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Circulating tissue thromboplastin during hip surgery.

K E Giercksky, E Bjørklid, H Prydz

    European Surgical Research. Europaische Chirurgische Forschung. Recherches Chirurgicales Europeennes
    |January 1, 1979
    PubMed
    Summary
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    Erratum.

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    This study measured tissue thromboplastin levels during hip replacement surgery. High levels were detected in some patients, indicating release during prosthesis impaction.

    Area of Science:

    • Biochemistry
    • Orthopedic Surgery
    • Hematology

    Background:

    • Tissue thromboplastin plays a critical role in the coagulation cascade.
    • Assessing its release during orthopedic procedures is important for understanding potential complications.

    Purpose of the Study:

    • To establish an immunoradiometric assay for quantifying tissue thromboplastin.
    • To determine blood levels of tissue thromboplastin in patients undergoing total hip replacement.

    Main Methods:

    • Development and application of an immunoradiometric assay.
    • Measurement of blood tissue thromboplastin levels in 6 patients during total hip replacement.

    Main Results:

    • An assay for tissue thromboplastin was successfully established.

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  • Three out of six patients showed elevated circulating apoprotein III levels, indicating tissue thromboplastin release.
  • Tissue thromboplastin release was primarily observed during the impaction of the prosthesis into the femoral bone.
  • The other three patients exhibited low or undetectable levels of tissue thromboplastin.

    • Conclusions:

    • The immunoradiometric assay is effective for measuring tissue thromboplastin.
    • Total hip replacement surgery, particularly prosthesis impaction, can lead to the release of tissue thromboplastin into circulation.
    • Individual patient responses regarding tissue thromboplastin release vary significantly.