Document Detail


Shed blood re-transfusion provides no benefit in computer-assisted primary total knee arthroplasty.
MedLine Citation:
PMID:  20814664     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE: This matched case-cohort retrospective study examined the effectiveness of shed blood re-transfusion in reducing the need for allogeneic blood transfusion in computer-assisted primary cemented total knee arthroplasty (TKA).
METHODS: The shed blood re-transfusion system used was the cell saver system. Data from 146 cases were analyzed (73 patients with cell saver, 73 patients without cell saver).
RESULTS: The ABT rate was similar in each group. The mean allogenic blood transfusion volume was similar for each group (CS = 214 ± 453 ml, non-CS = 288 ± 447 ml). The only factors correlated with allogenic blood transfusion use were low preoperative hemoglobin and low body mass index. Two patients in cell saver group experienced shivering after re-transfusion.
CONCLUSION: Shed blood re-transfusion provided no blood management benefits in computer-assisted primary TKA and is therefore recommended only for selected patients with low hemoglobin levels and low body mass index.
Authors:
Dae-Hee Lee; Debabrata Padhy; Soon-Hyuck Lee; Tae-Kwon Kim; Jungsoon Choi; Seung-Beom Han
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Publication Detail:
Type:  Journal Article     Date:  2010-09-03
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:  926-31     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Korea University School of Medicine, Anam Hospital, 126-1, Anam-dong 5-ga, Seongbuk-gu, Seoul, 136-705, Korea, eoak22@empal.com.
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