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多孔涂层双极髋关节假体植入后发生致命性骨髓栓塞

Fatal marrow embolization following a porous-coated bipolar hip endoprosthesis.

作者信息

Arroyo J S, Garvin K L, McGuire M H

机构信息

Creighton/Nebraska Health Foundation Orthopaedic Residency Program.

出版信息

J Arthroplasty. 1994 Aug;9(4):449-52. doi: 10.1016/0883-5403(94)90057-4.

DOI:10.1016/0883-5403(94)90057-4
PMID:7964778
Abstract

Fat embolization syndrome is a well-known complication associated with total hip arthroplasty. It is believed to be caused by high intramedullary pressures that occur during cement pressurization and femoral stem placement. Fat embolization syndrome has also been reported with intramedullary reaming and placement of an intramedullary alignment guide during total knee arthroplasty. To our knowledge, there have not been previous reports of fatal fat emboli as a result of uncemented hip arthroplasty. The purpose of this case report is to describe a fatality due to fat embolization following a noncemented bipolar arthroplasty.

摘要

脂肪栓塞综合征是全髋关节置换术的一种常见并发症。据信它是由骨水泥加压和股骨柄植入过程中出现的高髓内压力引起的。全膝关节置换术中进行髓内扩髓和放置髓内对线导向器时也有脂肪栓塞综合征的报道。据我们所知,此前尚无因非骨水泥型髋关节置换术导致致命脂肪栓子的报道。本病例报告的目的是描述一例非骨水泥型双极人工关节置换术后因脂肪栓塞导致的死亡病例。

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1
Fatal marrow embolization following a porous-coated bipolar hip endoprosthesis.多孔涂层双极髋关节假体植入后发生致命性骨髓栓塞
J Arthroplasty. 1994 Aug;9(4):449-52. doi: 10.1016/0883-5403(94)90057-4.
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Fatal fat embolism following femoral head resection in total hip arthroplasty.
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[Pulmonary fat embolism during bipolar hip endoprosthesis].
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Fat embolism syndrome following the intramedullary alignment guide in total knee arthroplasty.
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Clin Orthop Relat Res. 1999 Mar(360):136-46. doi: 10.1097/00003086-199903000-00017.
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[Significance of pulmonary fat embolism in intra- and early postoperative fatal cases following femoral fractures of the hip region].[肺脂肪栓塞在髋部股骨骨折术后及早期致命病例中的意义]
Orthopade. 1995 Apr;24(2):94-103.
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Fatal fat embolism during cemented total knee arthroplasty: a case report.骨水泥型全膝关节置换术中的致命脂肪栓塞:一例报告
Can J Surg. 1986 Sep;29(5):385-6.
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Prevalence of fat embolism following bilateral simultaneous and unilateral total hip arthroplasty performed with or without cement : a prospective, randomized clinical study.双侧同时及单侧全髋关节置换术(有或无骨水泥)后脂肪栓塞的发生率:一项前瞻性随机临床研究
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Pulmonary Fat Embolism and Coronary Amyloidosis.肺脂肪栓塞与冠状动脉淀粉样变性
Am J Case Rep. 2018 Jun 25;19:744-747. doi: 10.12659/AJCR.908561.
2
Perioperative mortality after hemiarthroplasty related to fixation method.半髋关节置换术后与固定方法相关的围手术期死亡率。
Acta Orthop. 2011 Jun;82(3):275-81. doi: 10.3109/17453674.2011.584208. Epub 2011 May 11.
3
[Surgical treatment of a displaced femoral head fracture with a cement-free dual-headed prosthesis using a minimally invasive approach. Clinical and radiographic outcome].
[采用微创入路使用无骨水泥双极假体治疗移位型股骨头骨折。临床及影像学结果]
Unfallchirurg. 2005 Mar;108(3):215-21. doi: 10.1007/s00113-004-0868-x.
4
[Clinical relevance of fat embolism. Review of the literature].[脂肪栓塞的临床相关性。文献综述]
Unfallchirurgie. 1996 Apr;22(2):57-73.