Current status of blood transfusion and antifibrinolytic therapy in orthopedic surgeries.

Nicoleta Stoicea,Wiebke Ackermann,Nicholas Joseph,Stewart Smith,Thomas J Ellis,Christopher J Barnett,Kenneth R Moran,Sergio D Bergese,Nathan Steiner,Charles Hamilton

doi:10.3389/fsurg.2015.00003

Abstract

1 Department of Anesthesiology, Wexner Medical Center, Ohio State University, Columbus, OH, USA 2 Department of Neurological Surgery, Wexner Medical Center, Ohio State University, Columbus, OH, USA 3 Department of Neuroscience, Ohio State University, Columbus, OH, USA 4 Drexel University College of Medicine, Philadelphia, PA, USA 5 Temple University School of Medicine, Philadelphia, PA, USA 6 College of Medicine, Wexner Medical Center, Ohio State University, Columbus, OH, USA 7 Orthopedic One, Columbus, OH, USA *Correspondence: nicoleta.stoicea@osumc.edu

Highlights

The blood loss accompanying orthopedic surgery can be significant, anemia of total hip arthroplasty being a frequent complication
A review and meta-analysis of clinical outcomes including blood loss following total hip arthroplasty performed via the anterior versus posterior approach found no superiority of either method
A lower blood loss associated with the posterior approach was not considered statistically significant [16]

Summary

INTRODUCTION

The blood loss accompanying orthopedic surgery can be significant, anemia of total hip arthroplasty being a frequent complication. A review published by Lemaire in 2008 advised orthopedic surgeons, when performing elective surgeries, to take into consideration the preoperative erythrocyte stock, the anticipated perioperative blood loss, and the acceptable blood loss for a specific patient [13]. Based on these reports, increased attention has been placed on the short-term perioperative outcome associated with different techniques used in THA. A review and meta-analysis of clinical outcomes including blood loss following total hip arthroplasty performed via the anterior versus posterior approach found no superiority of either method. A lower blood loss associated with the posterior approach was not considered statistically significant [16]

Current status of blood transfusion in orthopedic surgeries

Findings

CONCLUSION