Hip Pelvis.  2013 Jun;25(2):110-114. 10.5371/hp.2013.25.2.110.

Perioperative Blood Loss in Bipolar Hemiarthroplasty for Femoral Neck Fracture: Analysis of Risk Factors

Affiliations
  • 1Department of Orthopaedic Surgery, Myongji Hospital, Goyang, Korea. wonnypia@hanmail.net

Abstract

PURPOSE
We compared visible blood loss and calculated blood loss after bipolar hemiarthroplasty in femoral neck fracture, and evaluated correlation between blood loss and its risk factors.
MATERIALS AND METHODS
A total of 356 patients who underwent bipolar hemiarthroplasty in femoral neck fracture between 2004 and 2010 were enrolled in this study. The total blood loss was calculated using the formula reported by Mercuiali and Brecher. We analyzed several factors, including gender, age, body mass index (BMI), anesthesia method, cardiovascular and cerebrovascular disease, preoperative anemia, American Society of Anesthesiologists (ASA) score, use of cement, and use of antithrombotic agents.
RESULTS
Total calculated blood loss(1,408+/-72 ml) differed significantly from visible blood loss(980+/-102 ml). In addition, calculated blood loss differed between risk factors(1,526+/-369 ml in cardiovascular disease, 1,588+/-279 ml in general anesthesia, 1,645+/-920 ml in obesity, and 1,605+/-439 ml in use of antithrombotic agents).
CONCLUSION
Total calculated blood loss was much greater than visible blood loss. Patients with risk factors such as cardiovascular disease, obesity, use of antithrombotic agents, and general anesthesia should be treated with care in order to reduce blood loss.

Keyword

Femoral neck fracture; Bipolar hemiarthroplasty; Blood loss; Risk factors

MeSH Terms

Anemia
Anesthesia
Anesthesia, General
Body Mass Index
Cardiovascular Diseases
Femoral Neck Fractures
Femur Neck
Fibrinolytic Agents
Hemiarthroplasty
Humans
Obesity
Risk Factors
Fibrinolytic Agents

Cited by  2 articles

Blood Transfusion for Elderly Patients with Hip Fracture: a Nationwide Cohort Study
Suk-Yong Jang, Yong-Han Cha, Jun-IL Yoo, Taeho Oh, Jung-Taek Kim, Chan Ho Park, Won-Sik Choy, Yong-Chan Ha, Kyung-Hoi Koo
J Korean Med Sci. 2020;35(37):e313.    doi: 10.3346/jkms.2020.35.e313.

Management of Blood Loss in Hip Arthroplasty: Korean Hip Society Current Consensus
Joo-Hyoun Song, Jang Won Park, Young-Kyun Lee, In-Sung Kim, Jae-Hwi Nho, Kyung-Jae Lee, Kwan Kyu Park, Yeesuk Kim, Jai Hyung Park, Seung Beom Han
Hip Pelvis. 2017;29(2):81-90.    doi: 10.5371/hp.2017.29.2.81.


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