Blood Management in Revision Total Hip Arthroplasty

  • Thomas P. Sculco
  • David E. Tate


The goals of blood management in revision total hip replacement are to avoid the use of allogeneic (homologous) blood and to utilize all other methods of augmentation or retrieval of autogenous blood appropriate for each patient. Because of the nature of orthopedic surgery and revision total hip replacement in particular, blood loss tends to be significant. The surgical exposures in revision total hip replacement often require ample dissections about the hip through fibrotic tissue. These tissues may be quite vascular, and hemostasis is difficult to achieve because of their friable nature. Often there are diffuse sites of bleeding as well. Wide tissue flaps often need to be dissected, and therefore oozing for prolonged periods during revision procedures is encountered. This significantly increases the amount of blood loss.


Autologous Blood Allogeneic Blood Recombinant Human Erythropoietin Shed Blood Blood Management 
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© Springer Science+Business Media New York 1999

Authors and Affiliations

  • Thomas P. Sculco
  • David E. Tate

There are no affiliations available

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