ArticleBMC musculoskeletal disorders2020
Unstable intertrochanteric fractures are associated with a greater hemoglobin drop during the perioperative period: a retrospective case control study.
Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed, 25 citations in OpenAlex.
- Fracture Type Heterogeneity May Dilute the Prognostic Signal of Preoperative Hemoglobin Decline in Hip Fracture Patients.Geriatrics & gerontology international · 2026Article
- Perioperative Anemia and Transfusion Management in Older Adults with Osteoporotic Hip Fractures: A Narrative Review of Current Evidence and Emerging Strategies.Clinical interventions in aging · 2026Review
- Postoperative inflammatory markers are not associated with hidden blood loss after knee arthroscopy.Frontiers in medicine · 2026Article
- Prevalence, Related Factors and Outcomes of Pre-Operative Anemia in Patients Undergoing Hip Arthroplasty: A Retrospective Observational Study from Vietnam.International journal of general medicine · 2026Article
- Risk Factors for Post-Operative Blood Transfusion and Association with Outcomes in Hip Fracture Surgery.Journal of blood medicine · 2026Article
- 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
- Association Between Fracture Morphology and Preoperative Acute Kidney Injury in Patients with Intertrochanteric Fracture.Journal of clinical medicine · 2025Article
- A Novel Interfragmentary Technique vs. A Conventional Posterolateral Approach for Unstable Femoral Intertrochanteric Fractures in the Elderly: A Retrospective Cohort Study.Medicina (Kaunas, Lithuania) · 2025Article
- Risk factors and characteristics of preoperative heart failure in elderly patients with hip fracture and the influence of anemia on prognosis.BMC musculoskeletal disorders · 2025Article
- Intertrochanteric Femoral Fractures: A Comparison of Clinical and Radiographic Results with the Proximal Femoral Intramedullary Nail (PROFIN), the Anti-Rotation Proximal Femoral Nail (A-PFN), and the InterTAN Nail.Medicina (Kaunas, Lithuania) · 2023Article
- Blood-Transfusion Risk Factors after Intramedullary Nailing for Extracapsular Femoral Neck Fracture in Elderly Patients.Journal of functional morphology and kinesiology · 2023Article
- Anticoagulants and fracture morphology have a significant influence on total blood loss after proximal femur fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Article
- 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
- An analysis of perioperative hidden blood loss in femoral intertrochanteric fractures: bone density is an important influencing factor.BMC musculoskeletal disorders · 2021Article
- Association between fracture type and the risk of bleeding in intertrochanteric femur fractures.Journal of orthopaedicsArticle
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Authors and funding
6 authors at 4 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundWith an increase in the elderly population, the occurrence of hip fractures, femoral neck fractures, and intertrochanteric fractures (ITFs) is also increasing. It is important to establish effective perioperative methods that would help reduce the morbidity and mortality rates associated with ITFs. The purpose of this study was to determine the effects of ITFs according to the AO classification for perioperative hemoglobin drop.
methodsSeventy-six patients with ITFs classified as AO 31-A1 or A2 and fixated with intramedullary nails participated in this retrospective cohort study. Medical records of these patients were retrospectively reviewed from September 2016 to August 2018. The perioperative hemoglobin drop was chosen as the main outcome measure and calculated as the difference between pre- and postoperative hemoglobin levels. Multivariate linear regression analysis was performed and included the following variables: AO classification (A1.1-A2.1 [stable] vs. A2.2-A2.3 [unstable]), time interval between injury and surgery, age, body mass index, and the use of anticoagulants.
resultsAmong the 76 patients who met the inclusion criteria, a significantly higher hemoglobin drop was observed in the AO 31 A2.2-A2.3 (unstable) group than in the AO 31 A1.1-A2.1 (stable) group (p = 0.04). The multivariate analysis also showed a greater hemoglobin drop in the unstable group (p < 0.05).
conclusionsPatients with unstable ITFs exhibited a greater hemoglobin drop and a hidden blood loss was suspected around the fracture site. We believe that this should be taken into consideration when presurgical blood transfusion is being planned for patients with unstable ITFs, to reduce associated postoperative complications, especially in patients with severe anemia or high risk of mortality.
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