This Article
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sherman, R. M.
Right arrow Articles by Waddell, J. P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sherman, R. M.
Right arrow Articles by Waddell, J. P.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?

The Journal of Bone and Joint Surgery, Vol 65, Issue 4 500-506, Copyright © 1983 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

The role of lavage in preventing hemodynamic and blood-gas changes during cemented arthroplasty

RM Sherman, RJ Byrick, JC Kay, TR Sullivan and JP Waddell

An experimental model was designed to investigate the role of meticulous intramedullary lavage in the prevention of the blood-gas and hemodynamic changes that have been documented to occur during cemented arthroplasty. Twenty-one adult mongrel dogs were divided into two groups. One group had the medullary canal thoroughly lavaged prior to insertion of the cement and prosthesis and the other group had no lavage. The results clearly showed that careful lavage can eliminate the significant decreases in arterial PO2 and increases in intrapulmonary shunt fraction and pulmonary artery pressure that were evident in the group that did not have lavage. Femoral medullary reaming was investigated and was shown not to compromise the dogs' cardiopulmonary status. Clinical Relevance: During cemented arthroplasty, thorough lavage of a plugged medullary canal prior to insertion of the cement and prosthesis is a highly effective prophylactic measure in the elimination of gas-exchange and hemodynamic complications.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 J Intensive Care MedHome page
S. G. Memtsoudis, P. Rosenberger, and J. M. Walz
Critical Care Issues in the Patient After Major Joint Replacement
J Intensive Care Med, March 1, 2007; 22(2): 92 - 104.
[Abstract] [PDF]

Home page
 JBJSHome page
R. P. PITTO, M. KOESSLER, and J. W. KUEHLE
Comparison of Fixation of the Femoral Component without Cement and Fixation with Use of a Bone-Vacuum Cementing Technique for the Prevention of Fat Embolism During Total Hip Arthroplasty. A Prospective, Randomized Clinical Trial
J. Bone Joint Surg. Am., June 1, 1999; 81(6): 831 - 43.
[Abstract] [Full Text]

Home page
 JBJSHome page
D. G. LEWALLEN
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Neurovascular Injury Associated with Hip Arthroplasty*{{dagger}}
J. Bone Joint Surg. Am., December 1, 1997; 79(12): 1870 - 80.
[Full Text]

Home page
 JBJSHome page
E. H. SCHEMITSCH, R. JAIN, D. C. TURCHIN, J. B. MULLEN, R. J. BYRICK, G. I. ANDERSON, and R. R. RICHARDS
Pulmonary Effects of Fixation of a Fracture with a Plate Compared with Intramedullary Nailing. A Canine Model of Fat Embolism and Fracture Fixation
J. Bone Joint Surg. Am., July 1, 1997; 79(7): 984 - 96.
[Abstract] [Full Text]