Intramedullary Pressure and Pulmonary Embolism of Femoral Medullary Contents in Dogs During Insertion of Bone Cement and a Prosthesis

The safety and efficacy of bilateral simultaneous total hip replacement

“…6,25,29 The study by Kim et al 25 exclusively compared cemented with uncemented bilateral simultaneous procedures and showed no significant differences between the overall numbers of fat globules in arterial and right atrial blood samples between the two groups, thus challenging the aforementioned findings. [40][41][42][43][44][45][46][47][48][49] Shih and Ho 6 compared bilateral simultaneous and staged THR performed with the use of uncemented components and found no difference between the two groups. Ritter et al 29 also reported two incidents of DVT and one case of non-fatal pulmonary embolism among 92 patients after uncemented bilateral simultaneous THR.…”

“…Mechanical compression leads to an increase in intramedullary pressure, which in turn is thought to be an important pathogenic factor in the development of fat embolism. [41][42][43][44] In addition, pressurisation of cement forces debris into the venous circulation. 42,[45][46][47] It has also been reported that cemented femoral components cause more severe and prolonged embolic cascades than uncemented components.…”

“…[41][42][43][44] In addition, pressurisation of cement forces debris into the venous circulation. 42,[45][46][47] It has also been reported that cemented femoral components cause more severe and prolonged embolic cascades than uncemented components. 46,48,49 It would be expected, therefore, that bilateral simultaneous THR would potentiate these phenomena.…”

Incidence of Pulmonary Embolism After Non‐Cemented Total Hip Arthroplasty in Eleven Dogs: Computed Tomographic Pulmonary Angiography and Pulmonary Perfusion Scintigraphy

“…PE has been reported as a complication after THR in dogs and humans 4,5,9–12 . An association between elevated femoral intramedullary pressure and PE has been documented in humans during cemented THR 5,9 .…”

Leistung von Vakuumpumpen, eingesetzt für die Implantation einer Totalhüftendoprothese mit einer innovativen Zementiertechnik - eine Vergleichsstudie - Performance of Vacuum Pumps Used During Implantation of Hip Endoprostheses with an Innovative Cementing Technique - a Comparative Study

“…In einer tierexperimentellen Untersuchung [9] an Hunden wurde am Femur bei der proximalen Zementinsertion und einem Metallstab, der den Prothesenschaft imitierte, ein intraossärer Druck von 387 bis 1147 mbar gemessen. In einer tierexperimentellen Untersuchung [9] an Hunden wurde am Femur bei der proximalen Zementinsertion und einem Metallstab, der den Prothesenschaft imitierte, ein intraossärer Druck von 387 bis 1147 mbar gemessen.…”