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Song JH, Han SK, Lee KH, et al. Comparison of Perioperative Blood Loss in Primary Non-cemented Total Hip Arthroplasty for Rapidly Destructive Coxarthrosis and Osteonecrosis of the Femoral Head. Hip Pelvis. 2015;27(3):141-5doi: 10.5371/hp.2015.27.3.141.
Song, J. H., Han, S. K., Lee, K. H., Lee, J. M., & Lee, K. H. (2015). Comparison of Perioperative Blood Loss in Primary Non-cemented Total Hip Arthroplasty for Rapidly Destructive Coxarthrosis and Osteonecrosis of the Femoral Head. Hip & pelvis, 27(3), 141-5. https://doi.org/10.5371/hp.2015.27.3.141
Song, Joo-Hyoun, et al. "Comparison of Perioperative Blood Loss in Primary Non-cemented Total Hip Arthroplasty for Rapidly Destructive Coxarthrosis and Osteonecrosis of the Femoral Head." Hip & pelvis vol. 27,3 (2015): 141-5. doi: https://doi.org/10.5371/hp.2015.27.3.141
Song JH, Han SK, Lee KH, Lee JM, Lee KH. Comparison of Perioperative Blood Loss in Primary Non-cemented Total Hip Arthroplasty for Rapidly Destructive Coxarthrosis and Osteonecrosis of the Femoral Head. Hip Pelvis. 2015 Sep;27(3):141-5. doi: 10.5371/hp.2015.27.3.141. Epub 2015 Sep 30. PMID: 27536617; PMCID: PMC4972718.
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Hip Pelvis. 2015 Sep;27(3):141-5. doi: 10.5371/hp.2015.27.3.141. Epub 2015 Sep 30.

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

Hip & pelvis

Joo-Hyoun Song, Suk Ku Han, Kyung-Hoon Lee, Jae-Min Lee, Kee-Haeng Lee

Affiliations

  1. Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Bucheon, Korea.

PMID: 27536617 PMCID: PMC4972718 DOI: 10.5371/hp.2015.27.3.141

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.

Keywords: Blood loss; Femur head; Osteonecrosis; Primary non-cemented total hip arthroplasty; Rapidly destructive coxarthrosis

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