Reproducible transient asystolic arrest during intramedullary reaming of the femoral canal: A case report

Abstract The utilization of intramedullary devices in the surgical fixation of hip fractures is increasing. Although intramedullary devices offer many advantages in the treatment of these injuries, they are also associated with a unique set of potential complications, particularly during preparation...

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Veröffentlicht in:Journal of clinical orthopaedics and trauma 2017-08, Vol.8 (Suppl 1), p.S58-S61
Hauptverfasser: Wooster, Benjamin M, Nickel, Brian T, Neumann, Julie A, Lindsay, David R, Wellman, Samuel S
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container_issue Suppl 1
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container_title Journal of clinical orthopaedics and trauma
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creator Wooster, Benjamin M
Nickel, Brian T
Neumann, Julie A
Lindsay, David R
Wellman, Samuel S
description Abstract The utilization of intramedullary devices in the surgical fixation of hip fractures is increasing. Although intramedullary devices offer many advantages in the treatment of these injuries, they are also associated with a unique set of potential complications, particularly during preparation of the femoral canal. Cardiac dysrhythmia resulting from reaming the femoral canal is rare and has not been previously described in detail in the literature. We present the case of a 69-year-old male with an infected right cephalomedullary femoral nail who underwent removal of hardware and experienced reproducible, transient asystolic cardiac arrest during reaming of the femoral canal and offer potential explanations for this event.
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Although intramedullary devices offer many advantages in the treatment of these injuries, they are also associated with a unique set of potential complications, particularly during preparation of the femoral canal. Cardiac dysrhythmia resulting from reaming the femoral canal is rare and has not been previously described in detail in the literature. 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source Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Cardiac dysrhythmia
Case Report
Gallagher-Wilkinson reflex
Hip fracture
Intramedullary fixation
Orthopedics
title Reproducible transient asystolic arrest during intramedullary reaming of the femoral canal: A case report
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