Blood loss and allogeneic transfusion for surgical treatment of periprosthetic joint infection: a comparison of one- vs. two-stage exchange total ... View Full Text


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Article Info

DATE

2018-09-05

AUTHORS

Ahmad Shoib Sharqzad, Camila Cavalheiro, Akos Zahar, Christian Lausmann, Thorsten Gehrke, Daniel Kendoff, Javad Parvizi, Mustafa Citak

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. More... »

PAGES

1-6

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00264-018-4137-y

DOI

http://dx.doi.org/10.1007/s00264-018-4137-y

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https://app.dimensions.ai/details/publication/pub.1106643480

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30187096


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