Blood loss and transfusion rate in short stem hip arthroplasty. A comparative study

被引：39
作者：
Hochreiter, Josef [1 ]
Hejkrlik, Wilfried [1 ]
Emmanuel, Katja [1 ,2 ]
Hitzl, Wolfgang [3 ]
Ortmaier, Reinhold [1 ,2 ]
机构：
[1] St Vincent Hosp Linz, Dept Orthopaed Surg, Seilerstatte 4, A-4020 Linz, Austria
[2] Paracelsus Med Univ, Dept Orthopaed & Traumatol, Mullner Hauptstr 48, A-5020 Salzburg, Austria
[3] Paracelsus Med Univ, Dept Biostat, Mullner Hauptstr 48, A-5020 Salzburg, Austria
来源：
INTERNATIONAL ORTHOPAEDICS | 2017年 / 41卷 / 07期
关键词：
Blood loss; Hip arthroplasty; Short stem; Straight stem; Transfusion rate; RANDOMIZED CONTROLLED-TRIAL; TRANEXAMIC ACID; KNEE ARTHROPLASTY; FEMORAL COMPONENT; ORTHOPEDIC-SURGERY; JOINT REPLACEMENT; HIDDEN LOSS; MANAGEMENT; CONSERVATION; METAANALYSIS;
D O I：
10.1007/s00264-016-3365-2
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Purpose Little scientific evidence on blood loss and transfusion rates after short-stem hip arthroplasty exists. The hypothesis of this study was that the blood loss and transfusion rate is lower in short stems compared to straight stems. Methods We compared 124 patients who underwent total hip arthroplasty (THA) using a short-stem design (group 1) and 141 patients using a straight-stem design (group 2). All patients were operated on by the same surgeon, and both groups were similar in age, gender, affected side, body mass index, and ASA score. Results The calculated blood loss was 1139 ml in group 1 and 1358 ml in group 2 (p < 0.001). The transfusion rate was 8% in group 1 and 15.6% in group 2 (p < 0.001). There was no significant difference between groups 1 and 2 regarding complications and operation time (p > 0.05). Conclusion Compared to patients after straight stem THA, both blood loss and blood transfusion rates were lower in patients after short stem THA.
引用
收藏
页码：1347 / 1353
页数：7
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