| Fat embolism in revision total hip arthroplasty. | |
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MedLine Citation:
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PMID: 12478520 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Two patients developed fat embolism syndrome after revision of loose total hip arthroplasties (THAs). During both procedures, the prosthesis became rigidly fixed 1 to 1.5 cm before the expected level of fixation. After uncomplicated operative courses, Patient A remained obtunded and febrile for 2.5 days, and Patient B died 1 day postoperatively. In Patient A, a presumptive diagnosis of fat embolism syndrome was based on the postoperative course and a radiograph of the lungs. In Patient B, the diagnosis was confirmed by evidence of cerebral edema on a computed tomography scan of the head. Fat embolism syndrome is unexpected after revision THA because the fatty tissue is removed from the femoral canal during primary THA. In these 2 cases, the rigid fixation and multiple attempts to impact and subsequently to remove the prosthesis may have caused fat embolism syndrome. |
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Authors:
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Merrill A Ritter; Leesa D Harty |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of arthroplasty Volume: 17 ISSN: 0883-5403 ISO Abbreviation: J Arthroplasty Publication Date: 2002 Dec |
Date Detail:
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Created Date: 2002-12-12 Completed Date: 2003-04-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8703515 Medline TA: J Arthroplasty Country: United States |
Other Details:
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Languages: eng Pagination: 1063-5 Citation Subset: IM |
Copyright Information:
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Copyright 2002, Elsevier Science (USA). All rights reserved. |
Affiliation:
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Center for Hip and Knee Surgery, St Francis Hospital, Mooresville, Mooresville, Indiana, USA. marittermd@aol.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Arthroplasty, Replacement, Hip
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adverse effects* Embolism, Fat / etiology* Female Humans Male Middle Aged Postoperative Complications Reoperation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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