Blood-Transfusion Risk Factors after Intramedullary Nailing for Extracapsular Femoral Neck Fracture in Elderly...

Area of Science:

• Orthopedics
• Traumatology
• Anesthesiology

Background:

• Extracapsular femoral neck fractures (eFNF) are common in traumatology.
• Intramedullary nailing (IMN) is a frequent orthopedic treatment for eFNF.
• Blood loss and transfusion are significant complications.

Purpose of the Study:

• Identify and evaluate perioperative risk factors for blood transfusion.
• Focus on frail patients with eFNF undergoing IMN.

Main Methods:

• Retrospective study of 170 eFNF patients treated with IMN (July-December 2020).
• Patients divided into blood transfusion (BT) and no blood transfusion (NBT) groups.
• Assessed various clinical and surgical parameters.

Main Results:

• The only significant differences between groups were preoperative hemoglobin (Hb) and surgery duration (p < 0.05).

Conclusions:

• Lower preoperative Hb levels are associated with increased transfusion risk.
• Longer surgery duration is a risk factor for blood transfusion.
• Close perioperative monitoring is recommended for high-risk patients.