Introduction The prosthetic treatment of the hip joint is one of the most promising and frequently performed procedures in orthopedics. It is used in cases of osteoarthritis, inflammatory changes, necrosis, fractures, malpositions or malformations of the hip in order to alleviate pain for the patient and restore mobility. Unfortunately, the inserted joints do not last … Loosening of the hip prosthesis
Therapy If the hip prosthesis loosens, a new operation is usually unavoidable and should be performed soon after the loosening is diagnosed in order to avoid further damage to the bones and surrounding soft tissue structures. Further surgical therapy depends on the location where the prosthesis loosening occurs. Two areas are possible: The shaft, which … Therapy | Loosening of the hip prosthesis
What is a fat embolism? Fat embolism is an embolic event of fatty material entering the vascular system. The occlusion can affect, among other things, the pulmonary vascular system and possibly also the vascular system of the central nervous system (CNS). This leads to serious complications that can be fatal if undetected. There are other … Bold embolism
Symptoms Typical symptoms of fat embolism include The first symptom is typically difficult breathing and may even be shortness of breath. In addition, small skin bleedings (petechiae) occur in typical body regions, such as the head, conjunctiva, chest and armpit. The embolic occlusion of brain vessels can lead to neurological symptoms. These are mainly focal … Symptoms | Bold embolism
Therapy If a fat embolism has been diagnosed in the pulmonary or cerebral vessels, an adequate therapy should be initiated as soon as possible. A symptomatic therapy is the main focus. Possible options include inhibition of blood clotting (anticoagulation) and the use of glucocorticoids. However, the use of anticoagulants in particular must be critically reviewed, … Therapy | Bold embolism