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We inserted an electrode up the femoral neck into the femoral head of ten patients undergoing a metal-on-metal hip resurfacing arthroplasty through a posterior surgical approach and measured the oxygen concentration during the operation. In every patient the blood flow was compromised during surgery, but the extent varied. In three patients, the oxygen concentration was zero at the end of the procedure. The surgical approach caused a mean 60% drop (p < 0.005) in oxygen concentration while component insertion led to a further 20% drop (p < 0.04). The oxygen concentration did not improve significantly on wound closure. This study demonstrates that during hip resurfacing arthroplasty, patients experience some compromise to their femoral head blood supply and some have complete disruption.

Original publication

DOI

10.1302/0301-620x.87b11.16780

Type

Journal article

Journal

The Journal of bone and joint surgery. British volume

Publication Date

11/2005

Volume

87

Pages

1468 - 1474

Addresses

Department of Orthopaedic Surgery, Nuffield Orthopaedic Centre, Windmill Road, Oxford OX3 7LD, UK.

Keywords

Femur Head, Humans, Osteoarthritis, Hip, Nitrous Oxide, Metals, Fluoroscopy, Monitoring, Intraoperative, Arthroplasty, Oxygen Consumption, Regional Blood Flow, Adult, Aged, Middle Aged, Female, Male