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Journal of Bone and Joint Surgery, 1974;56:714-718.
© 1974 by The Journal of Bone and Joint Surgery, Inc

Elevation of Intramedullary Pressure when Methylmethacrylate Is Inserted in Total Hip Arthroplasty

RAYMOND G. TRONZO M.D.1, TAMAS KALLOS M.D.1, and MELVILLE Q. WYCHE M.D.1

1 From the Departments of Orthopaedic Surgery and Anesthesia, University of Pennsvlvania Medical School, Philadelphia

In twelve patients undergoing total hip replacement, the femoral intramedullary pressure was measured. It was transitorily high when the femoral prosthesis was press-fit, higher when the methylmethacrylate was forced into the cavity, and highest when the femoral prosthesis was finally positioned. Venting proximally was ineffective but a distal vent prevented the rise in pressure. This may be good prophylaxis against embolization or cardiac arrest, or both.


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