| Fat embolism syndrome after cementless total hip arthroplasty. | |
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MedLine Citation:
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PMID: 11021461 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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There are few reports in the literature of fat embolism syndrome after cementless total hip arthroplasty (THA). Most reported cases have occurred after fracture or cemented THA. We report a case of a healthy 51-year-old woman who underwent THA for osteoarthritis under spinal anesthesia. A press-fit cup and extensively porous-coated diaphyseal locking stem were used and inserted without cement. In the recovery room, the patient became hypoxemic and hypotensive and developed cortical blindness. The next day, a petechial rash was evident. Gurd's criteria for fat embolism syndrome were fulfilled. Her symptoms resolved over a 2-week period. Patients undergoing cementless THA are at risk for fat embolism syndrome, and this must be considered in the differential diagnosis for postoperative hypoxemia and neurologic deficits. |
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Authors:
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J J Gelinas; R Cherry; S J MacDonald |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of arthroplasty Volume: 15 ISSN: 0883-5403 ISO Abbreviation: J Arthroplasty Publication Date: 2000 Sep |
Date Detail:
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Created Date: 2001-02-05 Completed Date: 2001-02-08 Revised Date: 2007-11-15 |
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: 809-13 Citation Subset: IM |
Affiliation:
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London Health Sciences Centre, Ontario, Canada. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anoxia
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etiology Arthroplasty, Replacement, Hip / methods* Embolism, Fat / diagnosis, etiology* Female Humans Middle Aged Osteoarthritis / surgery Postoperative Complications Syndrome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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