Perioperative Blood Management Strategies for Patients Undergoing Total Hip Arthroplasty: Where Do We Currently Stand on This Matter?



1 Bank of Cyprus Oncology Center, Acropoleos Ave 32, Strovolos, Nicosia, Cyprus

2 George Eliot Hospital NHS Trust, Nuneaton, Warwickshire

3 Democritus University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Dragana, Greece

4 Whitechapel Rd, Whitechapel, London, UK


Total hip replacement (THR) has proved to be a reliable treatment for the end stage of hip osteoarthritis. It is a
common orthopaedic procedure with excellent results, but is associated with significant blood loss and high rates
of allogeneic blood transfusion (ABT). The potential complications and adverse events after ABT, combined with the
ongoing research, have resulted in multimodel, multidisciplinary blood management strategies adoption, aiming to
reduce the blood loss and transfusion rates. Many reviews and meta-analyses have tried to demonstrate the best
blood management strategies. The purpose of this study is to review any evidence-based blood conserving technique,
dividing them in three stages: preoperative, intraoperative and postoperative.
Level of evidence: III


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Volume 8, Issue 6
November and December 2020
Pages 646-655
  • Receive Date: 12 January 2020
  • Revise Date: 22 February 2020
  • Accept Date: 08 April 2020