Hemiarthroplasty of Hip – A prospective study for Conservation of Blood Loss
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2016, Vol 2, Issue 2
Abstract
Background: Hemiarthroplasty of hip joint is a very commonly performed surgery. Several studies have been done which support the use of tranexamic acid in total knee joint replacements and few in total hip replacements. These studies have shown interesting positive results, but its benefits in hemiarthroplasty of hip joint have not yet widely known. This study aims to establish the role of tranexamic acid in reducing the intra and post-operative bleeding in case of hemiarthroplasty of hip. Material and Methods: This is a prospective study of thirty four patients who underwent hip hemiarthroplasty for fracture neck of femur. The patients were divided as treatment (Group A; n=17) and control (Group B; n=17) group. All the patients were alternatively assigned these two groups. In group A, the patients who underwent surgeries around hip joint were given a bolus dose of tranexamic acid intravenously 10mg/kg body weight about 10 minutes before starting skin incision and in group B, equal volume of normal saline was injected. Total blood loss during surgery was calculated by weighing the mops used and soiled by blood and measuring the volume of blood accumulated in suction apparatus used for the surgery. Pre and postoperative haemoglobin levels were compared. The volume of fluid accumulated in the post-operative suction drain was also recorded and the data collected were analysed. Results: The treatment group showed intra operative blood loss of <600ml in 64.7% of patients and none lost >1000ml blood. Drain fluid after twenty four hours was <100 ml in 70.6% and >150ml only in one (5.9%). The difference in pre and post-operative Hb levels was <1gm in 76.5% of patients. Conclusion: Tranexamic acid given intravenously before surgical skin incision is very effective in conserving bleeding during hip hemiarthroplasty; the drug is of significant advantage as compared to the control group.
Authors and Affiliations
M. A. Q. Ansari, M. M. Farhan, M. Nayeemuddin
Keywords
Related Articles
- EP ID EP242044
- DOI -
- Views 112
- Downloads 0
Comparison of Ilizarov and rail fixator in non union of long bones
Introduction Nonunion of long bones is a challenging scenario to deal with as management of such fractures is difficult Tibia is common site of non union1 Various modes of treatment are available such as ultrasound elect...
Functional outcome of wound coverage of soft tissue defects over ankle and foot
Introduction Open fractures around the ankle and foot are complex injuries which can lead to wound complications or amputations Based on the location soft tissue loss is treated with different varieties of flaps The focu...
Endoscopic lumbar discectomy, cost effective operative procedure at tertiary care centre
Study design: Retrospective study Background: Endoscopic lumbar discectomy using endoscopic tubular retractor system(METRx-MD) are considered popular minimally invasive surgery (MIS) methods for the treatment of lumbar d...
Results of single-stage acetabulum reconstruction and total hip arthroplasty in the management of pelvic discontinuity caused by ununited acetabulum fracture
Introduction Nonunion of acetabulum fracture is a common occurrence in developing countries Pelvic discontinuity due to ununited fracture acetabulum poses a serious challenge in the management of the patient Results of O...
Long term outcome and ideal screw placement in Bristow procedure for anterior glenohumeral instability
Introduction: The glenohumeral joint being the most mobile joint is highly susceptible to dislocations. Majority of recurrences occur within 2 years of first traumatic dislocation. Surgical stabilisation is indicated whe...