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Bleeding Volume after Surgery for Trochanteric Fractures of the Femur in Patients Treated with Antiplatelet Agents: Comparison according to Surgical Timing
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Se Ang Jang, Young Ho Cho, Young Soo Byun, Tae Gyun Kim, Hun Sik Cho, Sung Choi
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J Korean Fract Soc 2012;25(2):105-109. Published online April 30, 2012
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DOI: https://doi.org/10.12671/jkfs.2012.25.2.105
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 Abstract
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- PURPOSE
We evaluated the bleeding volume after surgery for trochanteric fractures of the femur in patients treated with antiplatelet agents according to surgical timing.
MATERIALS AND METHODS
We selected 20 patients who had trochanteric fractures of the femur treated with antiplatelet agents from January 2009 to June 2010. Group I included 9 patients who discontinued antiplatelet medication and had delayed operations at an average of 6.5 days and Group II included 11 patients who underwent early operations within 24 hours. Group I included 2 males and 7 females; their average age was 77.8 years (range 59~86). Group II included 4 males and 7 females, with an average age of 73.5 years (range 61~84). We compared the two groups' volume of intraoperative bleeding, the preoperative and postoperative hemoglobin levels and the volume of postoperative transfusion. The Mann-Whitney U test was used for statistical analysis.
RESULTS
The volume of intraoperative bleeding was 88 ml in group I and 106 ml in group II (p>0.01). The difference in the hemoglobin was a decrease of 2.4 mg% in group I and a decrease of 2.2 mg% in group II (p>0.01). The volume of postoperative transfusion was 0.6 pints in group I and 1 pint in group II (p>0.01).
CONCLUSION
We found a similar bleeding volume regardless of operative timing after surgery for trochanteric fractures of the femur in patients treated with antiplatelet agents.
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Citations
Citations to this article as recorded by  - Is early hip fracture surgery safe for patients on clopidogrel? Systematic review, meta-analysis and meta-regression
B. Doleman, I.K. Moppett
Injury.2015; 46(6): 954. CrossRef - Morbidity and Mortality of the Elderly after Early Operation for Trochanteric Fractures
Se-Ang Jang, Young-Ho Cho, Young-Soo Byun, Ki-Hong Park, Hyun-Seong Yoo, Chul Jung
Journal of the Korean Fracture Society.2013; 26(3): 199. CrossRef
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The Surgical Outcomes of Clavicle Lateral End Fractures Fixed with the Oblique T Locking Compession Plate
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Seung Oh Nam, Young Soo Byun, Dong Ju Shin, Jung Hoon Shin, Chung Yeol Lee, Tae Gyun Kim
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J Korean Fract Soc 2011;24(1):41-47. Published online January 31, 2011
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DOI: https://doi.org/10.12671/jkfs.2011.24.1.41
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Abstract
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- PURPOSE
The purpose of this study is to evaluate the surgical outcomes of the clavicle lateral end fracture fixed with an oblique T locking compression plate (LCP).
MATERIALS AND METHODS
Fourteen clavicle lateral end fractures were fixed with the oblique T-LCP and followed up for at least 1 year after the surgery. Thirteen cases were unstable Neer type II fractures and one case was nonunion of the Neer type I fracture. The mean age was 46 years of age (range, 26~70). In ten cases, augmenting sutures with the absorbable suture material were placed in the coraco-clavicular ligament and around the plate and the clavicle to improve the stability of fracture fixation. Autogenous iliac bone graft was done in four cases. The clinical outcomes were evaluated by using UCLA scoring system and KSS (Korean Shoulder Score).
RESULTS
The mean UCLA score was 33.5 and the mean KSS was 94.9. Average time of bone union was 11.9 weeks (range, 6~28), including 1 case with a delayed union. There was no complication such as loss of fixation or nonunion.
CONCLUSION
Fixation with the oblique T-LCP is a good option providing reliable functional results in clavicle lateral end fractures.
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Citations
Citations to this article as recorded by - Results of Hook Plate Fixation of Unstable Distal Clavicle Fractures
Hoon-Sang Sohn, Byung Chul Jo
Journal of the Korean Fracture Society.2011; 24(4): 335. CrossRef
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Repetitive Insufficiency Fractures of the Femoral Shaft: A Case Report
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Ji Hwan Kim, Young Ho Cho, Young Soo Byun, Jung Hoon Shin, Chung Yeol Lee, Tae Gyun Kim
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J Korean Fract Soc 2010;23(1):109-112. Published online January 31, 2010
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DOI: https://doi.org/10.12671/jkfs.2010.23.1.109
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Abstract
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- Stress fractures occur when the loads applied to a bone exceed the mechanical resistance and fall into two groups. Fatigue fractures, in which abnormal mechanical stress is applied to a normal bone, and insufficiency fractures, in which fracture occurs when stress of normal activity is applied to a bone that has decreased elastic resistance. Femoral shaft insufficiency fractures are reported rarely in patients with postmenopausal osteoporosis. We report a case of repetitive insufficiency fractures of the femoral shaft in 70 year-old female with marked osteoporosis.
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