• J Bone Joint Surg Br · May 1994

    Randomized Controlled Trial Clinical Trial

    Echocardiography of transatrial embolism during cemented and uncemented hemiarthroplasty of the hip.

    • J Christie, R Burnett, H R Potts, and A C Pell.
    • Princess Margaret Rose Orthopaedic Hospital, Edinburgh, Scotland.
    • J Bone Joint Surg Br. 1994 May 1;76(3):409-12.

    AbstractWe performed transoesophageal echocardiography on 20 patients with femoral neck fractures randomly treated with an uncemented Austin-Moore or cemented Hastings hemiarthroplasty. Cemented arthroplasty caused greater and more prolonged embolic cascades than did uncemented arthroplasty. Some emboli were more than 3 cm in length. In some patients the cascades were associated with pulmonary hypertension, diminished oxygen tension and saturation, and the presence of fat and marrow in aspirates from the right atrium.

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