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Bone cement implantation syndrome in cemented hip hemiarthroplasty—a persistent risk

BACKGROUND: Every year, ~ 210,000 initial implantations of hip endoprostheses are carried out in Germany alone. The “bone cement implantation syndrome” (BCIS) is considered a severe peri- and early-postoperative complication when implanting cemented prostheses. The origin of the BCIS and its impact...

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Autores principales: Weingärtner, Karoline, Störmann, Philipp, Schramm, David, Wutzler, Sebastian, Zacharowski, Kai, Marzi, Ingo, Lustenberger, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9001528/
https://www.ncbi.nlm.nih.gov/pubmed/33495852
http://dx.doi.org/10.1007/s00068-020-01587-8
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author Weingärtner, Karoline
Störmann, Philipp
Schramm, David
Wutzler, Sebastian
Zacharowski, Kai
Marzi, Ingo
Lustenberger, Thomas
author_facet Weingärtner, Karoline
Störmann, Philipp
Schramm, David
Wutzler, Sebastian
Zacharowski, Kai
Marzi, Ingo
Lustenberger, Thomas
author_sort Weingärtner, Karoline
collection PubMed
description BACKGROUND: Every year, ~ 210,000 initial implantations of hip endoprostheses are carried out in Germany alone. The “bone cement implantation syndrome” (BCIS) is considered a severe peri- and early-postoperative complication when implanting cemented prostheses. The origin of the BCIS and its impact on the clinical outcome are still uncertain. This study investigates the clinical progression after BCIS cases in patients with cemented hemiarthroplasty. Risk factors for the occurrence of BCIS are evaluated. MATERIAL AND METHODS: Clinical data of all patients with a proximal femur fracture and which received a cemented hemiarthroplasty within a period of 9.5 years have been collected. BCIS (+) patients and BCIS (−) patients were compared with respect to their demographics and clinical outcome. Risk factors for the development of BCIS were identified. RESULTS: A total of 208 patients could be included with complete data sets. The mean age was 81.1 ± 10.0 years. Overall, 37% of the patients showed symptoms of BCIS. In comparison to BCIS (−) patients there was a significantly higher rate of cardiovascular complications (27.3% vs. 13.7%, p = 0.016) and a higher in-hospital mortality rate (15.6% vs. 4.6%, p = 0.006) in BCIS (+) patients. Age, absence of a femoral borehole and ASA status were identified as statistically significant risk factors of BCIS. CONCLUSION: BCIS is frequently observed and in some cases severe complication. The therapy is exclusively symptomatic; identifying preventional measures might reduce the occurrence of BCIS.
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spelling pubmed-90015282022-04-27 Bone cement implantation syndrome in cemented hip hemiarthroplasty—a persistent risk Weingärtner, Karoline Störmann, Philipp Schramm, David Wutzler, Sebastian Zacharowski, Kai Marzi, Ingo Lustenberger, Thomas Eur J Trauma Emerg Surg Original Article BACKGROUND: Every year, ~ 210,000 initial implantations of hip endoprostheses are carried out in Germany alone. The “bone cement implantation syndrome” (BCIS) is considered a severe peri- and early-postoperative complication when implanting cemented prostheses. The origin of the BCIS and its impact on the clinical outcome are still uncertain. This study investigates the clinical progression after BCIS cases in patients with cemented hemiarthroplasty. Risk factors for the occurrence of BCIS are evaluated. MATERIAL AND METHODS: Clinical data of all patients with a proximal femur fracture and which received a cemented hemiarthroplasty within a period of 9.5 years have been collected. BCIS (+) patients and BCIS (−) patients were compared with respect to their demographics and clinical outcome. Risk factors for the development of BCIS were identified. RESULTS: A total of 208 patients could be included with complete data sets. The mean age was 81.1 ± 10.0 years. Overall, 37% of the patients showed symptoms of BCIS. In comparison to BCIS (−) patients there was a significantly higher rate of cardiovascular complications (27.3% vs. 13.7%, p = 0.016) and a higher in-hospital mortality rate (15.6% vs. 4.6%, p = 0.006) in BCIS (+) patients. Age, absence of a femoral borehole and ASA status were identified as statistically significant risk factors of BCIS. CONCLUSION: BCIS is frequently observed and in some cases severe complication. The therapy is exclusively symptomatic; identifying preventional measures might reduce the occurrence of BCIS. Springer Berlin Heidelberg 2021-01-26 2022 /pmc/articles/PMC9001528/ /pubmed/33495852 http://dx.doi.org/10.1007/s00068-020-01587-8 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Weingärtner, Karoline
Störmann, Philipp
Schramm, David
Wutzler, Sebastian
Zacharowski, Kai
Marzi, Ingo
Lustenberger, Thomas
Bone cement implantation syndrome in cemented hip hemiarthroplasty—a persistent risk
title Bone cement implantation syndrome in cemented hip hemiarthroplasty—a persistent risk
title_full Bone cement implantation syndrome in cemented hip hemiarthroplasty—a persistent risk
title_fullStr Bone cement implantation syndrome in cemented hip hemiarthroplasty—a persistent risk
title_full_unstemmed Bone cement implantation syndrome in cemented hip hemiarthroplasty—a persistent risk
title_short Bone cement implantation syndrome in cemented hip hemiarthroplasty—a persistent risk
title_sort bone cement implantation syndrome in cemented hip hemiarthroplasty—a persistent risk
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9001528/
https://www.ncbi.nlm.nih.gov/pubmed/33495852
http://dx.doi.org/10.1007/s00068-020-01587-8
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