Hip international : the journal of clinical and experimental research on hip pathology and therapy
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We assessed the efficacy of tranexamic acid in reducing transfusion requirements in patients undergoing revision hip arthroplasty. A prospective cohort study was designed comparing Tranexamic acid administration in 30 patients compared to 30 patients in a control group. Blood loss was measured in theatre, pre- and postoperative haemoglobin measurements were recorded and postoperative haemodynamic parameters were evaluated. ⋯ Infected revisions showed no reduction in transfusion requirements with tranexamic acid administration (p = 0.25). There was a reduced frequency of transfusion in patients when revision was performed for aseptic loosening (p = 0.027). This group of patients may benefit from tranexamic acid administration.
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Comparative Study
Comparison of the Exeter Trauma Stem and the Thompson hemiarthroplasty for intracapsular hip fractures.
A planned change in the prosthesis used for hip hemiarthroplasty in one orthopaedic trauma unit from the Thompson prosthesis to the Exeter Trauma Stem (ETS) was studied. We completed a prospective continuous audit study comparing outcomes for patients undergoing the procedure before (766 patients) and after (388 patients) the change of practice. ⋯ There was no difference in the incidence of surgical complications between the groups, and no difference in ratings given to postoperative radiographs between both groups. In theory, the ETS may be easier to revise, should this be required in future, but in other respects the devices are comparable.