Analysis of perioperative blood loss using two different methods of fixation in elderly patients with intertrochanteric hip fractures

Автор: Wu Lin, Meng Xian Feng, Wang Xinyue, Fu Peng, Cui Zhengli, Bobrov D.S.

Журнал: Кафедра травматологии и ортопедии @jkto

Статья в выпуске: 3 (33), 2018 года.

Бесплатный доступ

Objective: To study perioperative blood loss in aged patients with femoral intertrochanteric fracture by analysis of perioperative blood loss volume in aged patients treated by proximal femoral nail anti-rotation (PFNA) and dynamic hip nail (DHS).Methods: Retrospective analysis was conducted to investigate clinical data of 124 cases of aged femoral intertrochanteric fracture diagnosed and treated by the use of PFNA and DHS in our department from January 1, 2013 to November 1, 2017. Blood loss volume during the perioperative period was calculated by the use of Gross equation with height, weight and changes of routine blood parameters before and after operation. Differences of blood loss volumes between the PFNA group and the DHS group were compared. Results: The PFNA group had 78 patients with average operation duration of 69.0±27.1 min, average overt blood loss volume of 91.5±111.4 mL, average total blood loss volume of 825.7±478.0 mL and average occult blood loss volume of 734.2±455...

Еще

Hip fracture, intraoperative blood loss, operation, fracture fixation, elderly patients

Короткий адрес: https://sciup.org/142221760

IDR: 142221760   |   DOI: 10.17238/issn2226-2016.2018.3.10-14

Список литературы Analysis of perioperative blood loss using two different methods of fixation in elderly patients with intertrochanteric hip fractures

  • Xu Y., Geng D., Yang H. et al. Treatment of unstable proximal femoral fractures: comparison of the proximal femoral nail antirotation and gamma nail 3, J. Orthopedics, 2010, 33( 7): 473 -478. DOI: 10.3928/01477447-20100526-03
  • Sehat K.R, Evans R. Newman J.H. How much blood is really lost in total knee arthroplasty ? Correct blood loss management should take hidden loss into account, J. Knee, 2000, 7( 3): 151 -155. 10.1016/ S0968-0160(00)00047-8 DOI: 10.1016/S0968-0160
  • Gross J.B. estimating allowable blood loss: corrected for dilution, J. Anesthesiology, 1983, 58( 3): 277 -280. 10.1097/00000542- 198303000-00016 DOI: 10.1097/00000542-198303000-00016
  • Nadler S.B., Hidalgo J.H., Bloch T. Prediction of blood volume in normal human adults, J. Surgery, 1962, 51( 2): 224 -232. No DOI found
  • Luo T., Huang W.T., Wu W. Analysis of perioperative blood loss in treatment for femoral intertrochanteric fracture, J. Journal of Practical Orthopaedics, 2011, 17( 9): 796- 799. 10.3969/j.issn.1008- 5572.2011.09.008 DOI: 10.3969/j.issn.1008-5572.2011.09.008
  • Liu J., Wang S.K., Tai P.H. TKA The effect of postoperative drainage on perioperative blood loss, J. Chinese journal of bone and joint injury, 2011, 26( 4):364 -365.No DOI found
  • Smith G.H., Tsang J., Molyneux S.G. et al. The hidden blood loss after hip fracture, J. Injury, 2011, 42( 2): 133-135.
  • DOI: 10.1016/j.inju-ry.2010.02.015
  • Zhang P.X., Xue F., An S. Analysis of perioperative blood loss volume in patients treated by proximal femoral nail anti-rotation (PFNA) and dynamic hip nail (DHS), J. Journal of Peking University: medical edition, 2012, 44( 6): 891 -894.
  • DOI: 10.3969/j.issn.1671-167x.2012.06.018
  • Chechik O., Thein R., Fichman G. et al.The effect of clopidogrel and aspirin on blood loss in hip fracture surgery, J. Injury, 2011, 42(11):1277- 1282.
  • DOI: 10.1016/j.injury.2011.01.011
  • Manning B.J., O'Brien N., Aravindan S. et al. The effect of aspirin on blood loss and transfusion requirements in patients with femoral neck fractures, J. Injury, 2004, 35( 2): 121 -124. 10.1016/s0020- 1383(03)00073-1
  • DOI: 10.1016/s0020-1383(03)00073-1
  • Foss N.B., Kehlet H. Hidden blood loss after surgery for hip fracture, J. Bone Joint Surg Br, 2006, 88( 8): 1053 - 1059. 10.1302/0301- 620x.88B8.17534
  • DOI: 10.1302/0301-620x.88B8.17534
  • Erskine J.G., Fraser C., Simpson R. et al. Blood loss with knee joint replacement, J R Coll Surg edinb, 1981. 26 ( 5 ): 295 -297. No DOI found.
  • McManus K.T., Velchik M.G., Alavi A. et al. Non-invasive assessment of postoperative bleeding in TKA patients with Tc-99m RNCs, J Nuclear Med, 1987, 28( 8): 565 - 567.
  • Pattison E., Protheroe K., Pringle R.M. et al. Reduction in haemoglobin after knee joint surgery, J. Ann Rheum Dis, 1973,32 ( 6): 582-584.
  • DOI: 10.1136/ard.32.6.582
Еще
Статья научная