Document Detail


Blood loss after minimally invasive total knee arthroplasty: effects of imageless navigation.
MedLine Citation:
PMID:  20466333     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A prospective cohort study of 100 patients undergoing primary minimally invasive total knee arthroplasty was carried out to determine blood loss after this procedure and to examine the efficacy of navigation on blood saving. The patients were divided into two groups according to the surgical technique, and underwent either computer-assisted navigation or manual procedures. All operations were performed by a single surgeon using an identical approach. To minimize blood loss, an intraoperative tourniquet was used, but no postoperative drainage was applied. Although the mean surgical time was longer in the navigated group than in the manual group (119.2 vs. 90.9 min; p < 0.001), the reductions in hemoglobin level (1.40 vs. 1.38 g/dL; p = 0.642) and calculated blood loss (470.77 vs. 482.73 mL; p = 0.796) were similar in both groups. Four patients in both groups required blood transfusion. With minimally invasive techniques and drainage avoidance, our study suggests that the blood loss after minimally invasive total knee arthroplasty was not significantly affected by the use of imageless navigation.
Authors:
Chih-Wei Chang; Po-Ting Wu; Chyun-Yu Yang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Kaohsiung journal of medical sciences     Volume:  26     ISSN:  1607-551X     ISO Abbreviation:  Kaohsiung J. Med. Sci.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-14     Completed Date:  2010-08-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100960562     Medline TA:  Kaohsiung J Med Sci     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  237-43     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Elsevier. Published by Elsevier B.V. All rights reserved.
Affiliation:
Department of Orthopedics, National Cheng Kung University Medical Center, 138 Sheng-Li Road, Tainan, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee / adverse effects*
Cohort Studies
Female
Hemoglobins / analysis
Humans
Knee / surgery*
Male
Middle Aged
Postoperative Hemorrhage / blood,  etiology*
Prospective Studies
Surgery, Computer-Assisted / adverse effects*
Surgical Procedures, Minimally Invasive
Chemical
Reg. No./Substance:
0/Hemoglobins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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