Intra-operative femoral head vascularity assessment: An innovative and simple technique
2011

New Technique for Assessing Blood Flow to the Femoral Head

Sample size: 8 publication Evidence: moderate

Author Information

Author(s): Madhuri Vrisha Dutt, Vivek Samuel Kunder, Gahukamble Abhay Deodas

Primary Institution: Christian Medical College, Vellore, Tamil Nadu, India

Hypothesis

Can a simple and inexpensive technique be developed to assess intra-operative blood flow to the femoral head?

Conclusion

This new technique is a cheap and readily accessible alternative to existing methods for assessing blood flow to the femoral head.

Supporting Evidence

  • The technique was validated by post-operative bone scans in patients with acute slipped capital femoral epiphysis.
  • Five out of eight patients showed normal vascularity during the procedure.
  • The technique is less expensive than laser Doppler flowmetry and ICP monitoring.

Takeaway

Doctors found a new way to check if the blood is flowing to a part of the hip during surgery, using simple tools that are easy to get.

Methodology

An epidural catheter was used to measure pressure in the femoral head as a surrogate for blood flow during surgery.

Limitations

The technique was only tested in a small group of eight patients.

Participant Demographics

Eight children aged 6 to 18 years, with various hip pathologies.

Digital Object Identifier (DOI)

10.4103/0019-5413.80041

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