|
The Journal of Bone and Joint Surgery, Vol 69, Issue 6 822-832, Copyright © 1987 by Journal of Bone and Joint Surgery, Inc
Cardiopulmonary function and pulmonary microemboli during arthroplasty using cemented or non-cemented components. The role of intramedullary pressure
EC Orsini, RJ Byrick, JB Mullen, JC Kay and JP Waddell
An experimental model was designed to investigate the role of
intramedullary pressure on cardiopulmonary function and pulmonary pathology
during arthroplasty using cemented and non-cemented components. Twenty-four
dogs were divided randomly into three groups: a group that received a
non-cemented implant in which low intramedullary pressure was generated, a
group that received a cemented implant, and one that received bone wax and
an implant; high intramedullary pressures were generated in the latter two
groups. Bone wax was used to generate high intramedullary pressures without
the use of bone cement. In the group with the non-cemented implant, few
pulmonary microemboli and no significant cardiorespiratory changes were
found. In the groups that received bone wax and an implant or the cemented
implant, there were many pulmonary microemboli and significant
cardiorespiratory changes, including decreased arterial oxygen tension,
increased pulmonary arterial pressure, and increased intrapulmonary shunt
fraction. There was no evidence that methylmethacrylate monomer was
responsible for the cardiorespiratory changes in the group with the
cemented implant.
 CiteULike  Connotea  Del.icio.us  Technorati What's this?
This article has been cited by other articles:
|
|
|
|
 
M. Barak, M. Kabha, D. Norman, M. Soudry, Y. Kats, and S. Milo
Cerebral Microemboli During Hip Fracture Fixation: A Prospective Study
Anesth. Analg.,
July 1, 2008;
107(1):
221 - 225.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Moriyama, S. Watanabe, T. Hiraki, T. Kano, T. Okawa, and M. Ishibashi
Relationship between intraoperative transoesophageal echocardiography findings and perfusion lung scintigraphy results on first postoperative day
Br. J. Anaesth.,
May 1, 2005;
94(5):
607 - 612.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
N. Sasano, S. Ishida, S. Tetsu, H. Takasu, K. Ishikawa, H. Sasano, and H. Katsuya
Cerebral fat embolism diagnosed by magnetic resonance imaging at one, eight, and 50 days after hip arthroplasty: a case report: [L'embolie graisseuse cerebrale diagnostiquee par imagerie par resonance magnetique aux jours 1, 8 et 50 apres une arthroplastie de la hanche : une etude de cas]
Can J Anesth,
November 1, 2004;
51(9):
875 - 879.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Parvizi, M. H. Ereth, and D. G. Lewallen
Thirty-Day Mortality Following Hip Arthroplasty for Acute Fracture
J. Bone Joint Surg. Am.,
September 1, 2004;
86(9):
1983 - 1988.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H.-L. Chen, C.-S. Wong, S.-T. Ho, F.-L. Chang, C.-H. Hsu, and C.-T. Wu
A Lethal Pulmonary Embolism During Percutaneous Vertebroplasty
Anesth. Analg.,
October 1, 2002;
95(4):
1060 - 1062.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
Y.-H. Kim, S.-W. Oh, and J.-S. Kim
Prevalence of Fat Embolism Following Bilateral Simultaneous and Unilateral Total Hip Arthroplasty Performed with or without Cement : A Prospective, Randomized Clinical Study
J. Bone Joint Surg. Am.,
August 12, 2002;
84(8):
1372 - 1379.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Sesay, V. Dousset, D. Liguoro, F. Pehourcq, J.-M. Caille, and P. Maurette
Intraosseous lidocaine provides effective analgesia for percutaneous vertebroplasty of osteoporotic fractures: [L'administration intra-osseuse de lidocaine procure une analgesie efficace pendant la vertebroplastie percutanee de fractures osteoporotiques]
Can J Anesth,
February 1, 2002;
49(2):
137 - 143.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Parvizi, T. A. Sullivan, R. T. Trousdale, and D. G. Lewallen
Thirty-Day Mortality After Total Knee Arthroplasty
J. Bone Joint Surg. Am.,
August 1, 2001;
83(8):
1157 - 1161.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
K. M. Fallon, J. G. Fuller, and P. Morley-Forster
Fat embolization and fatal cardiac arrest during hip arthroplasty with methylmethacrylate : [Embolie graisseuse et arret cardiaque fatal pendant l'arthroplastie de la hanche realisee avec du methyle methacrylate]
Can J Anesth,
July 1, 2001;
48(7):
626 - 629.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. S. Keisu, F. Orozco, P. F. Sharkey, W. J. Hozack, and R. H. Rothman
Primary Cementless Total Hip Arthroplasty in Octogenarians : Two to Eleven-Year Follow-up
J. Bone Joint Surg. Am.,
March 1, 2001;
83(3):
359 - 359.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
M. J. Koessler, R. Fabiani, H. Hamer, and R. P. Pitto
The Clinical Relevance of Embolic Events Detected by Transesophageal Echocardiography During Cemented Total Hip Arthroplasty: A Randomized Clinical Trial
Anesth. Analg.,
January 1, 2001;
92(1):
49 - 55.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
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]
|
|
|
|
|
|
|
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]
|
|
|
|
|
|
|
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]
|
|
|
|
