{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T15:56:41Z","timestamp":1765382201769},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>To compare cell salvage (CS) volume, intraoperative blood loss, intraoperative blood transfusions, and operative time for acetabular fractures undergoing early (\u226448 hours from admission) versus delayed fixation (&gt;48 hours from admission).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Retrospective.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Level one trauma center.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients:<\/jats:title>\n            <jats:p>One hundred thirty-one patients with unilateral acetabular fractures involving at least one column.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>Open reduction and internal fixation performed through the anterior intrapelvic approach or posterior approach.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measurements:<\/jats:title>\n            <jats:p>CS volume, estimated blood loss (EBL), intravenous fluids (IVFs), intraoperative packed red blood cells (PRBCs), and operative time.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Early versus delayed fixation through the posterior approach was associated with shorter operative times and less intraoperative PRBCs (140 vs. 301 mL, MD \u2212161 mL, 95% confidence interval \u221225 to \u2212296 mL) with no differences in CS, EBL, or IVF. Early versus delayed fixation through an anterior intrapelvic approach was more common in less severe fracture patterns with no differences in PRBCs, CS, EBL, or IVF. CS, through either approach, was successful in returning blood to 77% of patients for an average of 267 \u00b1 168 mL (range, 105\u2013900 mL).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Fixation of acetabular fractures within 48 hours of admission did not increase blood loss or intraoperative transfusions. CS was successful in returning an average of one unit of blood to a majority of patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000001682","type":"journal-article","created":{"date-parts":[[2019,11,4]],"date-time":"2019-11-04T19:23:30Z","timestamp":1572895410000},"page":"244-247","source":"Crossref","is-referenced-by-count":16,"title":["Early Operative Treatment of Acetabular Fractures Does Not Increase Blood Loss: A Retrospective Review"],"prefix":"10.1097","volume":"34","author":[{"given":"Joshua A.","family":"Parry","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Denver Health, University of Colorado School of Medicine, Denver, CO;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samanatha","family":"Nino","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orlando Health, Orlando, FL;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nima","family":"Khosravani","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Florida State College of Medicine, Orlando, FL; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee","family":"Weber","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Florida State College of Medicine, Orlando, FL; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George J.","family":"Haidukewych","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orlando Health, Orlando, FL;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth J.","family":"Koval","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Memorial Hospital, Gulfport, MS."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua R.","family":"Langford","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orlando Health, Orlando, FL;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1097\/BOT.0b013e31824d96de","article-title":"Does early fixation of posterior wall acetabular fractures lead to increased blood loss?","volume":"27","author":"Furey","year":"2013","journal-title":"J Orthop Trauma."},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1097\/BOT.0000000000000153","article-title":"Open reduction and internal fixation of acetabulum fractures","volume":"28","author":"Dailey","year":"2014","journal-title":"J Orthop Trauma."},{"key":"R3-20230828","first-page":"677","article-title":"Early definitive stabilization of unstable pelvis and acetabulum fractures reduces morbidity","volume":"69","author":"Vallier","year":"2010","journal-title":"J Trauma."},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/BOT.0000000000001063","article-title":"Fracture and dislocation classification compendium\u20142018","volume":"32","author":"Meinberg","year":"2018","journal-title":"J Orthop Trauma."},{"key":"R5-20230828","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1308\/003588413X13629960045715","article-title":"Clinical efficacy and cost effectiveness of intraoperative cell salvage in pelvic trauma surgery","volume":"95","author":"Odak","year":"2013","journal-title":"Ann R Coll Surg Engl."},{"key":"R6-20230828","doi-asserted-by":"crossref","first-page":"e230","DOI":"10.1097\/BOT.0b013e3182877684","article-title":"The use of blood cell salvage in acetabular fracture internal fixation surgery","volume":"27","author":"Bigsby","year":"2013","journal-title":"J Orthop Trauma."},{"key":"R7-20230828","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1097\/BOT.0000000000000292","article-title":"Cell saver use in acetabular surgery","volume":"29","author":"Firoozabadi","year":"2015","journal-title":"J Orthop Trauma."}],"container-title":["Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000001682","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T07:04:55Z","timestamp":1693206295000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000001682"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1097\/bot.0000000000001682","relation":{},"ISSN":["0890-5339"],"issn-type":[{"value":"0890-5339","type":"print"}],"subject":[],"published":{"date-parts":[[2020,5]]}}}