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It is well known that the changes in intramedullary canal during orthopedic surgeries can cause variuos complication. The change of femoral intramedullary pressure after implantation of hip replacement and its possible complications are not well studied and the investigators are aiming to give more answer to this issue.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hip replacement with cemented femoral component | Active Comparator | A special device that measure the pressure will be used to measure the change of pressure before, during and after implantation of cemented femoral component of hip prothesis. |
|
| Hip replacement with non-cemented femoral component | Active Comparator | A special device that measure the pressure will be used to measure the change of pressure before, during and after implantation of non-cemented femoral component of hip prothesis. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hip replacement | Device | The hip replacement surgery is when a damaged hip is replaced with artificial one |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change of pressure in femoral intramedullary canal after implantation of femoral component | The pressure in intramedullary canal will be measured with customized device | The femoral intramedullary pressure will be measured before the cut of femoral neck and continuously during first 10 minutes after the implantation of cemented femoral component |
| Measure | Description | Time Frame |
|---|---|---|
| Difference of arterial pressure after implantation of femoral component | The changes will be measured by the device monitor connected to patient | The changes will be measured before implantation and during first 10 minutes after implantation |
| Difference of changes of Leukocyte formula after implantation of femoral component |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Clinical Center of Kosovo | Pristina | 10000 | Kosovo |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41266408 | Derived | Ukaj S, Ukaj D, Dervishaj F, Dyla D, Krasniqi E, Elezi G, Obertinca R, Boshnjaku A. Systemic inflammatory response to cemented and uncemented total hip arthroplasty with PMMA bone cement. Sci Rep. 2025 Nov 20;15(1):40957. doi: 10.1038/s41598-025-24695-0. | |
| 33528632 | Derived | Ukaj S, Veslko M, Krasniqi S, Podvorica V, Ukaj F, Ahmeti A, Hernigou P, Cimerman M. Cemented stems in healthy elderly patients result in higher hypoxia despite a paradoxical lower femoral increase of intramedullary pressure. Int Orthop. 2021 Apr;45(4):915-922. doi: 10.1007/s00264-021-04955-0. Epub 2021 Feb 2. |
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| ID | Term |
|---|---|
| D019644 | Arthroplasty, Replacement, Hip |
| ID | Term |
|---|---|
| D019643 | Arthroplasty, Replacement |
| D001178 | Arthroplasty |
| D019637 | Orthopedic Procedures |
| D013514 | Surgical Procedures, Operative |
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The changes will be measured from the blood taken from operated patients |
| The blood will be taken from patience 1 hour before and POD1 |
| Difference of SpO2 after implantation of femoral component | The changes will be measured by the device monitor connected to patient | The changes will be measured before implantation and during first 10 minutes after implantation |
| Difference of SpCO after implantation of femoral component | The changes will be measured by the device monitor connected to patient | The changes will be measured before implantation and during first 10 minutes after implantation |
| Difference of changes of CRP after implantation of femoral component | The changes will be measured from the blood taken from operated patients | The blood will be taken from patience 1 hour before and POD1 |
| Difference of changes of Histamine after implantation of femoral component | The changes will be measured from the blood taken from operated patients | The blood will be taken from patience 1 hour before and POD1 |
| D019651 | Plastic Surgery Procedures |
| D019919 | Prosthesis Implantation |