Blood and Blood Product Transfusion in Orthopedic Trauma: Clinical Practices and Optimization Strategies
Editorial | Vol 12 | Issue 1 | January-June 2026 | page: 01-05 | Arvind Vatkar, Sachin Kale, Sumedha Shinde, Ashok Shyam
DOI: https://doi.org/10.13107/ti.2026.v12.i01.070
Submitted: 06/01/2026; Reviewed: 01/02/2026; Accepted: 05/03/2026; Published: 10/04/2026
Authors: Arvind Vatkar [1], Sachin Kale [2], Sumedha Shinde [3], Ashok Shyam [4]
[1] Department of Orthopaedics, MGM Medical College, Nerul, Navi Mumbai, Maharashtra, India.
[2] Department of Orthopaedics, Dr. D.Y. Patil Medical College, Nerul, Navi Mumbai, Maharashtra, India.
[3] Department of IHBT, Grant Government Medical College & Sir J.J. Group of Hospitals, Byculla, Mumbai, Maharashtra, India.
[4] Head of Research, Department of Orthopaedics, Sancheti Hospital, Pune, Maharashtra, India.
Address of Correspondence
Dr. Sachin Kale
Head of Unit, Department of Orthopaedics, Dr. D.Y. Patil Medical College, Nerul, Navi Mumbai, Maharashtra, India.
Email: sachinkale@gmail.com
Editorial Abstract
The immense and growing burden of orthopedic trauma in India, primarily due to road traffic accidents, necessitates a complete overhaul of blood management and clinical practices to achieve efficiency. Current practices are plagued by systemic inefficiencies, reflected in an orthopedic Cross-match to Transfusion Ratio (CTR) of 1.9. This habitual over-ordering unnecessarily depletes blood bank resources and escalates patient costs. The mandated evolution requires a transition from “anecdotal requisitioning”—ordering based on routine or habit—to robust, evidence-based protocols such as the Maximum Surgical Blood Ordering Schedule (MSBOS). Concurrent clinical strategies, including the prophylactic use of Tranexamic Acid (TXA) to safely reduce blood loss by up to 50% and the rigorous application of Venous Thromboembolism (VTE) prophylaxis, are fundamental. The successful implementation of these protocols will ensure the judicious use of precious resources, significantly enhance patient safety, and align surgical preparedness with documented clinical requirements.
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| How to Cite this article: Vatkar A, Kale S, Shinde S, Shyam A | Blood and Blood Product Transfusion in Orthopedic Trauma: Clinical Practices and Optimization Strategies | January-June 2026; 12(1): 01-05 |
https://doi.org/10.13107/ti.2026.v12.i01.70 |
