dostęp otwarty

Tom 20, Nr 3 (2016)
ORIGINAL PAPERS
Opublikowany online: 2016-09-29
Pobierz cytowanie

The relationship between the use of cement during total hip replacement and blood pressure values

Pawel Legosz, Anna E. Platek, Marcin Kotkowski, Bartosz Krzowski, Rafal Kowalczyk, Anna Rys, Karolina Semczuk, Pawel Maldyk, Filip M. Szymanski
DOI: 10.5603/AH.2016.0018
·
Arterial Hypertension 2016;20(3):119-124.

dostęp otwarty

Tom 20, Nr 3 (2016)
ORIGINAL PAPERS
Opublikowany online: 2016-09-29

Streszczenie

Background Total hip replacement is a common orthopaedic procedure associated with an elevated cardiovascular risk. There are several methods for total hip replacement, including whether or not to use cement for the prosthesis fixation. The aim of the study was to compare clinical characteristics, including blood pressure, in patients undergoing total hip replacement with and without the use of cement.

Material and methods The study included patients with elective total hip replacement surgery, who were divided into those in whom the procedure was performed with or without the use of medical cement. The criteria for using cement were assessed during operation by the operator, according to the current protocol. All patients were interviewed, screened, and had their medical records checked for the prior diagnosis of cardiovascular risk factors. Blood pressure values were measured before and after the procedure according to the current guidelines.

Results The study population consisted of 65 patients in whom the total hip replacement was performed (mean age 61.5 ± 15.0 years; 50.8% male). 60% of patients had the hip replacement without cement and 40.0% had a procedure with the use of cement. Patients in whom the cement was used were significantly older (75.0 ± 8.5 vs. 53.0 ± 11.5 years; p < 0.0001) and more often diagnosed with arterial hypertension (61.5 vs. 33.3%; p = 0.04), than those in whom it was not used. Systolic blood pressure values were significantly higher before and after the procedure (138.8 ± 18.2 vs. 130.8 ± 21.5 mm Hg, p = 0.04; 122.6 ± 13.3 vs. 113.8 ± 14.1 mm Hg, p = 0.03; respectively) in the group which required cement.

Conclusions Patients with hip replacement using cement have higher systolic values before, and after the surgery than in patients in whom cement wasn’t used. Therefore careful management and risk assessment is especially important in patients receiving the total hip replacement with the use of cement.

Streszczenie

Background Total hip replacement is a common orthopaedic procedure associated with an elevated cardiovascular risk. There are several methods for total hip replacement, including whether or not to use cement for the prosthesis fixation. The aim of the study was to compare clinical characteristics, including blood pressure, in patients undergoing total hip replacement with and without the use of cement.

Material and methods The study included patients with elective total hip replacement surgery, who were divided into those in whom the procedure was performed with or without the use of medical cement. The criteria for using cement were assessed during operation by the operator, according to the current protocol. All patients were interviewed, screened, and had their medical records checked for the prior diagnosis of cardiovascular risk factors. Blood pressure values were measured before and after the procedure according to the current guidelines.

Results The study population consisted of 65 patients in whom the total hip replacement was performed (mean age 61.5 ± 15.0 years; 50.8% male). 60% of patients had the hip replacement without cement and 40.0% had a procedure with the use of cement. Patients in whom the cement was used were significantly older (75.0 ± 8.5 vs. 53.0 ± 11.5 years; p < 0.0001) and more often diagnosed with arterial hypertension (61.5 vs. 33.3%; p = 0.04), than those in whom it was not used. Systolic blood pressure values were significantly higher before and after the procedure (138.8 ± 18.2 vs. 130.8 ± 21.5 mm Hg, p = 0.04; 122.6 ± 13.3 vs. 113.8 ± 14.1 mm Hg, p = 0.03; respectively) in the group which required cement.

Conclusions Patients with hip replacement using cement have higher systolic values before, and after the surgery than in patients in whom cement wasn’t used. Therefore careful management and risk assessment is especially important in patients receiving the total hip replacement with the use of cement.

Pobierz cytowanie

Słowa kluczowe

arterial hypertension, hip replacement, cement

Informacje o artykule
Tytuł

The relationship between the use of cement during total hip replacement and blood pressure values

Czasopismo

Arterial Hypertension

Numer

Tom 20, Nr 3 (2016)

Strony

119-124

Data publikacji on-line

2016-09-29

DOI

10.5603/AH.2016.0018

Rekord bibliograficzny

Arterial Hypertension 2016;20(3):119-124.

Słowa kluczowe

arterial hypertension
hip replacement
cement

Autorzy

Pawel Legosz
Anna E. Platek
Marcin Kotkowski
Bartosz Krzowski
Rafal Kowalczyk
Anna Rys
Karolina Semczuk
Pawel Maldyk
Filip M. Szymanski

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