Effect of osteoporosis on hidden hemorrhage after TKA: A retrospective study

Journal of Orthopaedic Reports Pub Date : 2024-07-23 DOI:10.1016/j.jorep.2024.100447

Yao Han, Hualin Tang

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Abstract

Objective

To investigate the relationship between the degree of osteoporosis and TBL, DBL and HBL during perioperative in elderly patients after TKA.

Methods

From October 2022 to December 2023, 70 patients were enrolled into the study.According to the WHO classification of osteoporosis, all patients were divided into three groups: normal group (n = 12), osteopenia group (n = 21), osteoporosis group (n = 37). The latest statistical software SPSS22.0 was used for data analysis.

Results

TBL of the three groups were (787.88 ± 173.48)ml, (856.09 ± 213.54)ml and (1046.78 ± 207.36)ml respectively, DBL of the three groups were (262.04 ± 37.14)ml, (260.55 ± 29.99)ml and (264.48 ± 35.09)ml respectively, and HBL were (529.84 ± 113.15)ml、(595.54 ± 128.11)ml、(782.30 ± 123.53)ml respectively. For TBL and HBL, the osteoporosis group was significantly higher than the osteopenia group and the normal group(P < 0.05).

Conclusion

Osteoporosis can significantly increase blood loss for patients with TKA, especially increase the TBL and HBL, but have no obvious effect on the amount of DBL.

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骨质疏松症对 TKA 术后隐性出血的影响：一项回顾性研究

摘要] 目的探讨TKA术后老年患者围术期骨质疏松程度与TBL、DBL、HBL的关系。方法 2022年10月-2023年12月，选取70例患者作为研究对象，根据WHO骨质疏松分类标准，将所有患者分为三组：正常组（12例）、骨质疏松组（21例）、骨质疏松组（37例）。结果三组患者的 TBL 分别为（787.88 ± 173.48）ml、（856.09 ± 213.54）ml 和（1046.78 ± 207.三组的 DBL 分别为（262.04 ± 37.14）ml、（260.55 ± 29.99）ml 和（264.48 ± 35.09）ml，HBL 分别为（529.84 ± 113.15）ml、（595.54 ± 128.11）ml 和（782.30 ± 123.53）ml。结论骨质疏松症可显著增加 TKA 患者的失血量，尤其是增加 TBL 和 HBL，但对 DBL 量无明显影响。

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Journal of Orthopaedic Reports

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