Bone cement
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4
Abstract
Polymethyl methacrylate (PMMA) bone–cement was introduced in the 1960s for fixation of total hip arthroplasty replacement components. The use of PMMA bone cement has been a key factor in the advent of joint replacement as a surgical option. Long-term results of cement fixation for hip and knee arthroplasty have been extremely good. Although the use of PMMA bone–cement has enabled long-term survival of joint arthroplasty implants, there has been concern about aseptic loosening.Despite revolutionary changes in joint replacement technology for the treatment of hip and knee arthritis, the use of PMMA bone cement in its intraoperative application has not significantly changed. Bone cement implantation syndrome (BCIS), It is an important cause of intraoperative mortality and morbidity in patients undergoing cemented hip arthroplasty and may also be seen in the postoperative period in a milder form causing hypoxia and confusion. It is possible to identify high risk groups of patients in which avoidable morbidity and mortality may be minimized by surgical selection for uncemented arthroplasty. Invasive anaesthetic monitoring should be considered during cemented arthroplasty in high risk patients.
Authors and Affiliations
Rajesh Kumar Ranjan, Manish Kumar, Rakesh Kumar, Md Farman Ali
Keywords
Related Articles
- EP ID EP480867
- DOI 10.22271/ortho.2017.v3.i4b.12
- Views 153
- Downloads 0
Efficacy of epidural steroid injection in lumbar disc disease
Purpose: Lumbar epidural steroid injection is a reasonable non-surgical option available in lumbar disc disease. We have a number of studies that have compared epidural steroid injections with discectomy for the treatmen...
Surgical treatment of chronic Achilles tendon rupture functional and anatomical outcomes over a mean follow-up period of two years
Background: The aim of this paper was to report the functional and clinical results of subcutaneous Achilles tendon rupture repairs through two surgical plasty techniques, with a mean follow-up of 2 years. Patients and m...
Preoperative assessment and postoperative outcome of total hip replacement in adults with AVN
Introduction: Total hip replacement has been proven to be the treatment of choice for patients with intolerable pain and limitation of movement due to avascular necrosis since many years. The success of total hip replace...
Evaluation of surgical management of metacarpal fractures – A prospective clinical study
Introduction: Metacarpal fractures constitutes between 14-28% of all visits to the hospital following trauma. Too often these metacarpal fractures are neglected or treated as minor injuries and results in major disabilit...
Middle third humerus fractures in adults: Intramedullary nails vs. locking compression plates
Background: 2 to 3% of all traumatic fractures in adults encountered by orthopaedic surgeons are humerus fractures. Operative management for these fractures has now gained popularity among surgeons to allow patients an e...