Asset Details
Do you wish to reserve the book?
A neck-sparing short stem shows significantly lower blood loss in total hip arthroplasty compared to a neck-resecting short stem
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
A neck-sparing short stem shows significantly lower blood loss in total hip arthroplasty compared to a neck-resecting short stem
Do you wish to request the book?
A neck-sparing short stem shows significantly lower blood loss in total hip arthroplasty compared to a neck-resecting short stem
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
A neck-sparing short stem shows significantly lower blood loss in total hip arthroplasty compared to a neck-resecting short stem
2023
Overview
Short stems are associated with a significantly lower blood loss (BL) compared to straight stems in total hip arthroplasty (THA). Different types of stems differ in design, fixation and level of femoral neck osteotomy. Therefore, we sought to evaluate the difference regarding the perioperative BL between two short stems with different designs in direct anterior approach (DAA). A total of 187 THA performed by a single surgeon were analysed. 107 patients received a neck-resecting (Group A) and 80 patients a neck-sparing short stem (Group B). Blood counts of the day before surgery and of two days after surgery were evaluated. Total blood volume and BL were calculated. Additionally, duration of surgery was analysed. The perioperative BL was significantly lower in Group B (451.4 ± 188.4 ml) compared to Group A (546.6 ± 232.7 ml;
p
= 0.002). The postoperative haematocrit (31.6 ± 3.7% vs. 30.4 ± 4.4%;
p
= 0.049) and haemoglobin-level (11.0 ± 1.3 g/dL vs. 10.4 ± 1.5 g/dL;
p
= 0.002) were significantly higher in Group B. Duration of surgery was significantly shorter in Group B (62.0 ± 11.4 min vs. 72.6 ± 21.8 min;
p
< 0.001). The use of a neck-sparing short stem leads to a significantly decreased BL compared to a neck-resecting short stem in DAA THA. A less extensively conducted capsular release necessary for optimal femoral exposition might lead to a lower perioperative BL and shorter durations of surgery.
Publisher
Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio
