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Early operative treatment of acetabular fractures does not increase blood loss: A retrospective review

Journal of Orthopaedic Trauma May 01, 2020

Parry JA, Nino S, Khosravani N, et al. - A retrospective study was designed to compare cell salvage (CS) volume, intraoperative blood loss, intraoperative blood transfusions, and operative time for acetabular fractures undergoing early (≤48 hours from admission) vs delayed fixation (>48 hours from admission). Researchers included a total of 131 individuals with unilateral acetabular fractures involving at least one column. Cell salvage volume, estimated blood loss, intravenous fluids, intraoperative packed red blood cells, and operative time were the main outcome measures. This study's findings demonstrate that fixation of acetabular fractures within 48 hours of admission did not elevate blood loss or intraoperative transfusions. It was noted that CS was successful in returning an average of one unit of blood to a majority of individuals.

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