Document Detail


Postoperative blood loss management in total knee arthroplasty: a comparison of four different methods.
MedLine Citation:
PMID:  21076814     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE: As the blood loss after the total knee arthroplasty (TKA) is not only a potentially serious medical problem but also an economical concern, the purpose of the study was to investigate the effectiveness of different combinations of knee positioning and the applied wound dressings on blood saving after TKA.
METHODS: A randomized controlled trial including 147 TKA-operated patients was conducted. The subjects were assigned to one of the four groups; Group 1-controls, Group 2-flexion, Group 3-flexion and compression, Group 4-compression. The main outcome measures of the study were the blood loss volumes during the procedure and in the intensive care rooms and the decreases in haemoglobin, haemotocrit and red blood cells on the first and the second postoperative day.
RESULTS: The MANOVA results showed no differences between the groups in any of the observed parameters. The post-hoc comparisons of the each group to the control group also revealed no influence of any of the proposed blood saving techniques on the actual blood loss.
CONCLUSION: No significant differences among the four proposed blood saving methods were determined.
Authors:
Tomislav Madarevic; Anton Tudor; Branko Sestan; Veljko Santic; Gordan Gulan; Tomislav Prpic; Lana Ruzic
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Publication Detail:
Type:  Journal Article     Date:  2010-11-13
Journal Detail:
Title:  Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA     Volume:  19     ISSN:  1433-7347     ISO Abbreviation:  Knee Surg Sports Traumatol Arthrosc     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9314730     Medline TA:  Knee Surg Sports Traumatol Arthrosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  955-9     Citation Subset:  IM    
Affiliation:
University Hospital for Orthopaedic Surgery Lovran, Marsala Tita 1, 51415, Lovran, Croatia, tomislav.madjarevic@gmail.com.
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