of the substances isolated from the fumes in the laboratory. Styrene and methylmethacrylate were the main components. Concentrations of all the above components taken from the breathing zone of the operating staff during actual surgery were well below the safety limits. Interpretation The use of ultrasonic tools for cement removal appears to be safe.