RT Journal Article T1 The treatment of bacterial biofilms cultivated on knee arthroplasty implants using the bioelectric effect A1 Tamimi-Mariño, Iskandar Ahmad A1 Gasca, María A1 Halbardier, Alexandra A1 Martin, Sergio A1 Martin Caballero, Gregorio A1 Lucena Serrano, Cristina A1 Martin, Elena A1 Tamimi, Faleh A1 González-Quevedo, David A1 García-de-Quevedo-Puerta, David A1 Sobrino, Beatriz A1 Palop, Begoña A1 Guerado-Parra, Enrique A1 Pérez Lara, Almudena Ester A1 Urdiales, Cristina K1 Infecciones quirúrgicas K1 Artroplastia AB Introduction: The formation of bacterial biofilms on knee arthroplasty implants can have catastrophic consequences. The aim of this study was to analyze the effectiveness of the bioelectric effect in the elimination of bacterial biofilms on cultivated knee arthroplasty implants. Methods: A novel device was designed to deliver a bioelectric effect on the surface of knee arthroplasty implants. 4-femoral prosthetic implants were cultivated with a staphylococcus aureus inoculum for 15 days. The components were divided into four different groups: A (not treated), B (normal saline 20-minutes), C (bioelectric effect 10-minutes), D (bioelectric effect 20-minutes). The implants were sonicated, and the detached colonies were quantified as the number of colony-forming unit (CFUs). The implants were sterilised and the process was repeated in a standardized manner four more times, to obtain a total of five samples per group. Results: The number of the CFUs after a 10-minute exposure to the bioelectric effect was of 208.2 ± 240.4, compared with 6,041.6 ± 2010.7 CFUs in group A, representing a decrease of 96.5% ± 4.3 (p = 0.004). And a diminution of 91.8% ± 7.9 compared with 2,051.0 ± 1,364.0 CFUs in group B (p = 0.109). The number of bacterial colonies after a 20-minute exposure to the bioelectric effect was 70 ± 126.7 CFUs, representing a decrease of 98.9% ± 1.9 (p = 0.000) compared with group A. And a decrease of 97.8% ± 3.0 (p = 0.019) compared with group B. Conclusions: The bioelectric effect was effective in the elimination of bacterial biofilm from knee arthroplasty implants. This method could be used in the future as part of conventional surgical procedures. PB Frontiers YR 2024 FD 2024-07-02 LK https://hdl.handle.net/10630/35669 UL https://hdl.handle.net/10630/35669 LA spa NO Tamimi I, Gasca M, Halbardier A, et al. The treatment of bacterial biofilms cultivated on knee arthroplasty implants using the bioelectric effect. Front Bioeng Biotechnol. 2024;12:1426388. Published 2024 Jul 2. doi:10.3389/fbioe.2024.1426388 DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 20 ene 2026