BACKGROUND: Substantial blood losses frequently accompany orthopedic procedures. METHODS: We prospectively noted peri-operative hemoglobin changes in 93 patients undergoing surgery for femoral fracture with an aim of establishing blood loss and related factors. RESULTS: The mean total blood loss assessed 72 hours after the surgical procedure was 3.31 (SD 1.56) units of whole blood. A multiple regression analysis revealed diathermy use and a simple fracture pattern as significant factors in reducing blood loss (p<0.01). CONCLUSIONS: Open intramedullary fixation of femur fractures leads to considerable peri-operative blood loss. This is can be reduced by use of diathermy during surgery.
BACKGROUND: Substantial blood losses frequently accompany orthopedic procedures. METHODS: We prospectively noted peri-operative hemoglobin changes in 93 patients undergoing surgery for femoral fracture with an aim of establishing blood loss and related factors. RESULTS: The mean total blood loss assessed 72 hours after the surgical procedure was 3.31 (SD 1.56) units of whole blood. A multiple regression analysis revealed diathermy use and a simple fracture pattern as significant factors in reducing blood loss (p<0.01). CONCLUSIONS: Open intramedullary fixation of femur fractures leads to considerable peri-operative blood loss. This is can be reduced by use of diathermy during surgery.
Authors: Peter J Millett; Mason Porramatikul; Neal Chen; David Zurakowski; Jon J P Warner Journal: J Bone Joint Surg Am Date: 2006-06 Impact factor: 5.284
Authors: Hans-Cristoph Pape; K Grimme; Martin Van Griensven; A H Sott; P Giannoudis; J Morley; Olav Roise; Elisabeth Ellingsen; Frank Hildebrand; B Wiese; Christian Krettek Journal: J Trauma Date: 2003-07