Two hundred and sixty eight patients had blood transfusions during surgical operation in our orthopedic clinic, from September 1, 1962 to April 30, 1968. Five of them were attacked by serum hepatitis before leaving hospital.
Bone union was followed in four of these five patients, two of them had sustained fracture of the femur, one subtrochanteric osteotomy, one spondylodesis posterior, (another patient had Love's operation).
Bone union in one of two patients of femur fracture was seemed to be normal. Though his transaminase levels were relative low (GOT 600 unit GPT 500 unit) and reduce quickly, six weeks after the onset GOT and GPT elevated again 240 unit and 200 unit.
That of other three patients was apparently delayed, in spite of slightly disturbed nutrition and good immobilization by Küntsche's intramedullary nail or plaster cast. Their highest transaminase levels were GOT 1260 unit GPT 680 unit, GOT 3060 unit GPT 2280 unit and GOT 140 unit GPT 370 unit respectively.