Key result
Thorough saline lavage significantly reduced embolic phenomena and cardiopulmonary disturbances compared to minimal lavage, with 3 control patients experiencing significant blood pressure falls.
Why the study?
Does thorough saline lavage reduce embolic phenomena and cardiopulmonary changes in patients undergoing cemented hemiarthroplasty for hip fracture?
Population
24 patients undergoing cemented hemiarthroplasty for hip fracture
Comparison
Thorough saline lavage of the femoral canal… vs Minimal saline lavage of the femoral canal
Design
RCT, randomised
Follow-up
intraoperative
Authors
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Supports routine thorough lavage in cemented hemiarthroplasty; extends RCT evidence for safer cement insertion in hip fracture.
RCT (n=24)
Does thorough saline lavage reduce embolic phenomena and cardiopulmonary changes in patients undergoing cemented hemiarthroplasty for hip fracture?
Thorough medullary lavage before cement insertion during hemiarthroplasty significantly reduces embolic phenomena and cardiopulmonary disturbances.
Christie et al. (1995) conducted an RCT in Hip fracture (n=24). Thorough saline lavage of the femoral canal vs. Minimal saline lavage was evaluated on Thromboembolic and cardiopulmonary responses to the pressurised insertion of cement. Thorough saline lavage significantly reduced embolic phenomena and cardiopulmonary disturbances compared to minimal lavage, with 3 control patients experiencing significant blood pressure falls.
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