Shed blood re-transfusion provides no benefit in computer-assisted primary total knee arthroplasty

Dae Hee Lee, Debabrata Padhy, Soon Hyuck Lee, Tae Kwon Kim, Jungsoon Choi, Seung Beom Han

    Research output: Contribution to journalArticlepeer-review

    6 Citations (Scopus)

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)926-931
    Number of pages6
    JournalKnee Surgery, Sports Traumatology, Arthroscopy
    Volume19
    Issue number6
    DOIs
    Publication statusPublished - 2011 Jun

    Keywords

    • Autotransfusion
    • Cell saver
    • Navigation
    • Total knee arthroplasty

    ASJC Scopus subject areas

    • Surgery
    • Orthopedics and Sports Medicine

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