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Purpose:In cases of patients who underwent bipolar hemiarthroplasty (BPHA) for treatment of a pertrochanteric fracture, we compared and analyzed the amount of blood loss and complications between a group using the cemented stem and a group using the cementless stem. Materials and Methods: A total of 104 patients who underwent BPHA for treatment of a pertrochanteric fracture in our hospital for three years and 10 months (From January 2008 to October 2011) were included in this study. Among the 104 patients, 64 patients with a cemented stem were categorized into group 1, and the other 40 patients with an uncemented stem were categorized into group 2. Before surgery, the type of stem was determined by the bone quality of the proximal femur, which had been evaluated with a simple X-ray. Then, after surgery, the amount of blood loss and complications were compared between the two groups. Results: Expected blood loss during the operation was 389.8 cc in group 1, and 395.3 cc in group 2(P=0.88). Postoperatively, average drained blood loss was 219.6 cc in group 1, and 338.1 cc in group 2. Cemented stem was associated with significantly less blood loss (P=0.004). The average operation time in group 1 and in group 2 was 96 minutes and 72 minutes. There was no significant difference in operating time (P=0.85). In addition, there was no difference in INR (International Normalized Ratio) and BMI (Body Mass Index) (P=0.28 and 0.08) regarding total amount of postoperatively drained blood loss. There was no occurrence of hypotensive shock or fatal pulmonary embolism in either group. Three cases of periprosthetic fracture occurred in group 2. Conclusion: Fewer occurrences of postoperative blood loss and fewer complications were observed in the cemented stem group than in the cementless stem group. Preoperative evaluation of bone quality and use of the cement stem for patients with poor bone quality may be a good treatment method that can help to reduce complications.

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:It is commonly known that water repellency of the fabric treated with fluorocarbon resin brings about a decrease by the washing and recovers by the subsequent heat treatment. In this article, effect of the water repellency was investigated on the cotton and polyester fabrics treated with silicone resin. Silicone resin has been widely used in the textile finishing as the softening and water proofing agents. The fabrics were treated with a silicone resin, Poron MR (Shinetsu Chemical Co.) and then washed and subsequently heat treated. Although the water repellency increased by the resin treatment, it decreased by the washing apparently and recovered a little by the heat treatment. The effect of the heat treatment was small comparing with that of the fluorocarbon resin. Furthermore, in order to investigate the change of the surface chemical composition of the fabric, ESCA analysis was carried out. The O 1s and Si 2p intensities were almost unchanged by the washing and following heat treatment. The Si 2p showed also the same tendency. As a mechanical property of the treated fabric, KES shearing and bending hysteresis parameters, modulus and hysteresis width of the silicone resin treated cotton and polyester fabrics decreased by the heat treatment after washing. Therefore, the treatment is effective at improving the softening of the fabric in water repellent finish.