ISSN 2146-8133
 

Original Research (Original Article) Open Access


Outcomes of total hip arthroplasty in pancytopenia

Dragan Radoicic, Zarko Dasic, Srdan Starcevic, Danica Radoicic.

Abstract
Objective: Pancytopenia is a hematological entity, it confronts surgeons from time to time, and the purpose was to determine the risks, difficulties and complications involved in performing total hip arthroplasty in pancytopenic patients.
Materials and methods: single centre review of 15 patients with pancytopenia, who underwent THA. 5 patients had decreased bone marrow function, 9 increased peripherial destruction, 8 of them had chronic hepatitis with liver cirrhosis (hepatitic C in 6 and B in 2 cases).
Results: 18 THA procedures, three patients had staged bilateral THA. Average age was 63.9 years. 12 women and 3 men, 14 cementless and 4 hybrid THA-s. Average intraoperative blood loss was 930 ml, average operative time 72 min.
Conclusion: THA in pancytopenia may be challenging and burdened by higher risks and costs, than in cases of some other comorbidities. THA can be safely performed, if thorough preoperative assessment is conducted, proven and safe surgical technique used and adequate postoperative restoration of hematological imbalances achieved.

Key words: Hip arthroplasty, pancytopenia, cryoprecipitate, cementless, hybrid


 
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Pubmed Style

Radoicic D, Dasic Z, Starcevic S, Radoicic D. Outcomes of total hip arthroplasty in pancytopenia. Arch Clin Exp Surg. 2016; 5(4): 222-227. doi:10.5455/aces.20160127010602


Web Style

Radoicic D, Dasic Z, Starcevic S, Radoicic D. Outcomes of total hip arthroplasty in pancytopenia. http://www.acesjournal.org/?mno=207939 [Access: January 20, 2018]. doi:10.5455/aces.20160127010602


AMA (American Medical Association) Style

Radoicic D, Dasic Z, Starcevic S, Radoicic D. Outcomes of total hip arthroplasty in pancytopenia. Arch Clin Exp Surg. 2016; 5(4): 222-227. doi:10.5455/aces.20160127010602



Vancouver/ICMJE Style

Radoicic D, Dasic Z, Starcevic S, Radoicic D. Outcomes of total hip arthroplasty in pancytopenia. Arch Clin Exp Surg. (2016), [cited January 20, 2018]; 5(4): 222-227. doi:10.5455/aces.20160127010602



Harvard Style

Radoicic, D., Dasic, Z., Starcevic, S. & Radoicic, D. (2016) Outcomes of total hip arthroplasty in pancytopenia. Arch Clin Exp Surg, 5 (4), 222-227. doi:10.5455/aces.20160127010602



Turabian Style

Radoicic, Dragan, Zarko Dasic, Srdan Starcevic, and Danica Radoicic. 2016. Outcomes of total hip arthroplasty in pancytopenia. Archives of Clinical and Experimental Surgery (ACES), 5 (4), 222-227. doi:10.5455/aces.20160127010602



Chicago Style

Radoicic, Dragan, Zarko Dasic, Srdan Starcevic, and Danica Radoicic. "Outcomes of total hip arthroplasty in pancytopenia." Archives of Clinical and Experimental Surgery (ACES) 5 (2016), 222-227. doi:10.5455/aces.20160127010602



MLA (The Modern Language Association) Style

Radoicic, Dragan, Zarko Dasic, Srdan Starcevic, and Danica Radoicic. "Outcomes of total hip arthroplasty in pancytopenia." Archives of Clinical and Experimental Surgery (ACES) 5.4 (2016), 222-227. Print. doi:10.5455/aces.20160127010602



APA (American Psychological Association) Style

Radoicic, D., Dasic, Z., Starcevic, S. & Radoicic, D. (2016) Outcomes of total hip arthroplasty in pancytopenia. Archives of Clinical and Experimental Surgery (ACES), 5 (4), 222-227. doi:10.5455/aces.20160127010602





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