Research Article| Volume 17, ISSUE 4, P265-266, July 1986

Download started.


Blood use in urgent operations for patients with fractures of the femoral neck

      This paper is only available as a PDF. To read, Please Download here.


      Unnecessary preoperative cross-matching of blood wastes time and money and may increase morbidity and mortality by delaying a necessary operation. One hundred and ninetythree consecutive patients who underwent semi-urgent operative treatment for fractures of the neck of the femur at a large district general hospital were evaluated. Of the patients with haemoglobin values of 11g/dl or more, only 12 per cent required transfusion for the operation. None of the patients with fractures treated by ‘pinning’ required a transfusion. It is our opinion that patients with normal preoperative haemoglobin levels can undergo operative treatment for fractures of the neck of femur after typing but without the necessity of cross-matching blood.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Argov S.
        • Shecker Y.
        Is routine cross-matching for two units of blood necessary in elective surgery?.
        Am. Med. J. Surg. 1981; 142: 370
        • Campbell A.J.
        Femoral neck fractures in elderly women: a prospective study.
        Age Aging. 1976; 5: 102
        • De Jongh D.S.
        • Feng C.S.
        • Frank S.
        • et al.
        Improved utilization of blood for elective surgery.
        Surg. Gynecol. Obstet. 1983; 156: 326
        • Friedman B.A.
        • Oberman H.A.
        • Chadwick A.R.
        • et al.
        The maximum surgical blood order schedule and surgical blood use in the United States.
        Transfusion. 1976; 16: 380
        • Huang S.T.
        • Lair J.
        • Floyd D.M.
        • et al.
        Type and hold system for better blood utilization.
        Transfusion. 1980; 20: 725
        • Sarmad P.
        Use of blood in elective surgery.
        JAMA. 1980; 243: 1536
        • Seshadri R.S.
        • O'Dell W.R.
        • Roxby D.
        • et al.
        Effective use of blood in elective surgery.
        Med. J. Aust. 1979; 2: 575
        • Smallwood J.A.
        Use of blood in elective general surgery: an area of wasted resources.
        Br. Med. J. 1983; 286: 868