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KMID : 0386420120250020105
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Journal of the Korean Fracture Society
2012 Volume.25 No. 2 p.105 ~ p.109
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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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Jang Se-Ang
Cho Young-Ho
Byun Young-Soo
Kim Tae-Gyun
Cho Hun-Sik
Choi Sung
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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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KEYWORD
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Femur, Trochanteric fractures, Antiplatelet agents, Bleeding volume
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