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Lung complications after elective hip surgery.

D Bergqvist, T Hallböök, B Lindblad

Acta Orthopaedica Scandinavica

|October 1, 1982

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Elective hip surgery patients had a low rate of serious pulmonary complications. While 27% experienced some complications, significant issues like pulmonary embolism were infrequent, indicating a generally safe procedure.

Area of Science:

Orthopedic Surgery
Pulmonary Medicine
Radiology

Background:

Pulmonary complications are a concern following major surgery.
Elective hip surgery involves significant patient mobilization and potential risk factors.

Purpose of the Study:

To investigate the incidence and nature of pulmonary complications after elective hip surgery.
To assess the utility of chest X-rays and pulmonary perfusion scintigraphy in detecting these complications.

Main Methods:

Retrospective analysis of 350 patients undergoing elective hip surgery.
Review of pre- and postoperative chest X-rays.
Evaluation of pulmonary perfusion scintigrams to detect pulmonary embolism.

Main Results:

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27% of patients experienced pulmonary complications.
12% showed minor changes on postoperative chest X-rays.
15.4% had scintigraphic evidence of pulmonary embolism, with 30% of these also showing infectious disease symptoms.
Two deaths were attributed to pulmonary embolism.

Conclusions:

Serious pulmonary complications are infrequent after elective hip surgery.
Pulmonary perfusion scintigraphy can identify pulmonary embolism, which may be asymptomatic.
Routine imaging may reveal minor changes, but severe outcomes are rare.