Chinese Journal of Tissue Engineering Research ›› 2013, Vol. 17 ›› Issue (25): 4727-4732.doi: 10.3969/j.issn.2095-4344.2013.25.023

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Changes of pulmonary function after bone injury treated with polymethylme-thacrylic bone cement  

Guan Ji-kui1, Zhao Li1, Jiang Yu1, Li Ze-bao1, Chao Peng-cheng1, Wei Min-jie1, Wang Hui1, Liu Jian-guo2   

  1. 1 Department of Orthopedics, Daqing Oilfield General Hospital, Daqing  163001, Heilongjiang Province, China
    2 Department of Orthopedics, First Hospital of Jilin University, Changchun  130021, Jilin Province, China
  • Received:2012-10-08 Revised:2013-05-20 Online:2013-06-18 Published:2013-06-18
  • Contact: Liu Jian-guo, Professor, Doctoral supervisor, Department of Orthopedics, First Hospital of Jilin University, Changchun 130021, Jilin Province, China jgliu.2005@yahoo.com.cn
  • About author:Guan Ji-kui★, Master, Associate chief physician, Department of Orthopedics, Daqing Oilfield General Hospital, Daqing 163001, Heilongjiang Province, China guan1858@163.com

Abstract:

BACKGROUND: At present, the polymethylme-thacrylic bone cement filling has been widely used in the treatment of fractures and bone injuries during arthroplasty. The pulmonary function changes caused by polymethylme-thacrylic bone cement filling, especially the elderly bone injury patients, should be prevented and treated actively.
OBJECTIVE: To observe the pulmonary function changes after bone injury treated with polymethylme-thacrylic bone cement filling.
METHODS: Twenty-four patients with fractures and arthroplasty bone injury were selected from the Department of Orthopedics, Daqing Oilfield General Hospital between May 2010 and June 2011. The patients were treated with polymethylme-thacrylic bone cement filling. Vital capacity, forced vital capacity and maximum voluntary ventilation changes were compared after treated for 1 day and 1 week.
RESUTLS AND CONCLUSION: For the patients with fractures and arthroplasty bone injury after  treated with polymethylme-thacrylic bone cement filling for 1 day, the vital capacity was (2.45±0.56) L, forced vital capacity was (2.20± 0.39) L and maximum voluntary ventilation was (50.9±23.9) L, which were lower than those after treated for 1 week. Polymethylme-thacrylic bone cement filling can affect the pulmonary function of the patients to some extent, and this change may relate with microvascular embolization caused by bone cement application. So pulmonary embolism should be prevented and treated through strengthen monitoring, and durgs application before and after treatment.

Key words: biomaterials, biomaterial academic discussion, polymethylme-thacrylic, bone cement, bone injury, fracture, arthroplasty, pulmonary function, vital capacity, ventilation

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