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. 2016 Sep;31(9):2008-12.
doi: 10.1016/j.arth.2016.02.019. Epub 2016 Feb 17.

Major Complications and Transfusion Rates After Hemiarthroplasty and Total Hip Arthroplasty for Femoral Neck Fractures

Emmanouil Liodakis  1 , John Antoniou  1 , David J Zukor  1 , Olga L Huk  1 , Laura M Epure  1 , Stephane G Bergeron  1
Affiliations

Major Complications and Transfusion Rates After Hemiarthroplasty and Total Hip Arthroplasty for Femoral Neck Fractures

Emmanouil Liodakis et al. J Arthroplasty. 2016 Sep.

Abstract

Background: Postoperative complications and perioperative transfusions are common after hemiarthroplasty or total hip arthroplasty (THA) and can lead to increased morbidity and mortality.

Methods: The National Surgical Quality Improvement Program Database was queried to compare 30-day major complications and perioperative transfusions after femoral neck fractures.

Results: A total of 4058 patients were included in the study: 3192 were treated with hemiarthroplasty and 866 with THA. Multivariable logistic regression analysis revealed that having a THA was not an independent risk factor for major complications (odds ratio = 0.8, P = .18) but was an independent risk factor for requiring transfusions (odds ratio = 1.68, P < .001).

Conclusion: The risk of major complications is influenced by patient factors rather than the choice of procedure. However, THA was a risk factor for transfusions after controlling for all other variables.

Keywords: NSQIP database; complications; femoral neck fracture; hemiarthroplasty; total hip arthroplasty; transfusions.

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