Intraoperative Dysrhythmias Cease After Venting During Intramedullary Nailing of an Impending Femur Fracture : A Case Report
Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated..
CASE: A 76-year-old woman with multiple myeloma and osteoporosis presented with right hip pain and an impending atypical femoral fracture in the setting of chronic bisphosphonate use. After preoperative medical optimization, she was scheduled for prophylactic intramedullary nail fixation. Intraoperatively, the patient experienced episodes of severe bradycardia and asystole associated with intramedullary reaming, which ceased after distal venting of the femur. No additional intraoperative or postoperative complications were encountered, and the patient recovered uneventfully.
CONCLUSION: Femoral canal venting may be an appropriate intervention for similar transient dysrhythmias caused by intramedullary reaming.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:13 |
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| Enthalten in: |
JBJS case connector - 13(2023), 2 vom: 01. Apr. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Martinez, Frank A [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 11.04.2023 Date Revised 12.07.2023 published: Electronic-eCollection Citation Status MEDLINE |
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| doi: |
e22.00126 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM355314649 |
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| 520 | |a Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated. | ||
| 520 | |a CASE: A 76-year-old woman with multiple myeloma and osteoporosis presented with right hip pain and an impending atypical femoral fracture in the setting of chronic bisphosphonate use. After preoperative medical optimization, she was scheduled for prophylactic intramedullary nail fixation. Intraoperatively, the patient experienced episodes of severe bradycardia and asystole associated with intramedullary reaming, which ceased after distal venting of the femur. No additional intraoperative or postoperative complications were encountered, and the patient recovered uneventfully | ||
| 520 | |a CONCLUSION: Femoral canal venting may be an appropriate intervention for similar transient dysrhythmias caused by intramedullary reaming | ||
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