Key result
Insertion of a cemented custom expandable endoprosthesis in a 10-year-old girl resulted in acute bone cement implantation syndrome with severe cardiopulmonary collapse that resolved with resuscitation.
Case Report (n=1)
This is the first report describing acute bone cement implantation syndrome in a pediatric patient, highlighting the need for vigilance during cemented implant insertion.
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BCIS risk may extend to pediatric cemented implants; first report leaves incidence and prevention strategies open.
CASE: A 10-year-old girl with a history of distal femur osteosarcoma underwent resection and limb reconstruction with a cemented custom expandable endoprosthesis. Immediately following stemmed implant insertion, the patient experienced severe cardiopulmonary collapse. Following emergent fluid and oxygen resuscitation by anesthesia, her transient cardiopulmonary instability resolved. CONCLUSION: This is the first report describing acute bone cement implantation syndrome in a pediatric patient. This case highlights the importance of vigilance and interdisciplinary communication with anesthesia when inserting cemented implants in pediatric patients.
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Tansey et al. (2024) conducted a case report in Distal femur osteosarcoma / Bone cement implantation syndrome (n=1). Cemented custom expandable endoprosthesis insertion was evaluated on Cardiopulmonary collapse (bone cement implantation syndrome). Insertion of a cemented custom expandable endoprosthesis in a 10-year-old girl resulted in acute bone cement implantation syndrome with severe cardiopulmonary collapse that resolved with resuscitation.
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