ArticleBMC musculoskeletal disorders2016
The visible and hidden blood loss of Asia proximal femoral nail anti-rotation and dynamic hip screw in the treatment of intertrochanteric fractures of elderly high- risk patients: a retrospective comparative study with a minimum 3 years of follow-up.
Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Comparison of clinical outcomes with InterTan vs Gamma nail or PFNA in the treatment of intertrochanteric fractures: A meta-analysis.Scientific reports · 2017Pooled it
- Tranexamic acid reduces hidden blood loss in the treatment of intertrochanteric fractures with PFNA: a single-center randomized controlled trial.Journal of orthopaedic surgery and research · 2017Trial
- The positioning of cephalon medullary nailing correlated with hidden blood loss during the perioperative period in patients with intertrochanteric fractures: A retrospective study.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- Review
- Evaluating Postoperative Hidden Blood Loss in Proximal Femoral Nail Anti-Rotation Fixation: The Role of Greater Trochanter Fracture Comminution.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Predicting the perioperative transfusion risk of proximal femoral antirotation nailing (PFNA) for elderly patients with intertrochanteric fractures: a new predictive nomogram.Biomedical engineering online · 2025Article
- Comparing Intramedullary Nails versus Dynamic Hip Screws in the Treatment of Intertrochanteric Hip Fractures on Post-operative Rehabilitation Outcomes - A Systematic Review and Meta-Analysis.Geriatric orthopaedic surgery & rehabilitation · 2025Review
- Outcome of unstable pertrochanteric fractures in high-risk geriatric treated with external fixators.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- The factors that affect blood loss in intertrochanteric fractures treated with proximal femoral nail in the elderly.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Traditional versus mirror three-dimensional printing technology for isolated acetabular fractures: a retrospective study with a median follow-up of 25 months.The Journal of international medical research · 2021Article
- An analysis of perioperative hidden blood loss in femoral intertrochanteric fractures: bone density is an important influencing factor.BMC musculoskeletal disorders · 2021Article
- Comparison of the clinical effect of DHS and PFNA on senile osteoporotic fracture and their significance of changes in BALP expression level.Journal of musculoskeletal & neuronal interactions · 2020Article
- Quantification and influencing factors of perioperative hidden blood loss during intramedullary fixation for intertrochanteric fractures in the elderly.Archives of orthopaedic and trauma surgery · 2020Article
- Clinical and functional comparison of dynamic hip screws and intramedullary nails for treating proximal femur metastases in older individuals.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2020Article
- Traditional three-dimensional printing technology versus three-dimensional printing mirror model technology in the treatment of isolated acetabular fractures: a retrospective analysis.The Journal of international medical research · 2020Article
- Article
- Helical blade compression failure occurred during PFNA implantation: A rare case and ingenious solution.Medicine · 2019Article
- Hidden blood loss and its influencing factors after percutaneous kyphoplasty surgery: A retrospective study.Medicine · 2018Article
- Clinical analysis of peri-operative hidden blood loss of elderly patients with intertrochanteric fractures treated by unreamed proximal femoral nail anti-rotation.Scientific reports · 2018Article
- Role of Local Infiltration of Tranexamic Acid in Reducing Blood Loss in Peritrochanteric Fracture Surgery in the Elderly Population.Malaysian orthopaedic journal · 2016Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study was to evaluate whether PFNA-II (Asia proximal femoral nail anti-rotation) and DHS (dynamic hip screw) carry substantial post-operative hidden blood loss and to compare PFNA-II with DHS in terms of post-operative hidden blood loss in elderly high-risk patients with intertrochanteric femur fractures(IFFs).
methodsThe clinical data from Jan 2005 to Apr 2015 of 186 patients with PFNA-II and 177 patients with DHS were analyzed retrospectively. Indexes including pre- and post-operative blood routine, intra- and post-operative blood loss and blood transfusion situation were analyzed. The situation of perioperative blood loss (visible and hidden) was assessed.
resultsThe intra-operative blood loss in the PFNA-II group was 34.7 ± 2.5 ml, the post-operative visible blood loss was 54.7 ± 2.5 ml, and the hidden blood loss was 277.2 ± 7.6 ml. In the DHS group, the intra-operative blood loss was 102.0 ± 7.0 ml, the post-operative visible blood loss was 78.8 ± 4.7 ml, and the hidden blood loss was 139.3 ± 9.6 ml. The intra-operative blood loss and the post-operative visible blood loss in the PFNA-II group were significantly less than in the DHS group (p < 0.01). However, the post-operative hidden blood loss and the total blood loss in the PFNA-II group were larger than in the DHS group (p < 0.01).
conclusionThis study demonstrated that with PFNA-II and DHS, much post-operative hidden blood loss exists in the treatment of intertrochanteric fractures in elderly high-risk patients and DHS is more favourable than PFNA-II in terms of post-operative hidden blood loss.
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