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September 30, 2025CureusOpen Access

Bone Cement Implantation Syndrome Causing Intraoperative Cardiac Arrest in a Nonagenarian: A Case Report

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Key result

Advanced CPR successfully reverses intraoperative cardiac arrest triggered by severe bone cement implantation syndrome.

  • n=1

Population

A 90-year-old woman undergoing cemented hemiarthroplasty for a left intertrochanteric femoral fracture

Design

Case report

Authors

BHBinyam M HabteDebre Berhan UniversityYHYoseph M HabteAddis Ababa UniversityMHMakida M HabteAddis Ababa University

Discussion

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Implication

Alerts clinicians to prepare for severe BCIS in elderly PMMA cement cases; single report leaves open optimal prevention and management strategies.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 90-year-old woman with hypertension who developed severe bone cement implantation syndrome and cardiac arrest during cemented hemiarthroplasty.
I
Intervention
Cardiopulmonary resuscitation (CPR) including intubation, mechanical ventilation with 100% oxygen, intravenous adrenaline, and advanced life support measures.
O
Outcome
Return of spontaneous circulation and survival to hospital discharge.hard clinical

This case highlights the life-threatening potential of bone cement implantation syndrome and the critical role of immediate multidisciplinary resuscitation in achieving survival and functional recovery.

Cite This Study

Habte et al. (2025) conducted a case report in Bone cement implantation syndrome (n=1). Polymethylmethacrylate (PMMA) bone cement was evaluated. A 90-year-old woman developed severe intraoperative bone cement implantation syndrome and cardiac arrest following PMMA bone cement insertion, but was successfully resuscitated and recovered.

synapsesocial.com/papers/6aa2cd3174fc654bd0323dd2https://doi.org/10.7759/cureus.93622
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Also Consider

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

  1. 1Diagnosis and Management of Bone Cement Implantation Syndrome2011 · 24 citations
  2. 2Bone Cement and Its Anesthetic Complications: A Narrative Review2023 · 49 citations
  3. 3Bone cement implantation syndrome: a scoping review2025 · 11 citations
  4. 4Study of the cement implantation syndrome: A review2024 · 10 citations
  5. 5Bone cement implantation syndrome: A rare catastrophe2011 · 48 citations