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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

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Pre-operative transfusions are associated with numerous post-operative complications in total hip arthroplasty

Shane A Sobrio1, Angeline Johny1, Alex Gu1,2

  • 1Department of Medicine, George Washington School of Medicine and Health Sciences. 2300 Eye St, Washington DC, 20037, USA.

Journal of Orthopaedics
|March 26, 2019
PubMed

Primary total hip arthroplasty (THA) is among the most common surgical procedures and known to potentially cause significant blood loss. In total, 74,814 patients from the National Surgical Quality Improvement Project Database were studied. Complications were divided into post-operative and non-operative complications. Pre-operative transfusion in THA patients was found to be an independent predictor of infection (OR: 5.41), pneumonia (OR: 2.66), failure to wean (OR: 13.84), urinary tract infection (OR: 3.42), cardiac arrest (OR: 5.83), and transfusion post-operatively (OR: 5.94). Future medical decisions in primary THA cases should entail a careful risk-benefit and close monitoring in order to prevent complications.

Keywords:
Blood transfusionsHipPost-operative complicationsPrimary TKATotal knee arthroplasty

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