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Toxicity of antiseptics against chondrocytes: What is best for the cartilage in septic joint surgery?

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Abstract

In septic joint surgery, the most frequently used antiseptics are polyhexanide, hydrogen peroxide and taurolidine. The aim of this study was to examine the effects of these antiseptics on viability of human chondrocytes. Our hypothesis was that antiseptics and supplemental irrigation with sodium chloride lavage are less toxic on human chondrocytes than treatment with antiseptics only. Primary human chondrocytes were isolated and cultured from six donated human knee joints. Polyhexanide, hydrogen peroxide or taurolidine were added to the cultures. Toxicity analysis was performed by visualisation of cell structure using light microscopy and LDH activity. The determination of vital cells and total cell numbers of chondrocytes treated with antiseptics partly followed by irrigation with sodium chloride solution was performed by using Casy Cell-Counter. Light microscopic data revealed a defect in cell structure after addition of antiseptics. We showed a significant increase of LDH enzyme activity after the treatment with polyhexanide or taurolidine. After treatment with antiseptics followed by sodium chloride solution a significant increase of vital and total cell numbers resulted in comparison with the chondrocytes that were only treated with antiseptics. The data show that treatment with polyhexanid, hydrogen peroxide or taurolidine induces cell death of human chondroctes in vitro. The application of sodium chloride solution after the treatment with polyhexanide and hydrogen peroxide possibly has a protective effect on chondrocyte viability.

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Disclosure statement

The authors have no proprietary, financial, professional or other personal interest of any nature or kind in any product, service and/or company that could be construed as influencing the results and views presented in this article.

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Authors and Affiliations

  1. Department of Traumatology and Orthopaedics, Charité - Universitätsmedizin, Berlin, Germany

    Eric Röhner, Joern B. Seeger, Joerg Arnholdt, Kathi Thiele, Carsten Perka & Georg Matziolis

  2. Department of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin, Berlin, Germany

    Paula Kolar

  3. Centre for Musculoskeletal Surgery, Orthopaedic Department, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany

    Eric Röhner

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  1. Eric Röhner
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  2. Paula Kolar
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  3. Joern B. Seeger
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  4. Joerg Arnholdt
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  5. Kathi Thiele
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  6. Carsten Perka
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  7. Georg Matziolis
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Correspondence to Eric Röhner.

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Röhner, E., Kolar, P., Seeger, J.B. et al. Toxicity of antiseptics against chondrocytes: What is best for the cartilage in septic joint surgery?. International Orthopaedics (SICOT) 35, 1719–1723 (2011). https://doi.org/10.1007/s00264-010-1178-2

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  • DOI: https://doi.org/10.1007/s00264-010-1178-2

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