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Original Article
Bleeding Volume after Surgery for Trochanteric Fractures of the Femur in Patients Treated with Antiplatelet Agents: Comparison according to Surgical Timing
Se Ang Jang, Young Ho Cho, Young Soo Byun, Tae Gyun Kim, Hun Sik Cho, Sung Choi
J Korean Fract Soc 2012;25(2):105-109.   Published online April 30, 2012
DOI: https://doi.org/10.12671/jkfs.2012.25.2.105
AbstractAbstract PDF
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.

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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