Document Detail


Fat embolism associated with cementing of femoral stems designed for press-fit application.
MedLine Citation:
PMID:  2746245     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors report four cases of fat embolism syndrome following total hip arthroplasty using cementless acetabular press-fit components and cemented press-fit femoral components. Factors implicated in the production of this syndrome following "hybrid" total hip arthroplasty include increased canal pressure during femoral reaming and prosthetic insertion, retained marrow elements and reaming debris, and the use of lumbar epidural anesthesia. This potentially fatal syndrome must be a recognized complication following the use of cemented press-fit femoral stems. Specific recommendations for decreasing the incidence of this complication are reviewed.
Authors:
J T Watson; B N Stulberg
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  4     ISSN:  0883-5403     ISO Abbreviation:  J Arthroplasty     Publication Date:  1989  
Date Detail:
Created Date:  1989-08-21     Completed Date:  1989-08-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  133-7     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Ohio 44106.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cementation / adverse effects,  methods*
Embolism, Fat / etiology*
Female
Hip Prosthesis / adverse effects*
Humans
Male
Methylmethacrylates / adverse effects
Respiratory Distress Syndrome, Adult / etiology
Risk Factors
Chemical
Reg. No./Substance:
0/Methylmethacrylates

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


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