952 The Use of Cell-Salvage in Periprosthetic Femur Fractures: A Cheaper and Safer Alternative?

Abstract Aim Periprosthetic femur fractures (PFF) are becoming increasingly frequent due to an ageing population and growing number of arthroplasties. PFF revision surgery is associated with significant peri-operative blood loss higher transfusion requirements. There few strategies reduce rates transfusion. One which the use cell-salvage. The aim this study was determine whether cell salvage should be routinely implemented during surgeries. Method All admission were retrospectively reviewed over a period 18 months. Data points including patient demographics, admission/operation dates, fracture site, anticoagulation status, pre/post-op Hb transfusions collected. Results total 38 PFF. Average age 83.4 years 11.65g/dl. Mean time for operation 2.9 days. 56% hip replacement received post-operatively average 2.6 units per patient. 100% knee post-operative 1.6 Of note there no increased requirements on (Warfarin/DOAC). Conclusions We identified that >50% required post-op cost 1 unit RBC locally found £145.99. filter £100 Considering above well-known risk allogenic red transfusion, it concluded routine could cheaper safer alternative