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Intramedullary Pressure and Pulmonary Embolism of Femoral Medullary Contents in Dogs during Insertion of Bone Cement and a Prosthesis
TAMAS KALLOS; JERRY E. ENIS; FRANK GOLLAN; JOSEPH H. DAVIS
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From the Departments of Anesthesiology, Orthopaedics and Rehabilitation, University of Miami School of Medicine and Veterans Administration Hospital, Miami
1974 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1974; 56:1363-1367 
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Abstract

Femoral medullary pressures and pulmonary embolization of medullary contents during the insertion of cement and a medullary rod in greyhounds were studied. In three animals, insertion of cement into the femoral shaft resulted in medullary pressures of between 290 and 900 torr and the appearance of medullary contents in the lungs within ten to 120 seconds. In five other animals, pulmonary embolization was not detectable when the rise in femoral medullary pressure was prevented by drilling a hole distal to the cemented area.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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