Document Detail


Embolic events during total hip arthroplasty: an echocardiographic study.
MedLine Citation:
PMID:  12629609     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We performed transesophageal echocardiography on 88 patients treated with cementless or hybrid total hip arthroplasty (THA). We observed a significantly higher frequency of severe embolic events among patients without cup holes during insertion of press-fit cups (46.0%) than in patients with holes (15.6%) (P<.005). During stem insertion, severe embolic events occurred in 61.5% of hybrid operations and 5.9% of cementless operations. PaO(2), systolic blood pressure, and arterial oxygen saturation decreased significantly in severe embolic events (P<.05). The results indicate that embolic events may occur during THA whether or not cement is used. Based on these findings, we make several recommendations for technique modifications during insertion of both femoral and acetabular components in THA.
Authors:
Keisuke Hagio; Nobuhiko Sugano; Masaki Takashina; Takashi Nishii; Hideki Yoshikawa; Takahiro Ochi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  18     ISSN:  0883-5403     ISO Abbreviation:  J Arthroplasty     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-03-11     Completed Date:  2003-07-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  186-92     Citation Subset:  IM    
Copyright Information:
Copyright 2003, Elsevier Science (USA). All rights reserved.
Affiliation:
Department of Orthopaedic Surgery, Osaka University Medical School, Osaka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip / adverse effects*
Echocardiography, Transesophageal
Embolism / etiology*,  ultrasonography*
Female
Hip Joint
Hip Prosthesis / adverse effects*
Humans
Intraoperative Complications*
Joint Diseases / surgery
Male
Middle Aged
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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