Same-gender differences in perioperative complications and transfusion management for lower limb arthroplasty

  • \(\bf Introduction\) Total hip (THA) and knee arthroplasty (TKA) are surgical interventions for patients with primary and posttraumatic osteoarthritis. The present clinical investigation compared gender differences in THA and TKA. \(\bf Methods\) Data from 419 patients following primary THA and TKA were collected. The occurrence of systemic and surgery-related complications, the units of blood transfused, and the change in Hb were investigated. Hb was collected preoperatively and at 1, 2, 4 and 7 days postoperatively. Statistical analysis was performed using the software IBM SPSS 28. \(\bf Results\) There was no significant difference in surgery-related and general complications in men between THA and TKA. A significant difference between THA and TKA in systemic complications in women was observed. No significant difference between THA and TKA in related to surgery-related complications was evidenced. In men, no difference in Hb progression was observed. In women, a significant Hb drop was evidenced (\(\it p\) = 0.03). The rate of blood transfusion units in women was significantly greater in TKA than in THA (\(\it p\) = 0.001). No statistically significant difference was observed in men in the rate of transfusion between THA and TKA. \(\bf Conclusion\) Perioperative care should be organized differently for women and men. Furthermore, a differentiation between the procedures for each sex could prevent the occurrence of perioperative complicated courses.

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Author:Julian KoettnitzGND, Filippo MiglioriniORCiDGND, Christian D. PeterleinGND, Christian GötzeGND
Parent Title (English):BMC musculoskeletal disorders
Publisher:BioMed Central, Part of Springer Nature
Place of publication:London
Document Type:Article
Date of Publication (online):2024/03/14
Date of first Publication:2023/08/16
Publishing Institution:Ruhr-Universität Bochum, Universitätsbibliothek
Tag:Open Access Fonds
Blood transfusion; Complications; Gender differences; THA; TKA
Issue:Artikel 653
First Page:653-1
Last Page:653-7
Article Processing Charge funded by the Deutsche Forschungsgemeinschaft (DFG) and the Open Access Publication Fund of Ruhr-Universität Bochum.
Institutes/Facilities:Auguste Viktoria Klinik, Universitätsklinik für Allgemeine Orthopädie
Dewey Decimal Classification:Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit
open_access (DINI-Set):open_access
Licence (English):License LogoCreative Commons - CC BY 4.0 - Attribution 4.0 International