Ahmad Shoib Sharqzad1, Camila Cavalheiro1, Akos Zahar1, Christian Lausmann1, Thorsten Gehrke1, Daniel Kendoff2, Javad Parvizi3, Mustafa Citak4. 1. Helios ENDO-Klinik Hamburg, Department of Orthopaedic Surgery, Holstenstraße 2, 22767, Hamburg, Germany. 2. Helios Klinikum Berlin-Buch, Department of Orthopaedic Surgery, Berlin, Germany. 3. Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA, USA. 4. Helios ENDO-Klinik Hamburg, Department of Orthopaedic Surgery, Holstenstraße 2, 22767, Hamburg, Germany. mustafa.citak@helios-gesundheit.de.
Abstract
PURPOSE: The purpose of the current study was to compare the blood loss and the need for allogeneic transfusion after one- and two-stage exchange arthroplasty for periprosthetic joint infection (PJI) of THA. METHODS: We performed a retrospective review of all patients undergoing either one-stage or two-stage septic exchange arthroplasty at two high-volume infection referral centres. The study cohort consists of 90 patients undergoing the two-stage and 184 patients the one-stage exchange arthroplasty. The difference between pre- and post-operative haemoglobin (Hb) and total blood loss as well as the allogeneic transfusion rate were compared between both groups. RESULTS: Both procedures together of the two-stage septic exchange arthroplasty had higher intra-operative blood loss and allogeneic blood transfusion rate compared to the one-stage septic exchange arthroplasty group. However, among the patients of the two-stage group, there were more smokers and had worse physical status (ASA) and higher mortality risk (CCI) than patients in the one-stage group. CONCLUSIONS: Two-stage septic revision of total hip arthroplasty has higher rates of blood loss and transfusion rates than one-stage revision. Therefore, the authors believe that blood loss rate, including its complications, should be considered when decision for the type of staged septic exchange is made.
PURPOSE: The purpose of the current study was to compare the blood loss and the need for allogeneic transfusion after one- and two-stage exchange arthroplasty for periprosthetic joint infection (PJI) of THA. METHODS: We performed a retrospective review of all patients undergoing either one-stage or two-stage septic exchange arthroplasty at two high-volume infection referral centres. The study cohort consists of 90 patients undergoing the two-stage and 184 patients the one-stage exchange arthroplasty. The difference between pre- and post-operative haemoglobin (Hb) and total blood loss as well as the allogeneic transfusion rate were compared between both groups. RESULTS: Both procedures together of the two-stage septic exchange arthroplasty had higher intra-operative blood loss and allogeneic blood transfusion rate compared to the one-stage septic exchange arthroplasty group. However, among the patients of the two-stage group, there were more smokers and had worse physical status (ASA) and higher mortality risk (CCI) than patients in the one-stage group. CONCLUSIONS: Two-stage septic revision of total hip arthroplasty has higher rates of blood loss and transfusion rates than one-stage revision. Therefore, the authors believe that blood loss rate, including its complications, should be considered when decision for the type of staged septic exchange is made.
Authors: Hugh A C Leonard; Alexander D Liddle; Orlaith Burke; David W Murray; Hemant Pandit Journal: Clin Orthop Relat Res Date: 2013-09-21 Impact factor: 4.176
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Authors: Sophia-Marlene Busch; Mustafa Citak; Mustafa Akkaya; Felix Prange; Thorsten Gehrke; Philip Linke Journal: Int Orthop Date: 2021-09-30 Impact factor: 3.075