Polymethylmethacrylate lung embolus after limb-salvage surgery of the distal femur

Najat C. Daw, Jesse J. Jenkins, M. Beth McCarville, Bhaskar N. Rao, Michael N. Neel

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Limb-salvage surgery for malignant tumors frequently involves reconstruction with an endoprosthesis anchored to bone by using third-generation cementing techniques. A 10-year-old boy with osteosarcoma had a pulmonary embolus caused by polymethylmethacrylate after having limb-salvage surgery that used high-pressure cementing techniques. He experienced transient postoperative chest pain, and a new wedge-shaped radiodense pulmonary lesion appeared on a computed tomography scan of the chest. A thoracotomy for resection of suspected metastatic osteosarcoma revealed a pulmonary infarct caused by cement embolization. Awareness of this potential complication should prompt investigation of possible pulmonary embolism and may prevent unnecessary thoracotomy.

Original languageEnglish (US)
Pages (from-to)252-256
Number of pages5
JournalClinical orthopaedics and related research
Volume448
DOIs
StatePublished - Jul 2006
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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