Shed blood re-transfusion provides no benefit in computer-assisted primary total knee arthroplasty
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Dae-Hee Lee • Debabrata Padhy • Soon-Hyuck Lee • Tae-Kwon Kim • Jungsoon Choi • Seung-Beom Han
- چاپ و سال / کشور: 2011
Description
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.
Knee Surg Sports Traumatol Arthrosc (2011) 19:926–931 DOI 10.1007/s00167-010-1228-8 Received: 11 December 2009 / Accepted: 19 July 2010 / Published online: 3 September 2010
