Bone cement implantation syndrome: An unavoidable catastrophe?

Abstract

Introduction:Bone cement implantation syndrome is an important cause of perioperative morbidity and mortality (0.6-1%) in patients undergoing cemented hip arthroplasty. Clinical features include cardiac, neurologic and respiratory impairments that may lead to cardiac arrest. It has been proposed that the effect of systemically absorbed methyl methacrylate and release of endogenous mediators can be the main process which leads to multiorgan dysfunction. Case Report: We describe a case of bone cement implantation syndrome developed in a hip arthroplasty with a catastrophic outcome, resulting in the death of the patient in 24h. Conclusion: The review of clinical cases of bone cement implantation syndrome is essential in clinical practice given that early recognition and management of this syndrome may improve the overall prognosis.

The Influence of Femoral Fixation on Mortality and Revision After Hip Arthroplasty in Femoral Neck Fractures in Patients Older Than 65 Years. A Matched Cohort Analysis From the American Joint Replacement Registry

“…Finally, there remain concerns over increased risk of mortality in the elderly patient population with cemented fixation due to BCIS resulting in sudden death or higher early mortality compared with cemented fixation. 11,12 The purpose of our study was to examine the patterns of cemented and noncemented fixation in the United States using AJRR data to evaluate risk of all-cause revision, revision for PPFx, and morality at various time points using an exact matched cohort study.…”

“…Finally, there remain concerns over increased risk of mortality in the elderly patient population with cemented fixation due to BCIS resulting in sudden death or higher early mortality compared with cemented fixation. 11,12 The purpose of our study was to examine the patterns of cemented and noncemented fixation in the United States using AJRR data to evaluate risk of allcause revision, revision for PPFx, and morality at various time points using an exact matched cohort study. Using a 1:1 exact matching, based on age, sex, body mass index, and CCI, our data demonstrate that revision rates for any reason and revision for PPFxs are markedly lower in the cemented femoral fixation cohort at 90 days, 1 year, and overall (PPFx).…”