Same-gender differences in perioperative complications and transfusion management for lower limb arthroplasty

BMC Musculoskeletal Disorders, vol. 24, pp. 653

Abstract

INTRODUCTION: Total hip (THA) and knee arthroplasty (TKA) are surgical interventions for patients with primary and posttraumatic osteoarthritis. The present clinical investigation compared gender differences in THA and TKA. METHODS: Data from 419 patients following primary THA and TKA were collected. The occurrence of systemic and surgery-related complications, the units of blood transfused, and the change in Hb were investigated. Hb was collected preoperatively and at 1, 2, 4 and 7 days postoperatively. Statistical analysis was performed using the software IBM SPSS 28. RESULTS: There was no significant difference in surgery-related and general complications in men between THA and TKA. A significant difference between THA and TKA in systemic complications in women was observed. No significant difference between THA and TKA in related to surgery-related complications was evidenced. In men, no difference in Hb progression was observed. In women, a significant Hb drop was evidenced (p = 0.03). The rate of blood transfusion units in women was significantly greater in TKA than in THA (p = 0.001). No statistically significant difference was observed in men in the rate of transfusion between THA and TKA. CONCLUSION: Perioperative care should be organized differently for women and men. Furthermore, a differentiation between the procedures for each sex could prevent the occurrence of perioperative complicated courses.

Authors 4

1. Julian Koettnitz corresponding

   University Hospitals of the Ruhr-University of Bochum · Auguste-Viktoria-Klinik

   Affiliation as printed

   Department of General Orthopaedics, Auguste-Viktoria-Clinic Bad Oeynhausen, University Hospital of Ruhr-University-Bochum, Am Kokturkanal, Bad Oeynhausen, 32545, Germany. julian_koettnitz@gmx.de

   Department of General Orthopaedics, Auguste-Viktoria-Clinic Bad Oeynhausen, University Hospital of Ruhr-University-Bochum, Am Kokturkanal, Bad Oeynhausen, 32545, Germany

2. Filippo Migliorini Aachen Department of Orthopaedics and Trauma Surgery

   RWTH Aachen University · Universitätsklinikum Aachen

   Affiliation as printed

   Department of Orthopaedics and Trauma Surgery, University Clinic Aachen, RWTH Aachen University Clinic, 52064, Aachen, Germany

3. Christian‐Dominik Peterlein

   University Hospitals of the Ruhr-University of Bochum · Auguste-Viktoria-Klinik

   Affiliation as printed

   Department of General Orthopaedics, Auguste-Viktoria-Clinic Bad Oeynhausen, University Hospital of Ruhr-University-Bochum, Am Kokturkanal, Bad Oeynhausen, 32545, Germany

4. Christian Götze

   University Hospitals of the Ruhr-University of Bochum · Auguste-Viktoria-Klinik

   Affiliation as printed

   Department of General Orthopaedics, Auguste-Viktoria-Clinic Bad Oeynhausen, University Hospital of Ruhr-University-Bochum, Am Kokturkanal, Bad Oeynhausen, 32545, Germany