ArticleActa ortopedica brasileira
TWO CLASSIFICATIONS FOR SURGICAL WOUND HEMATOMA AFTER TOTAL HIP REPLACEMENT.
Article in Acta ortopedica brasileira. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 8 citations in OpenAlex.
- Research progress on the causes and countermeasures of postoperative swelling in gluteal muscle contracture.Frontiers in medicine · 2025Review
- The correlates of post-surgical haematoma in older adults with proximal femoral fractures.Aging clinical and experimental research · 2023Article
- Incidence, Risk Factors, and Subsequent Complications of Postoperative Hematomas Requiring Reoperation After Primary Total Hip Arthroplasty.Arthroplasty today · 2023Article
- Postoperative Fluid Collections in Total Joint Arthroplasty: A Narrative Review.Orthopedic research and reviews · 2022Review
- [A cross-sectional investigation on the current status and influencing factors of kinesiophobia in adult burn patients].Zhonghua shao shang za zhi = Zhonghua shaoshang zazhi = Chinese journal of burns · 2021Article
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6 authors at 1 institution in 1 country.
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Abstract
objectiveTo determine the reliability of two classification methods for wound hematoma after total hip replacement.
methodsThis prospective cohort study was conducted on patients who underwent total hip replacement for hip osteoarthritis between May 2014 and April 2015. Epidemiological, surgical, and functional data were assessed. Two experienced hip surgeons evaluated 75 pictures of wounds taken 24 hours after surgery. Both evaluators performed the analysis twice, with a 6-week interval between the two analyses. The subjective classification was divided into four different categories describing the hematoma: absent, mild, moderate, and severe. The objective classification was derived from mathematical calculation of the area of the hematoma using a grid superimposed on a picture of the wound.
resultsThe subjective classification demonstrated an intra-rater agreement of more than 70%, while kappa values showed poor to moderate inter-rater reliability. The objective classification based on mathematical measurements of the hematoma area was more reliable, with good to excellent intra- and inter-rater reliability.
conclusionThe objective classification demonstrated higher intra- and inter-rater reliability. The classification methods used in this study could serve as a useful instrument for orthopedic surgeons, researchers, and health care providers when assessing wound hematomas after total hip replacement. Level of Evidence II; Development of diagnostic criteria on consecutive patients (with universally applied reference ''gold'' standard).
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