Hypotension during cemented arthroplasty

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Hypotension during cemented arthroplasty. Relationship to cardiac output and fat embolism.

An episode of hypotension is common during cemented joint replacement, and has been associated with circulatory collapse and sudden death. We studied the mechanism of hypotension in two groups of six dogs after simulated bilateral cemented arthroplasty. In one group, with no lavage, the insertion of cement and prosthesis was followed by severe hypotension, elevated pulmonary artery pressure, de...

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Cemented Total Hip Arthroplasty In Dogs

Total hip arthroplasty (THA) is an excellent salvage procedure for debilitating conditions that included osteoarthritis, hip luxation, femoral head and neck fracture and revision of femoral head ostectomy providing excellent hip joint function. Six dogs with clinical condition of hip dysplasia with luxation (three), severe osteoarthritis (two) and hip luxation (one) weighing 30 kg b.wt were sub...

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Control of bleeding in cemented arthroplasty.

Bleeding from cancellous bone causes lamination within bone cement and at its prosthetic interfaces, and weakens the fixation of joint replacements. We examined the effects of anaesthesia and blood pressure on bleeding in human cancellous bone, and investigated the local response to freezing saline, 1:200,000 adrenaline and hydrogen peroxide. Spinal anaesthesia reduced cancellous bleeding by an...

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Cemented or cementless total knee arthroplasty?

INTRODUCTION Since 1996 we have been using cementless fixation with hydroxyapatite (HA) coating. The purpose of this paper is to compare survivorship of a series of 100 cemented Total Knee Arthroplasty (TKA) to a similar series of 100 cementless with a follow up of 11-16 years. Material methods: Both TKA are mobile bearing total knee postero-stabilized. They can be used with cement or without c...

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A Typical Case of Paradox Cerebral Embolism during Cemented Total Hip Arthroplasty

The procedure was performed under general anaesthesia. Both cup and stem were cemented. While implanting the cemented stem the heart beat raised from 60bpm to 95bpm and the blood pressure dropped to 90/45mmHg (Figure 2). To the end of the procedure the patient had recovered and was extubated showing stable vitals. After surgery a slurred speech and a deviation of the eyes were observed. The MRI...

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ژورنال

عنوان ژورنال: The Journal of Bone and Joint Surgery. British volume

سال: 1994

ISSN: 0301-620X,2044-5377

DOI: 10.1302/0301-620x.76b2.8113314