Comparison of Perioperative Blood Loss in Primary Non-cemented Total Hip Arthroplasty for Rapidly Destructive Coxarthrosis and Osteonecrosis of the Femoral Head

Overview

Journal Hip Pelvis

Date 2016 Aug 19

PMID 27536617

Citations 2

Authors

Joo-Hyoun Song

Suk Ku Han

Kyung-Hoon Lee

Jae-Min Lee

Kee-Haeng Lee

Affiliations

Soon will be listed here.

Abstract

Purpose: The purpose of this study is to compare the perioperative blood loss in primary non-cemented total hip arthroplasty (THA) performed for rapidly destructive coxarthrosis (RDC) with the perioperative blood loss in primary non-cemented THA for typical osteonecrosis of the femoral head (ONFH).

Materials And Methods: From January 2000 to December 2013, 19 patients were diagnosed with RDC (group 1) and 40 patients were diagnosed typical Ficat stage IV ONFH (group 2), comparison of perioperative blood loss between group 1 and group 2 in primary noncemented THA was done. Patients with preoperative usage of steroid or anticoagulants medication and with hemodynamic abnormal blood test results were excluded. The blood loss was measured up to the fifth post operation day and calculated with formula proposed by Mercuriali, Inghilleri and Nadler.

Results: Non-compensated blood loss calculated in milliliters of red blood cells was 362 mL (standard deviation [SD], 187; range, 77-675) in group 1 and 180 mL (SD, 145; range, 53-519) in group 2. Compensated blood loss was 630 mL (SD, 180; range, 380-760) in group 1 and 503 mL (SD, 260; range, 190-1, 505) in group 2. The total blood loss after primary non-cemented THA is greater when surgery is performed for RDC than for ONFH, with the volume of 992 mL (SD, 300; range, 457-1, 434) in group 1 and 683 mL (SD, 360; range, 226-1, 975) in group 2 respectively.

Conclusion: Total perioperative blood loss was significantly greater in RDC than in ONFH in primary non-cemented THA.

Citing Articles

Rapidly Progressive Osteoarthritis of the Hip: A Prospective Study.

Montero Furelos L, De Castro Carrasco A, Cons Lamas S, Sanchez Sierra F, Caeiro-Rey J J Clin Med. 2024; 13(9).

PMID: 38730996 PMC: 11084505. DOI: 10.3390/jcm13092467.

The use of tranexamic acid to reduce blood loss in uncemented total hip arthroplasty for avascular necrosis of femoral head: a prospective blinded randomized controlled study.

Pachore J, Shah V, Upadhyay S, Shah K, Sheth A, Kshatriya A Arthroplasty. 2022; 1(1):12.

PMID: 35240768 PMC: 8796629. DOI: 10.1186/s42836-019-0012-6.

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