To Investigate the Hidden Blood Loss During Perioperative Period in Total Hip Arthroplasty in Treating Elderly Patients with Femoral Neck Fracture
Abstract：Objective To investigate the hidden blood loss during perioperative period in total hip arthroplasty in treating elderly patients with femoral neck fracture .Methods 61 elderly patients with femoral neck fracture were trea-ted by total hip arthroplasty .There were 31 males and 30 females .Te average age was 71 years old .According to Gare-den classification ,there were 11 cases of type Ⅱ ,22 case of type Ⅲ ,28 case of type Ⅳ .The hidden blood loss and total blood loss were calculated by Gross formula during perioperative period .Results The average total blood loss was 956 mL and hidden blood loss was 556 mL ,accounting for 58 .2％ of the total blood loss .In 34 cases without blood transfu-sion ,the average total perioperative blood loss was 910 mL and the hidden blood loss was 549 mL ,accounting for 60 . 3％ of the total blood loss .In 27 cases with blood transfusion ,the average total perioperative blood loss was 1014 mL and the hidden blood loss was 565 mL ,accounting for 55 .7％ of the total blood loss .There was no significant difference in different Prosthesis interface groups and different type of fractures .Conclusion The hidden blood loss in elderly pa-tients with total hip arthroplasty was more than expected ,and should be paid enough attention by clinical doctors .it is important to early prevention of severe blood loss .There is no significant difference in different Prosthesis interface groups and different type of fractures .
Keywords：femoral neck fracturetotal hip arthroplastyelderly patientshidden blood loss
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 786-789 )