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

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....

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Bibliographic Details
Published in:BMC musculoskeletal disorders 2023-08, Vol.24 (1), p.1-653, Article 653
Main Authors: Koettnitz, Julian, Migliorini, Filippo, Peterlein, Christian D, Götze, Christian
Format: Article
Language:English
Subjects:
Arthritis
Arthroplasty (hip)
Arthroplasty (knee)
Blood transfusion
Blood transfusions
Body mass index
Care and treatment
Complications
Demographic aspects
Diagnosis
Gender
Gender differences
Hemoglobin
Hospitalization
Infections
Joint replacement surgery
Orthopedics
Osteoarthritis
Patients
Sepsis
Sex differences
Statistical analysis
Surgery
Surgical outcomes
THA
TKA
Womens health
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Summary: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. Keywords: Complications, Blood transfusion, Gender differences, THA, TKA
ISSN:1471-2474
1471-2474
DOI:10.1186/s12891-023-06788-x