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2013•Jiangsu Medical JournalRequires access

Perioperative hidden blood loss in intertrochanteric fracture

Sun Shengxuan

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Abstract

Objective To analyze the perioperative hidden blood loss in intertrochanteric fractures treated with dynamic hip screw(DHS),proximal femoral nail(PFN-A) and artifical bipolar femoral head(ABFH).Methods A total of 152 patients with intertrochanteric fractures was divided into groups of DHS(45 cases),PFN-A(65 cases) and ABFH(42 cases).The amounts of actual and hidden blood loss were calculated and analyzed.Results In groups of PFN-A,DHS and ABFH,the amounts of actual blood loss were 1204,1011 and 949 ml,and the ratios of hidden to actual blood loss were 80%,46% and 36%,respectively.Conclusion The perioperative actual blood loss in intertrochanteric fracture is significantly higher than visible blood loss.Attention should be paid to the hidden blood loss in the patients with intertrochanteric fracture.

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What this paper is about

Objective To analyze the perioperative hidden blood loss in intertrochanteric fractures treated with dynamic hip screw(DHS),proximal femoral nail(PFN-A) and artifical bipolar femoral head(ABFH).Methods A total of 152 patients with intertrochanteric fractures was divided into groups of DHS(45 cases),PFN-A(65 cases) and ABFH(42 cases).The amounts of actual and hidden blood loss were calculated and analyzed.Results In groups of PFN-A,DHS and ABFH,the amounts of actual blood loss were 1204,1011 and 949 ml,and the ratios of hidden to actual blood loss were 80%,46% and 36%,respectively.Conclusion The perioperative actual blood loss in intertrochanteric fracture is significantly higher than visible blood loss.Attention should be paid to the hidden blood loss in the patients with intertrochanteric fracture.

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Available abstract

Objective To analyze the perioperative hidden blood loss in intertrochanteric fractures treated with dynamic hip screw(DHS),proximal femoral nail(PFN-A) and artifical bipolar femoral head(ABFH).Methods A total of 152 patients with intertrochanteric fractures was divided into groups of DHS(45 cases),PFN-A(65 cases) and ABFH(42 cases).The amounts of actual and hidden blood loss were calculated and analyzed.Results In groups of PFN-A,DHS and ABFH,the amounts of actual blood loss were 1204,1011 and 949 ml,and the ratios of hidden to actual blood loss were 80%,46% and 36%,respectively.Conclusion The perioperative actual blood loss in intertrochanteric fracture is significantly higher than visible blood loss.Attention should be paid to the hidden blood loss in the patients with intertrochanteric fracture.

Key concepts: Blood loss, Intertrochanteric fracture, Medicine, Perioperative, Dynamic hip screw, Surgery, Femoral head, Nail (fastener)

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