ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2020
Prolonged operative time increases risk of blood loss and transfusion requirements in revision hip surgery.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Effectiveness of open reduction internal fixation versus revision arthroplasty around Vancouver type B2 periprosthetic femoral fractures: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2025Pooled it
- Femoral de-escalation during revision total hip arthroplasty using a rectangular-taper shortened stem.International orthopaedics · 2026Article
- Fracture-isthmus diameter ratio predicts delayed union in tibial nailing.Journal of the Chinese Medical Association : JCMA · 2026Article
- Biomechanical Evaluation of Powered Acetabular Extraction Tool Reduces Force, Time, and Surgeon Burden Compared to Manual Tools in a Simulated Revision Total Hip Arthroplasty Model.Arthroplasty today · 2026Article
- Longer operative time is associated with higher risk of adverse outcomes in pediatric idiopathic scoliosis surgery.Spine deformity · 2026Article
- Diabetes, Inflammatory Markers, and Tissue Thickness in Septic and Aseptic Hip Revision Surgeries.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Perioperative outcome of primary total hip arthroplasty in octogenarians - A systematic review.Journal of orthopaedics · 2025Review
- Impact of Supine versus Prone Positioning on Segmental Lumbar Lordosis in Patients Undergoing ALIF Followed by PSF: A Comparative Study.Journal of clinical medicine · 2024Article
- Anesthetic predictors for postoperative pneumonia in patients with non-small cell lung cancer.Journal of thoracic disease · 2024Article
- Dual plating in the metastatic distal humerus: Benefits may outweigh the risks.Journal of orthopaedics · 2024Article
- [Tips and tricks of cement removal in the case of revision surgery].Orthopadie (Heidelberg, Germany) · 2024Review
- Risk Factors Analysis and Nomogram Model Establishment of Hidden Blood Loss in Overweight and Obese Elderly Patients After Total Hip Arthroplasty.Clinical interventions in aging · 2024Article
- Removal of uncemented components: hope for the best, prepare for the worst-technical tips and tricks.Annals of joint · 2024Review
- The Watson Extraction System for removal of well-fixed femoral stems: A retrospective review of 10 cases.Journal of orthopaedics · 2023Article
- Clinical outcomes and prediction nomogram model for postoperative hemoglobin < 80 g/L in patients following primary lumbar interbody fusion surgery.Journal of orthopaedic surgery and research · 2023Article
- Comparative study of Vancouver type B2 periprosthetic fractures treated by internal fixation versus stem revision.Archives of orthopaedic and trauma surgery · 2022Article
- The Off-Table Technique Increases Operating Room Efficiency in Direct Anterior Hip Replacement.Arthroplasty today · 2022Article
- Intraoperative and postoperative complications of gynecological laparoscopic interventions: incidence and risk factors.Archives of gynecology and obstetrics · 2021Article
- Simplifying the Combined Use of Fibula Flap and Anterolateral Thigh Flap for Oromandibular Reconstruction.Plastic and reconstructive surgery. Global open · 2021Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRevision hip surgery is well documented to have a high association with substantial blood loss and the associated need for a blood transfusion. This exposes the patient to increased risk of transfusion reaction and blood borne infection. There are many strategies to minimize allogeneic transfusion rates in revision surgery such as pre-operative autologous donation, peri-operative tranexamic acid, thrombin sealants, normovolaemic haemodilution, intra-operative blood salvage and the use of post-operative autologous drains. PATIENTS AND
methodsWe prospectively looked at 177 consecutive cases performed at one centre by a single surgical and anaesthetic team to identify which patient and operative factors were most significant in minimizing the requirement for an allogeneic blood transfusion.
resultsOur results identified the duration of surgery as being the only significant variable affecting the level of blood loss. We noted a 3% increase in the probability of massive blood loss (> 2000 mls) for every minute of increased surgical time in our series.
conclusionsWe conclude that measures to minimize the duration of surgery would be beneficial in reducing blood loss and the risks of requiring blood transfusions in revision hip surgery.
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