Abstract
The intraoperative blood loss of 40 uncomplicated primary total hip arthroplasties was studied in a retrospective, matched pair analysis. Half of them were implanted in the supine position after complete excision of the capsule and the other half in the lateral position with preservation of the capsule. The patients were matched for mono- or bilateral procedure. Only one surgeon carried out the operations using the same operative technique and identical prosthesis in both groups. The intraoperative blood loss associated with the lateral position and preservation of the capsule averaged 830 ml and was significantly lower (P = 0.01) than 1165 ml with the supine position and complete capsulectomy. Thus, the intraoperative blood loss can be significantly reduced in primary total hip arthroplasty by choosing the lateral position and preserving the capsule.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Behrman MJ, Keim HA (1992) Perioperative red blood cell salvage in spine surgery. Clin Orthop 278: 51–57
Bennett SR (1994) Perioperative autologous blood transfusion in elective total hip prosthesis operations. Ann R Coll Surg Engl 76: 95–98
Chamley J (1979) Low friction arthroplasty of the hip. Springer, Berlin Heidelberg New York
Courpied JP, Desportes G, Postel M (1991) Une nouvelle trochanterotomie pour l'abord postéro-externe de la hanche. Rev Chir Orthop 77: 506–512
Enderby GEH (1954) Postural ischemia and blood-pressure. The Lancet 23: 185–187
Kelley SS, Johnston RC (1992) Debris from cobalt-chrome cable may cause acetabular loosening. Clin Orthop 285: 140–146
Müller ME (1970) Total hip prostheses. Clin Orthop 72: 46–68
Pascarel X, Dumont D, Nehme B, Dudreuilh JP, Honton JL (1989) Arthroplastie totale de hanche par voie de Harding. Rev Chir Orthop 75: 98–103
Roberts JM, Fu FH, McClain EJ, Ferguson AB (1982) A comparison of the posterolateral and anterolateral approaches to total hip arthroplasty. Clin Orthop 187: 205–210
Robinson RP, Robinson HJ, Salvati EA (1980) Comparison of the transtrochanteric and posterior approaches for total hip replacement. Clin Orthop 147: 143–147
Schmidt RF, Thews G (1985) Physiologie des Menschen. Springer, Berlin Heidelberg New York, p 452
Schwartz DWM, Simson G, Baumgarten K, Fabritz H, Riggert J, Neumeyer H, Mayr WR, Köhler M (1995) Risk of human immunodeficiency virus (HIV) transmission by anti-HIV-negative blood components in Germany and Austria. Ann Hematol 70:209–213
Vicar AJ. Coleman CR (1984) A comparison of the anterolateral, transtrochanteric, and posterior surgical approaches in primary total hip arthroplasty. Clin Orthop 188: 152–159
Vidal J, Goalard C, Escare P, Allieu Y (1973) Normalisation d'une prothèse de toute l'extrémité supérieure du fémur. J Chir (Paris) 106: 125–134
Wilson WJ (1989) Intraoperative autologous transfusions in revision total hip arthroplasty. J Bone Joint Surg [Am] 71: 8–14
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Schneeberger, A.G., Schulz, R.F. & Ganz, R. Blood loss in total hip arthroplasty. Arch Orthop Trauma Surg 117, 47–49 (1998). https://doi.org/10.1007/BF00703439
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00703439