Intraoperative blood pressure changes during cemented versus uncemented bipolar hemiarthroplasty for displaced femoral neck fracture: a multi-center cohort study: The effect of bone cement for bipolar hemiarthroplasty in elderly patients
Introduction The purpose of this study was to compare the cemented bipolar hemiarthroplasty with uncemented about the change of intraoperative blood pressure and the incidence of major complications in elderly patients with femoral neck fracture. Materials and methods This multiple center prospectiv...
Gespeichert in:
| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2017-04, Vol.137 (4), p.523-529 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 529 |
|---|---|
| container_issue | 4 |
| container_start_page | 523 |
| container_title | Archives of orthopaedic and trauma surgery |
| container_volume | 137 |
| creator | Miyamoto, Shuichi Nakamura, Junichi Iida, Satoshi Shigemura, Tomonori Kishida, Shunji Abe, Isao Takeshita, Munenori Harada, Yoshitada Orita, Sumihisa Ohtori, Seiji |
| description | Introduction
The purpose of this study was to compare the cemented bipolar hemiarthroplasty with uncemented about the change of intraoperative blood pressure and the incidence of major complications in elderly patients with femoral neck fracture.
Materials and methods
This multiple center prospective cohort study included only patients with acute displaced femoral neck fracture (Garden stage III or IV). All patients were treated with cemented or uncemented bipolar hemiarthroplasty using modified Hardinge or Watson-Jones approach in the lateral decubitus position. Baseline data, medical history, type of anesthesia, FiO
2
value, the number of vasopressor using during operation, femoral component, intraoperative blood pressure, SaO
2
, and major complications were evaluated.
Results
Of 164 patients (45 males and 119 females), 86 underwent cemented and 78 underwent uncemented bipolar hemiarthroplasty. Baseline medical histories were similar in both groups. In both the cemented and uncemented groups, intraoperative systolic blood pressure significantly decreased during cementing or rasping (106.3 and 103.6 mmHg) and after femoral component insertion (103.3 and 99.1 mmHg) compared to before rasping (120.7 and 116.4 mmHg) (
p
|
| doi_str_mv | 10.1007/s00402-017-2651-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1869970156</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1869970156</sourcerecordid><originalsourceid>FETCH-LOGICAL-c296t-9e2cd6c6ad2b7080864e5dd3e991f08e0db56196377bfbeb6979ef1994ea5c2a3</originalsourceid><addsrcrecordid>eNp9kcFu1DAQhi1ERZeWB-CCfOQSsJ3EsbmhqkClSlzas-XYk25KEocZu9I-Dm9KVlt65DTy6Pt_y_4Yey_FJylE95mEaISqhOwqpVtZ2VdsJ5u6qWor9Wu2E7bWlRGtPGdviR6FkMpY8YadK6NkbRqzY39ulow-rYA-j0_A-ymlyFcEooLAw94vD0A8FhyXBx5ghiVD5E-AVIiX5WXTj2uaPPI9zKPHvMe0Tp7ygQ8JeRxpO4UNG2BO6Ce-QPjFB_Qhb9d84Z7PZcpjFY5lyEPaJ8yccomHS3Y2-Ing3fO8YPffru-uflS3P7_fXH29rYKyOlcWVIg6aB9V3wkjjG6gjbEGa-UgDIjYt1paXXddP_TQa9tZGKS1Dfg2KF9fsI-n3hXT7wKU3TxSgGnyC6RCThptbSdkqzdUntCAiQhhcCuOs8eDk8IdzbiTGbeZcUczzm6ZD8_1pZ8hviT-qdgAdQJoPf41oHtMBZftyf9p_Qt7ZZ6N</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1869970156</pqid></control><display><type>article</type><title>Intraoperative blood pressure changes during cemented versus uncemented bipolar hemiarthroplasty for displaced femoral neck fracture: a multi-center cohort study: The effect of bone cement for bipolar hemiarthroplasty in elderly patients</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Miyamoto, Shuichi ; Nakamura, Junichi ; Iida, Satoshi ; Shigemura, Tomonori ; Kishida, Shunji ; Abe, Isao ; Takeshita, Munenori ; Harada, Yoshitada ; Orita, Sumihisa ; Ohtori, Seiji</creator><creatorcontrib>Miyamoto, Shuichi ; Nakamura, Junichi ; Iida, Satoshi ; Shigemura, Tomonori ; Kishida, Shunji ; Abe, Isao ; Takeshita, Munenori ; Harada, Yoshitada ; Orita, Sumihisa ; Ohtori, Seiji</creatorcontrib><description>Introduction
The purpose of this study was to compare the cemented bipolar hemiarthroplasty with uncemented about the change of intraoperative blood pressure and the incidence of major complications in elderly patients with femoral neck fracture.
Materials and methods
This multiple center prospective cohort study included only patients with acute displaced femoral neck fracture (Garden stage III or IV). All patients were treated with cemented or uncemented bipolar hemiarthroplasty using modified Hardinge or Watson-Jones approach in the lateral decubitus position. Baseline data, medical history, type of anesthesia, FiO
2
value, the number of vasopressor using during operation, femoral component, intraoperative blood pressure, SaO
2
, and major complications were evaluated.
Results
Of 164 patients (45 males and 119 females), 86 underwent cemented and 78 underwent uncemented bipolar hemiarthroplasty. Baseline medical histories were similar in both groups. In both the cemented and uncemented groups, intraoperative systolic blood pressure significantly decreased during cementing or rasping (106.3 and 103.6 mmHg) and after femoral component insertion (103.3 and 99.1 mmHg) compared to before rasping (120.7 and 116.4 mmHg) (
p
< 0.0001, respectively). Donaldson’s grade seemed more favorable in uncemented group than in cemented group during cementing or rasping, during stem insertion; however, no patients experienced the lethal complication in both groups.
Conclusions
Intraoperative blood pressure did not change during cemented and uncemented bipolar hemiarthrplasty for displaced femoral neck fracture. If the standard modern cement technique was performed during operation, bone cement is a safe and acceptable for elderly patients who have a lot of medical histories.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-017-2651-9</identifier><identifier>PMID: 28213848</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Blood Pressure ; Bone Cements - therapeutic use ; Female ; Femoral Neck Fractures - surgery ; Hemiarthroplasty - methods ; Humans ; Hypotension - epidemiology ; Hypotension - physiopathology ; Incidence ; Intraoperative Complications - epidemiology ; Intraoperative Complications - physiopathology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Prospective Studies ; Trauma Surgery ; Treatment Outcome</subject><ispartof>Archives of orthopaedic and trauma surgery, 2017-04, Vol.137 (4), p.523-529</ispartof><rights>Springer-Verlag Berlin Heidelberg 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c296t-9e2cd6c6ad2b7080864e5dd3e991f08e0db56196377bfbeb6979ef1994ea5c2a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-017-2651-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-017-2651-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28213848$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miyamoto, Shuichi</creatorcontrib><creatorcontrib>Nakamura, Junichi</creatorcontrib><creatorcontrib>Iida, Satoshi</creatorcontrib><creatorcontrib>Shigemura, Tomonori</creatorcontrib><creatorcontrib>Kishida, Shunji</creatorcontrib><creatorcontrib>Abe, Isao</creatorcontrib><creatorcontrib>Takeshita, Munenori</creatorcontrib><creatorcontrib>Harada, Yoshitada</creatorcontrib><creatorcontrib>Orita, Sumihisa</creatorcontrib><creatorcontrib>Ohtori, Seiji</creatorcontrib><title>Intraoperative blood pressure changes during cemented versus uncemented bipolar hemiarthroplasty for displaced femoral neck fracture: a multi-center cohort study: The effect of bone cement for bipolar hemiarthroplasty in elderly patients</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Introduction
The purpose of this study was to compare the cemented bipolar hemiarthroplasty with uncemented about the change of intraoperative blood pressure and the incidence of major complications in elderly patients with femoral neck fracture.
Materials and methods
This multiple center prospective cohort study included only patients with acute displaced femoral neck fracture (Garden stage III or IV). All patients were treated with cemented or uncemented bipolar hemiarthroplasty using modified Hardinge or Watson-Jones approach in the lateral decubitus position. Baseline data, medical history, type of anesthesia, FiO
2
value, the number of vasopressor using during operation, femoral component, intraoperative blood pressure, SaO
2
, and major complications were evaluated.
Results
Of 164 patients (45 males and 119 females), 86 underwent cemented and 78 underwent uncemented bipolar hemiarthroplasty. Baseline medical histories were similar in both groups. In both the cemented and uncemented groups, intraoperative systolic blood pressure significantly decreased during cementing or rasping (106.3 and 103.6 mmHg) and after femoral component insertion (103.3 and 99.1 mmHg) compared to before rasping (120.7 and 116.4 mmHg) (
p
< 0.0001, respectively). Donaldson’s grade seemed more favorable in uncemented group than in cemented group during cementing or rasping, during stem insertion; however, no patients experienced the lethal complication in both groups.
Conclusions
Intraoperative blood pressure did not change during cemented and uncemented bipolar hemiarthrplasty for displaced femoral neck fracture. If the standard modern cement technique was performed during operation, bone cement is a safe and acceptable for elderly patients who have a lot of medical histories.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Blood Pressure</subject><subject>Bone Cements - therapeutic use</subject><subject>Female</subject><subject>Femoral Neck Fractures - surgery</subject><subject>Hemiarthroplasty - methods</subject><subject>Humans</subject><subject>Hypotension - epidemiology</subject><subject>Hypotension - physiopathology</subject><subject>Incidence</subject><subject>Intraoperative Complications - epidemiology</subject><subject>Intraoperative Complications - physiopathology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Prospective Studies</subject><subject>Trauma Surgery</subject><subject>Treatment Outcome</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAQhi1ERZeWB-CCfOQSsJ3EsbmhqkClSlzas-XYk25KEocZu9I-Dm9KVlt65DTy6Pt_y_4Yey_FJylE95mEaISqhOwqpVtZ2VdsJ5u6qWor9Wu2E7bWlRGtPGdviR6FkMpY8YadK6NkbRqzY39ulow-rYA-j0_A-ymlyFcEooLAw94vD0A8FhyXBx5ghiVD5E-AVIiX5WXTj2uaPPI9zKPHvMe0Tp7ygQ8JeRxpO4UNG2BO6Ce-QPjFB_Qhb9d84Z7PZcpjFY5lyEPaJ8yccomHS3Y2-Ing3fO8YPffru-uflS3P7_fXH29rYKyOlcWVIg6aB9V3wkjjG6gjbEGa-UgDIjYt1paXXddP_TQa9tZGKS1Dfg2KF9fsI-n3hXT7wKU3TxSgGnyC6RCThptbSdkqzdUntCAiQhhcCuOs8eDk8IdzbiTGbeZcUczzm6ZD8_1pZ8hviT-qdgAdQJoPf41oHtMBZftyf9p_Qt7ZZ6N</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Miyamoto, Shuichi</creator><creator>Nakamura, Junichi</creator><creator>Iida, Satoshi</creator><creator>Shigemura, Tomonori</creator><creator>Kishida, Shunji</creator><creator>Abe, Isao</creator><creator>Takeshita, Munenori</creator><creator>Harada, Yoshitada</creator><creator>Orita, Sumihisa</creator><creator>Ohtori, Seiji</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170401</creationdate><title>Intraoperative blood pressure changes during cemented versus uncemented bipolar hemiarthroplasty for displaced femoral neck fracture: a multi-center cohort study</title><author>Miyamoto, Shuichi ; Nakamura, Junichi ; Iida, Satoshi ; Shigemura, Tomonori ; Kishida, Shunji ; Abe, Isao ; Takeshita, Munenori ; Harada, Yoshitada ; Orita, Sumihisa ; Ohtori, Seiji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c296t-9e2cd6c6ad2b7080864e5dd3e991f08e0db56196377bfbeb6979ef1994ea5c2a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Blood Pressure</topic><topic>Bone Cements - therapeutic use</topic><topic>Female</topic><topic>Femoral Neck Fractures - surgery</topic><topic>Hemiarthroplasty - methods</topic><topic>Humans</topic><topic>Hypotension - epidemiology</topic><topic>Hypotension - physiopathology</topic><topic>Incidence</topic><topic>Intraoperative Complications - epidemiology</topic><topic>Intraoperative Complications - physiopathology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Prospective Studies</topic><topic>Trauma Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miyamoto, Shuichi</creatorcontrib><creatorcontrib>Nakamura, Junichi</creatorcontrib><creatorcontrib>Iida, Satoshi</creatorcontrib><creatorcontrib>Shigemura, Tomonori</creatorcontrib><creatorcontrib>Kishida, Shunji</creatorcontrib><creatorcontrib>Abe, Isao</creatorcontrib><creatorcontrib>Takeshita, Munenori</creatorcontrib><creatorcontrib>Harada, Yoshitada</creatorcontrib><creatorcontrib>Orita, Sumihisa</creatorcontrib><creatorcontrib>Ohtori, Seiji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miyamoto, Shuichi</au><au>Nakamura, Junichi</au><au>Iida, Satoshi</au><au>Shigemura, Tomonori</au><au>Kishida, Shunji</au><au>Abe, Isao</au><au>Takeshita, Munenori</au><au>Harada, Yoshitada</au><au>Orita, Sumihisa</au><au>Ohtori, Seiji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative blood pressure changes during cemented versus uncemented bipolar hemiarthroplasty for displaced femoral neck fracture: a multi-center cohort study: The effect of bone cement for bipolar hemiarthroplasty in elderly patients</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>137</volume><issue>4</issue><spage>523</spage><epage>529</epage><pages>523-529</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Introduction
The purpose of this study was to compare the cemented bipolar hemiarthroplasty with uncemented about the change of intraoperative blood pressure and the incidence of major complications in elderly patients with femoral neck fracture.
Materials and methods
This multiple center prospective cohort study included only patients with acute displaced femoral neck fracture (Garden stage III or IV). All patients were treated with cemented or uncemented bipolar hemiarthroplasty using modified Hardinge or Watson-Jones approach in the lateral decubitus position. Baseline data, medical history, type of anesthesia, FiO
2
value, the number of vasopressor using during operation, femoral component, intraoperative blood pressure, SaO
2
, and major complications were evaluated.
Results
Of 164 patients (45 males and 119 females), 86 underwent cemented and 78 underwent uncemented bipolar hemiarthroplasty. Baseline medical histories were similar in both groups. In both the cemented and uncemented groups, intraoperative systolic blood pressure significantly decreased during cementing or rasping (106.3 and 103.6 mmHg) and after femoral component insertion (103.3 and 99.1 mmHg) compared to before rasping (120.7 and 116.4 mmHg) (
p
< 0.0001, respectively). Donaldson’s grade seemed more favorable in uncemented group than in cemented group during cementing or rasping, during stem insertion; however, no patients experienced the lethal complication in both groups.
Conclusions
Intraoperative blood pressure did not change during cemented and uncemented bipolar hemiarthrplasty for displaced femoral neck fracture. If the standard modern cement technique was performed during operation, bone cement is a safe and acceptable for elderly patients who have a lot of medical histories.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28213848</pmid><doi>10.1007/s00402-017-2651-9</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0936-8051 |
| ispartof | Archives of orthopaedic and trauma surgery, 2017-04, Vol.137 (4), p.523-529 |
| issn | 0936-8051 1434-3916 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1869970156 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Aged, 80 and over Blood Pressure Bone Cements - therapeutic use Female Femoral Neck Fractures - surgery Hemiarthroplasty - methods Humans Hypotension - epidemiology Hypotension - physiopathology Incidence Intraoperative Complications - epidemiology Intraoperative Complications - physiopathology Male Medicine Medicine & Public Health Middle Aged Orthopedics Prospective Studies Trauma Surgery Treatment Outcome |
| title | Intraoperative blood pressure changes during cemented versus uncemented bipolar hemiarthroplasty for displaced femoral neck fracture: a multi-center cohort study: The effect of bone cement for bipolar hemiarthroplasty in elderly patients |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-09T19%3A16%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Intraoperative%20blood%20pressure%20changes%20during%20cemented%20versus%20uncemented%20bipolar%20hemiarthroplasty%20for%20displaced%20femoral%20neck%20fracture:%20a%20multi-center%20cohort%20study:%20The%20effect%20of%20bone%20cement%20for%20bipolar%20hemiarthroplasty%20in%20elderly%20patients&rft.jtitle=Archives%20of%20orthopaedic%20and%20trauma%20surgery&rft.au=Miyamoto,%20Shuichi&rft.date=2017-04-01&rft.volume=137&rft.issue=4&rft.spage=523&rft.epage=529&rft.pages=523-529&rft.issn=0936-8051&rft.eissn=1434-3916&rft_id=info:doi/10.1007/s00402-017-2651-9&rft_dat=%3Cproquest_cross%3E1869970156%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1869970156&rft_id=info:pmid/28213848&rfr_iscdi=true |