The Effects of Femoral Intramedullary Reaming on Pulmonary Function in a Sheep Lung Model* by PAUL J. DUWELIUS, ROGER HUCKFELDT, RICHARD J. MULLINS, TAKAKIRO.

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Presentation transcript:

The Effects of Femoral Intramedullary Reaming on Pulmonary Function in a Sheep Lung Model* by PAUL J. DUWELIUS, ROGER HUCKFELDT, RICHARD J. MULLINS, TAKAKIRO SHIOTA, T. SCOTT WOLL, KENNETH H. LINDSEY, and DONNA WHEELER J Bone Joint Surg Am Volume 79(2): February 1, 1997 ©1997 by The Journal of Bone and Joint Surgery, Inc.

Fig. 1 Graph of the change in pulmonary vascular resistance (PVR) with time for the treatment groups in experiment I. There was a significant difference (asterisk) between the baseline value and the value at thirty minutes for the animals that had insertion... PAUL J. DUWELIUS et al. J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.

Fig. 2 Graph of the pulmonary vascular resistance (PVR) in the normal lungs with time for the treatment groups in experiment II. The value for the animals that had insertion of a femoral nail with reaming (circles) was significantly greater (asterisk) than... PAUL J. DUWELIUS et al. J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3 Graph of the pulmonary vascular resistance (PVR) in the contused lungs with time for the treatment groups in experiment II. The value for the animals that had insertion of a femoral nail with reaming (circles) was significantly greater (asterisk) tha... PAUL J. DUWELIUS et al. J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.

Figs. 4-A and 4-B: Embolic intravascular ultrasound studies of an animal with normal lungs that had insertion of a femoral nail without reaming. PAUL J. DUWELIUS et al. J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4-B: Embolic shower (arrows) produced during insertion of the awl. PAUL J. DUWELIUS et al. J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.

Fig. 5 Graph of the effect of specific orthopaedic interventions on embolic phenomena detected with intravascular ultrasound in experiment II. Squares = the animals that had a skin incision and creation of a fracture of the middle of the femoral shaft, circ... PAUL J. DUWELIUS et al. J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.

Fig. 6 Graph of the number of embolic particles (black bars) and the duration of the embolic shower (gray bars) detected by intravascular ultrasound during intramedullary reaming of the femur. PAUL J. DUWELIUS et al. J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.