Blood loss in primary total hip arthroplasty with a short versus conventional cementless stem: a retrospective cohort study
| Autor: | Costanza Pizzi, Mattia Loppini, Guido Grappiolo, Antonello Della Rocca, Davide Ferrentino |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Arthroplasty Replacement Hip Blood Loss Surgical Blood loss Conventional stem Short stem Total hip arthroplasty Uncemented Prosthesis Design Mean difference 03 medical and health sciences 0302 clinical medicine CLs upper limits medicine Humans Orthopedics and Sports Medicine Retrospective Studies 030222 orthopedics business.industry Retrospective cohort study 030229 sport sciences General Medicine Surgery Harris Hip Score Orthopedic surgery Hip Joint Hip Prosthesis business |
| Zdroj: | Archives of orthopaedic and trauma surgery. 140(10) |
| ISSN: | 1434-3916 |
| Popis: | To evaluate the impact of short cementless stem on several clinical and radiographic outcomes, with particular focus on blood loss, in comparison with conventional cementless stem in total hip arthroplasty (THA). Patients undergoing THA with GTS short stem or CLS conventional stem were included. Clinical data were retrospectively collected including preoperative and postoperative day 1 value for haemoglobin (HB); rate of postoperative blood transfusions; intraoperative bone infractions; stem alignment; 5-year follow-up Harris Hip Score (HHS) and rate of stem revision at 5 years of follow-up of the short and conventional cementless stem. GTS and CLS stem group included 374 and 321 patients, respectively. The mean difference between the preoperative and postoperative day 1 HB value was 3.98 g/dL (SD 1.12) and 3.67 g/dL (SD 1.19) in the GTS and CLS group, respectively, which correspond to a crude effect (β) of 0.32 (95% CI 0.15; 0.49) and adjusted effect of 0.11 (95% CI − 0.08; 0.3). GTS group reported a significantly higher number of patients with excellent results in terms of HHS (p = 0.001). The rate of intraoperative bone infractions was 1.6% and 0.3% in the GTS and CLS group, respectively (p = 0.013). At radiographic assessment, the rate of varus position of the stem was 14% in the GTS group and 6% in the CLS group (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink