Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Dec;47(12):2933-2940.
doi: 10.1007/s00264-023-05869-9. Epub 2023 Jun 21.

Intraoperative blood loss and haemoglobin drop in patients with developmental dysplasia of the hip in Jordan undergoing total hip arthroplasty

Moh'd S Dawod  1 , Mohammad N Alswerki  2 , Bassem I Haddad  3 , Jihad Alajlouni  3 , Mohammad A Alshrouf  4 , Saba Alnsour  4 , Sohayla Dababseh  4 , Mohammad A Alsmairat  5
Affiliations

Intraoperative blood loss and haemoglobin drop in patients with developmental dysplasia of the hip in Jordan undergoing total hip arthroplasty

Moh'd S Dawod et al. Int Orthop. 2023 Dec.

Abstract

Purpose: Developmental dysplasia of the hip is still a prevailing secondary cause of early hip osteoarthritis in Jordan. Dysplastic coxarthrosis can result in significant and disabling hip pain with impaired patient's functionality. Due to this significant morbidity, patients ultimately need total hip arthroplasty, which offers the best functional outcome. Significant anatomical aberrances do exist in such hips as a result of old dysplasia; such pathoanatomical changes can complicate an already difficult surgery and lead to significant intraoperative blood loss and haemoglobin drop postoperatively. So, the aim of this research was to investigate on the intraoperative blood loos, and postoperative haemoglobin drop in these patients.

Methods: A cross-sectional study design was adopted, and 162 patients with advanced hip osteoarthrosis secondary to developmental dysplasia of the hip (DDH) were studied. We studied predictors of hemoglobin drop and blood loss and linked some variables to this outcome variable using different statistical tests.

Results: Our results showed a positive correlation between blood loss and BMI (r = 0.27, p = 0.73), haemoglobin drop and duration of surgery (r = 0.14, p = 0.07), length of hospital stay and duration of surgery (r = 0.25, p = 0.001). No significant differences between outcome measures (blood loss, haemoglobin drop, and duration of surgery) between males and females (p = 0.38, 0.93, 0.77 respectively). However, there was a statistically significant differences in haemoglobin drop among patients underwent general versus spinal anaesthesia (p = 0.03). additionally, there was a statistically significant association in length of hospital stay among smokers (p = 0.03), and patients who didn't prescribed anxiolytic preoperatively (p = 0.008).

Conclusion: Haemoglobin drop and blood loss in patients with dysplastic coxarthrosis were linked to increased preoperative BMI. Use of preoperative anxiolytics, and being non-smoker decreased the length of hospital stays. General anaesthesia was associated with more haemoglobin drop as well.

Keywords: Adult hip dysplasia; Blood loss; Developmental dysplasia; Haemoglobin; Length of hospital stay; Total hip arthroplasty.

PubMed Disclaimer

Comment in

Similar articles

See all similar articles

Cited by

References

    1. Nandhagopal T, De Cicco FL (2022) Developmental Dysplasia Of The Hip. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK563157/
    1. Moraleda L, Albiñana J, Salcedo M, Gonzaléz-Morán G (2013) Dysplasia in the development of the hip. Rev Esp Cir Ortopédica Traumatol (English Ed) 57(1):67–77. https://doi.org/10.1016/J.RECOTE.2013.01.009 - DOI
    1. Papachristou GC, Pappa E, Chytas D, Masouros PT, Nikolaou VS (2021) Total hip replacement in developmental hip dysplasia: a narrative review. Cureus 13(4):e14763. https://doi.org/10.7759/CUREUS.14763
    1. Atilla B (2016) Reconstruction of neglected developmental dysplasia by total hip arthroplasty with subtrochanteric shortening osteotomy. EFORT Open Rev 1(3):65. https://doi.org/10.1302/2058-5241.1.000026 - DOI - PubMed - PMC
    1. Vaquero-Picado A, González-Morán G, Garay EG, Moraleda L (2019) Developmental dysplasia of the hip: update of management. EFORT Open Rev 4(9):548–556. https://doi.org/10.1302/2058-5241.4.180019 - DOI - PubMed - PMC

MeSH terms

LinkOut - more resources