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Higher blood loss and transfusion requirement in surface arthroplasty versus conventional total hip replacement

Background and aim of the work: Surface replacement arthroplasty (SRA) is an alternative to stemmed total hip arthroplasty (THA) providing a femoral bone preserving procedure. Because of the wider surgical dissection, an increased blood loss could be expected. This retrospective study evaluates the...

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Autores principales: Dario, Regis, Andrea, Sandri, Elena, Sambugaro, Massimo, Franchini, Eugenio, Vecchini, Elena, Samaila, Bruno, Magnan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6503411/
https://www.ncbi.nlm.nih.gov/pubmed/30715004
http://dx.doi.org/10.23750/abm.v90i1-S.8087
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author Dario, Regis
Andrea, Sandri
Elena, Sambugaro
Massimo, Franchini
Eugenio, Vecchini
Elena, Samaila
Bruno, Magnan
author_facet Dario, Regis
Andrea, Sandri
Elena, Sambugaro
Massimo, Franchini
Eugenio, Vecchini
Elena, Samaila
Bruno, Magnan
author_sort Dario, Regis
collection PubMed
description Background and aim of the work: Surface replacement arthroplasty (SRA) is an alternative to stemmed total hip arthroplasty (THA) providing a femoral bone preserving procedure. Because of the wider surgical dissection, an increased blood loss could be expected. This retrospective study evaluates the transfusion requirement in two homogeneous groups of patients who underwent primary hip replacement electively. Methods: Perioperative haematological data of 42 hip resurfacing procedures and 41 conventional cementless THAs were compared. The pre- and post-operative haemoglobin (Hb) levels and the amount of blood transfusions were registered. The median values were compared with use of the non-parametric Wilcoxon signed-rank test. Results: In the SRA group, a significantly increased (p<0.02) preoperative Hb concentration (13.1 g/dL, range 10.9 to 15.6) was detected in comparison with the THA group (12.5 g/dL, range 10.4 to 15.2). In the resurfacing procedures a median of 900 mL (range 600 to 1500) were transfused vs. 600 (range 300 to 1500) in the conventional THAs, demonstrating a significantly higher transfusion requirement (p<0.04). Conclusions: Whereas hip resurfacing is a femoral bone preserving alternative to conventional THA with comparable clinical and radiographic outcomes, higher blood loss and transfusion requirement may occur. (www.actabiomedica.it)
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spelling pubmed-65034112019-05-08 Higher blood loss and transfusion requirement in surface arthroplasty versus conventional total hip replacement Dario, Regis Andrea, Sandri Elena, Sambugaro Massimo, Franchini Eugenio, Vecchini Elena, Samaila Bruno, Magnan Acta Biomed Original Article Background and aim of the work: Surface replacement arthroplasty (SRA) is an alternative to stemmed total hip arthroplasty (THA) providing a femoral bone preserving procedure. Because of the wider surgical dissection, an increased blood loss could be expected. This retrospective study evaluates the transfusion requirement in two homogeneous groups of patients who underwent primary hip replacement electively. Methods: Perioperative haematological data of 42 hip resurfacing procedures and 41 conventional cementless THAs were compared. The pre- and post-operative haemoglobin (Hb) levels and the amount of blood transfusions were registered. The median values were compared with use of the non-parametric Wilcoxon signed-rank test. Results: In the SRA group, a significantly increased (p<0.02) preoperative Hb concentration (13.1 g/dL, range 10.9 to 15.6) was detected in comparison with the THA group (12.5 g/dL, range 10.4 to 15.2). In the resurfacing procedures a median of 900 mL (range 600 to 1500) were transfused vs. 600 (range 300 to 1500) in the conventional THAs, demonstrating a significantly higher transfusion requirement (p<0.04). Conclusions: Whereas hip resurfacing is a femoral bone preserving alternative to conventional THA with comparable clinical and radiographic outcomes, higher blood loss and transfusion requirement may occur. (www.actabiomedica.it) Mattioli 1885 2019 /pmc/articles/PMC6503411/ /pubmed/30715004 http://dx.doi.org/10.23750/abm.v90i1-S.8087 Text en Copyright: © 2019 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Original Article
Dario, Regis
Andrea, Sandri
Elena, Sambugaro
Massimo, Franchini
Eugenio, Vecchini
Elena, Samaila
Bruno, Magnan
Higher blood loss and transfusion requirement in surface arthroplasty versus conventional total hip replacement
title Higher blood loss and transfusion requirement in surface arthroplasty versus conventional total hip replacement
title_full Higher blood loss and transfusion requirement in surface arthroplasty versus conventional total hip replacement
title_fullStr Higher blood loss and transfusion requirement in surface arthroplasty versus conventional total hip replacement
title_full_unstemmed Higher blood loss and transfusion requirement in surface arthroplasty versus conventional total hip replacement
title_short Higher blood loss and transfusion requirement in surface arthroplasty versus conventional total hip replacement
title_sort higher blood loss and transfusion requirement in surface arthroplasty versus conventional total hip replacement
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6503411/
https://www.ncbi.nlm.nih.gov/pubmed/30715004
http://dx.doi.org/10.23750/abm.v90i1-S.8087
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