|Intraoperative monitoring for safety of total hip arthroplasty using third-generation cementing technique|
|Li Zi-jian1; Zhang Ke1; Yang Hong1; Liu Yan1; Lue Jing-qiao2|
|关键词||arthroplasty hip bone cement monitoring intraoperative|
|刊名||CHINESE MEDICAL JOURNAL|
|WOS标题词||Science & Technology|
|类目[WOS]||Medicine, General & Internal|
|研究领域[WOS]||General & Internal Medicine|
|关键词[WOS]||FAT-EMBOLISM SYNDROME ; INTRAMEDULLARY PRESSURE ; FEMORAL COMPONENT ; MEDULLARY-PLUG ; FOLLOW-UP ; REPLACEMENT|
Background Controversies on the safety of the cement application between cemented and uncemented total hip arthroplasty (THA) have been existing for decades. The purpose of this study was to observe the changes in mean arterial pressure (MAP), heart rate (HR) and oxygen pressure (PaO(2)) during cemented THA, and to evaluate the intraoperative safety of using the third-generation cementing technique and investigate whether the intraoperative risk is higher in acute femoral neck fracture patients than non-traumatic patients.
Methods Forty-two patients who underwent cemented THA between November 2005 and September 2007 were prospectively included in this study. The third-generation cementing technique as vacuum mixing and pulsatile lavage was used strictly. The MAP and HR were monitored and documented during each operation. Blood gas analysis was performed at exposure, cup implantation, stem implantation and wound closure. MAP, HR and PaO(2) were compared between pre- and post-cement application. Comparisons of MAP, HR and PaO(2) between patients with acute femoral neck fracture and non-traumatic patiens were performed as well,
Results No intraoperative cardiopulmonary complication occurred in these cases. No obvious changes were observed in MAP, HR and PaO(2) after cement application. There was no significant difference in MAP, HR and PaO(2) between acute femoral fracture patients (18 patients) and non-traumatic patients (24 patients).
Conclusions The results of this study suggested that the invasive blood pressure monitoring and blood gas analysis are essential for patients undergoing cemented THA, especially for patients with femoral neck fracture. The third-generation cementing technique is safe to use in THA.
|作者单位||1.Peking Univ Third Hosp, Dept Orthoped, Beijing 100191, Peoples R China|
2.Peking Univ Third Hosp, Res Ctr Clin Epidemiol, Beijing 100191, Peoples R China
|Li Zi-jian,Zhang Ke,Yang Hong,et al. Intraoperative monitoring for safety of total hip arthroplasty using third-generation cementing technique[J]. CHINESE MEDICAL JOURNAL,2009,122(2):174-177.|
|APA||Li Zi-jian,Zhang Ke,Yang Hong,Liu Yan,&Lue Jing-qiao.(2009).Intraoperative monitoring for safety of total hip arthroplasty using third-generation cementing technique.CHINESE MEDICAL JOURNAL,122(2),174-177.|
|MLA||Li Zi-jian,et al."Intraoperative monitoring for safety of total hip arthroplasty using third-generation cementing technique".CHINESE MEDICAL JOURNAL 122.2(2009):174-177.|