Investigation of Bleeding during Salter Pelvic Osteotomy at our Hospital

DOI Web Site Web Site 3 References

Bibliographic Information

Other Title
  • 当院における小児期Salter 骨盤骨切り術での出血量の検討
  • トウ イン ニ オケル ショウニキ Salter コツバン コツキリジュツ デ ノ シュッケツリョウ ノ ケントウ

Search this article

Abstract

Salter surgery is often selected for infancy acetabular dysplasia and residual subluxation of the hip. Therefore, we examined the volume of bleeding when this procedure was performed at our hospital. Eight cases of 8 hips were treated, with an average age of 5 years 0 months. In all cases Bikini line β-TCP was used instead of autografting bone from the pelvis. Bleeding time was determined before surgery and on postoperative days 2, 4, 7 and 14, and the surgery time, intraoperative bleeding volume, minimum hemoglobin (Hb) value, transfusion volume, postoperative reduction in the maximum Hb, estimated bleeding volume, and complications. The average operation time was 82 minutes, the average intraoperative bleeding volume was 82 ml, the average lowest Hb value was 10.3 g/dl, with 2 cases at their lowest on the 2nd postoperative day, and 6 cases at the lowest on the 4th day after the operation. The average Hb decrease was 36.89 g and the average estimated hemorrhage volume was 277.3 ml. There was no conclusion as to whether it was necessary to perform corrective surgery in early childhood, with the expectation of acetabular dysplasia and improvement of subarachnoid withdrawal, or whether to choose adult pelvic osteotomy. The estimated bleeding volume of this procedure was about 1/5 of the total blood volume. In addition, autologous blood transfusion and blood transfusion were not necessary, and invasion was not considered to be significant.

Journal

References(3)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top