Arterial oxygenation and mean arterial blood pressure in patients undergoing total hip replacement: cemented versus uncemented components

Abstract

Arterial oxygen tension and mean arterial blood pressure were measured during total hip replacement with either cemented (n = 10) or uncemented components (n = 10). All surgery was performed under general anaesthesia. Compared with baseline values, mean arterial oxygen tension decreased by 16% (p < 0.05) and mean arterial pressure increased by 23% (p < 0.05) and 20% (p < 0.05) after insertion of cemented acetabular and femoral components, respectively. In the uncemented group, arterial oxygen tension and mean arterial pressure remained unchanged after insertion of both components. This implies that for some patients, particularly those with cardiovascular or respiratory disease, the risk of significant immediate complications may be lower with the insertion of uncemented, rather than cemented, components.

The radiological outcome of uncemented femoral stems in rheumatoid patients undergoing total hip arthroplasty: results at minimum eight years

“…22,23 Deep infection rates may also be increased due to the increase in operating time, and the local deep tissue injury from cement curing. 17,19,[24][25][26][27] The calculated cost of utilising cemented prostheses should include the increase in theatre time, which may be as much as 20 minutes longer on average than uncemented THR.…”

Review Article: Cemented or Uncemented Femoral Component in Primary Total Hip Replacement? A Review from a Clinical and Radiological Perspective

“…1,7,20,25,35,37,42,52 Although there are some limitations in the selected studies, some conclusions can be drawn from this review.…”

Rapid improvement of respiratory symptoms associated with fat embolism by high-dose methylpredonisolone: a case report

“…Intramedullary lavage prior to cement and prothesis insertion could reduce the fat emboli [5]. Furthermore, it has been reported that a cemented implant causes much higher intramedullary pressure than a noncemented implant, resulting in significant cardiorespiratory changes, including decreased arterial oxygen tension and increased pulmonary artery pressure and pulmonary shunt fraction [2][3][4]. Thus, we should evaluate the ability of a patient to tolerate the operation and select the appropriate surgical methods.…”

“…Fat embolism syndrome is a severe complication that is likely to occur after lower limb fractures [1] and during operations on the lower limbs [2][3][4]. It can manifest with various embolic symptoms, including respiratory failure, cardiovascular collapse, neurological disorders, petechial rash, pyrexia, thrombocytopenia, and so on [5].…”