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Water-jet cutting techniques have been used in industrial applications for many different materials. Recently these techniques have been developed into a revolutionary cutting tool for soft tissues in visceral surgery. The present study investigates the usage of this cutting technology for the revision surgery of endoprostheses. In the first part of the study, samples of bovine bone and acrylic bone cement (PMMA) were cut using an industrial jet cutting device with pure water. Below 400 bar, only PMMA was cut; above 400 bar, bone was also cut, but only pressures above 800 bar resulted in clinically useful rates of material removal (cut depth 2. 4 mm at 10 mm/min traverse speed). In the second part of the study, the effect of adding biocompatible abrasives to the water in order to reduce the required pressure was investigated, resulting in a significantly higher removal of material. At 600 bar, PMMA was cut 5. 2 mm deep with plain water and 15.2 mm deep with added abrasives. The quality of the cuts was increased by the abrasive. Though there was no clear selectivity between bone and PMMA any more, the rate of material removal at similar pressures was significantly higher for PMMA than for bone (600 bar: 1.6 mm cut depth for bone samples, 15.2 mm for PMMA). The measured cut depths with either method were not influenced by a change of the cutting direction with respect to the main direction of the osteons in the bone. However, a reduction of the jet surface angle (90 degrees to 23 degrees ) resulted for bone in a significantly lower cut depth at 600 bar (plain water: 0.62 mm vs. 0.06 mm; abrasive: 1.61 mm vs. 0.60 mm). The laboratory experiments indicate that abrasive water jets may be suitable for cutting biomaterials like bone and bone cement.

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Schlüsselwörter: Knochen, Knpchenzement, Endoprothese, Revision, Wassersträhl Konventionelle Werkzeuge haben bei Prothesenrevisionen nur eine limitierte Reichweite im schmalen Zementmantel. Das Druckwasserstrahlschneiden erlaubt eine schmale und präzise Schnittführung und kommt daher als alternative Methode für die Knochenzemententfernung in Frage. Diese Studie vergleicht die Schneidleistung eines gepulsten Wasserstrahls mit jener eines kontinuierlichen Wasserstrahls in Knochenzement (PMMA) und Knochen. 55 Knochen-Proben (Rinderfemora.) und 32 Proben aus PMMA wurden mit einem kontinuierlichen und einem gepulsten Wasserstrahl bei unterschiedlichen Druckniveaus (40 MPa, 60 MPa) und Pulsfrequenzen (0 Hz, 50 Hz, 250 Hz) gekerbt. Um einen Vergleich zu ermöglichen, wurden die Kerbtiefen auf die hydraulische Leistung des auf das Material auftreffenden Strahlanteils bezogen. Während die leistungsbezogenen Kerbtiefen