ECHOCARDIOGRAPHY OF TRANSATRIAL EMBOLISM DURING CEMENTED AND UNCEMENTED HEMIARTHROPLASTY OF THE HIP

被引:145
作者
CHRISTIE, J [1 ]
BURNETT, R [1 ]
POTTS, HR [1 ]
PELL, ACH [1 ]
机构
[1] PRINCESS MARGARET ROSE ORTHOPAED HOSP,EDINBURGH EH10 7ED,MIDLOTHIAN,SCOTLAND
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1994年 / 76B卷 / 03期
关键词
D O I
10.1302/0301-620X.76B3.8175843
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We performed transoesophageal echocardiography on 20 patients with femoral neck fractures randomly treated with an uncemented Austin-Moore or cemented Hastings hemiarthroplasty. Cemented arthroplasty caused greater and more prolonged embolic cascades than did uncemented arthroplasty. Some emboli were more than 3 cm in length. In some patients the cascades were associated with pulmonary hypertension, diminished oxygen tension and saturation, and the presence of fat and marrow in aspirates from the right atrium.
引用
收藏
页码:409 / 412
页数:4
相关论文
共 21 条
[1]  
BREED AL, 1974, CLIN ORTHOP RELAT R, V102, P227
[2]   CARDIAC ARREST AND BONE CEMENT [J].
BURGESS, DM .
BRITISH MEDICAL JOURNAL, 1970, 3 (5722) :588-&
[3]   PULMONARY MARROW EMBOLISM - A DOG-MODEL SIMULATING DUAL COMPONENT CEMENTED ARTHROPLASTY [J].
BYRICK, RJ ;
KAY, JC ;
MULLEN, JBM .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1987, 34 (04) :336-342
[4]   PROSTANOID PRODUCTION AND PULMONARY-HYPERTENSION AFTER FAT-EMBOLISM ARE NOT MODIFIED BY METHYLPREDNISOLONE [J].
BYRICK, RJ ;
MULLEN, JB ;
WONG, PY ;
KAY, JC ;
WIGGLESWORTH, D ;
DORAN, RJ .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1991, 38 (05) :660-667
[5]  
Charnley J, 1970, ACRYLIC CEMENT ORTHO, pvi
[6]  
Gurd A R, 1970, J Bone Joint Surg Br, V52, P732
[7]  
HEINRICH H, 1985, ANAESTHESIST, V34, P118
[8]  
Heinrich H, 1988, Acta Orthop Belg, V54, P12
[9]  
JONES RH, 1975, CLIN ORTHOP RELAT R, V112, P192
[10]   IMPAIRED ARTERIAL OXYGENATION ASSOCIATED WITH USE OF BONE CEMENT IN FEMORAL-SHAFT [J].
KALLOS, T .
ANESTHESIOLOGY, 1975, 42 (02) :210-216