Review of total hip arthroplasty in alytus district S.Kudirka hospital in 2013

Abstract

Introduction Hip replacement surgery or total hip arthroplasty (THA) is considered as one of the most successful surgeries in the world. THA is usually indicated for senior people but over the last years, it was noticed, that more and more middle-aged people need THA. The main indications for hip replacement are hip joint osteoarthrosis and femoral neck fracture. Each year, over 3000 hip replacement surgeries are performed in Lithuania. In this abstract, we review the main characteristics of hip replacement surgery in Alytus district hospital. Aim To analyze the main treatment by total hip replacement characteristics (indications, types of prosthesis, duration of hospitalization, hemoglobin decrease during operation, blood loss during operation, duration of the operation and need for blood transfusion) in Alytus district S.Kudirka's hospital in 2013 Objectives 1. To determine the most common indications for total hip replacement 2. To determine the most common type of prosthesis fixation 3. To compare the level of hemoglobin before and after the operation 4. To determine blood loss during the operation and evaluate its link with the decrease of hemoglobin 5. To evaluate the link between blood loss and duration of the operation 6. To evaluate the link between blood loss and duration of hospitalization time 7. To evaluate the link between need for blood transfusion and blood loss 8. To evaluate the link between need for blood transfusion and change of hemoglobin. Methods We have performed retrospective analysis of case histories of patients, who underwent total hip replacement in Alytus district S.Kudirka's hospital in 2013. We have analyzed patients’ demographic parameters, Body Mass Index (BMI), antibacterial and pulmonary embolism prophylaxis, days spent in hospital, indications of treatment, types of prosthesis, hemoglobin levels, length of operation and blood loss. Statistical calculation was performed us.[...].