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September 10, 2018Acta Anaesthesiologica Scandinavica

Pulmonary haemodynamics and right ventricular function in cemented vs uncemented total hip arthroplasty—A randomized trial

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Why the study?

Does cemented total hip arthroplasty worsen pulmonary hemodynamics and right ventricular function compared to uncemented arthroplasty in patients with isolated femoral neck fracture?

Population

22 patients with isolated femoral neck fracture undergoing total hip arthroplasty

Comparison

Cemented total hip arthroplasty vs Uncemented total hip arthroplasty

Design

RCT, randomized

Follow-up

intraoperative (up to skin closure)

Authors

MSMathias Hård af SegerstadSahlgrenska University HospitalFOFredrik OlsenSahlgrenska University HospitalAPArun Kumar PatelGeorgetown University

Discussion

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Implication

Cemented fixation may heighten right ventricular strain risk in hip fracture patients; challenges routine cemented preference and extends RCT hemodynamic comparisons.

Structured PICO

Does cemented total hip arthroplasty worsen pulmonary hemodynamics and right ventricular function compared to uncemented arthroplasty in patients with isolated femoral neck fracture?

P
Population
22 patients with isolated femoral neck fracture undergoing total hip arthroplasty
I
Intervention
Cemented total hip arthroplasty
C
Comparator
Uncemented total hip arthroplasty
O
Outcome
Pulmonary and systemic haemodynamics (mean arterial pressure, pulmonary arterial pressure, cardiac output, right ventricular end-diastolic volume, and right ventricular ejection fraction) measured continuously during surgerysurrogate

Cemented total hip arthroplasty significantly increases pulmonary vascular resistance and pulmonary artery pressures compared to uncemented arthroplasty, potentially impairing right ventricular function.

Cite This Study

Segerstad et al. (2018) studied this question.

synapsesocial.com/papers/6a96916076292a5bc0fbb1e1https://doi.org/10.1111/aas.13262
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiovascular Effects of Methylmethacrylate Cement1972 · 136 citations
  2. 2Pulmonary Microembolism During Intramedullary Orthopaedic Trauma1974 · 63 citations
  3. 3Cardiac output during hemiarthroplasty of the hip2001 · 75 citations
  4. 4Comparison of hemodynamic changes between old and very old patients undergoing cemented bipolar hemiarthroplasty under spinal anesthesia2015 · 12 citations
  5. 5Intra‐operative collapse or death related to the use of acrylic cement in hip surgery1989 · 132 citations