Results of Primary Total Knee Arthroplasty in Jehovah's Witness Patients

被引：19

作者：

Harwin, Steven F. ^{[1
]}

Issa, Kimona ^{[2
]}

Naziri, Qais ^{[2
]}

Johnson, Aaron J. ^{[2
]}

Mont, Michael A. ^{[2
]}

机构：

[1] Beth Israel Deaconess Med Ctr, Total Joint Replacement Bloodless Surg Program, New York, NY 10003 USA

[2] Sinai Hosp Baltimore, Ctr Joint Preservat & Replacement, Rubin Inst Adv Orthoped, Baltimore, MD 21215 USA

来源：

JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 01期

关键词：

total knee arthroplasty; Jehovah's Witnesses; blood transfusion; survivorship; outcome; HYPOTENSIVE EPIDURAL-ANESTHESIA; PREOPERATIVE HEMOGLOBIN LEVELS; TOTAL HIP-ARTHROPLASTY; BLOOD SAVING PROTOCOL; REPLACEMENT SURGERY; CARDIAC-SURGERY; TRANSFUSION; MANAGEMENT; ERYTHROPOIETIN; TOURNIQUET;

D O I：

10.1016/j.arth.2012.05.021

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Total knee arthroplasty can be challenging in Jehovah's Witnesses, as these patients do not accept blood transfusions. We reported our experiences with a special blood management protocol for these patients who underwent total knee arthroplasty. There were 124 self-reported Jehovah's Witnesses who had a mean age of 64 years and who underwent total knee arthroplasties between 1998 and 2009. Mean follow-up was 60 months (range, 24-120 months). Implant survivorship, with revision for aseptic component failure as an end point, was 98%. At the final follow-up, mean Knee Society objective and function score improved to 91 and 81 points, respectively. The authors believe that this blood management protocol was responsible for performing safe and transfusion-free total knee arthroplasties that can ultimately lead to excellent outcomes.

引用

页码：49 / 55

页数：7

共 46 条

[1] EFFECTS OF TOURNIQUET DURING TOTAL KNEE ARTHROPLASTY - A PROSPECTIVE RANDOMIZED STUDY [J].

ABDELSALAM, A ;

EYRES, KS .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1995, 77B (02) :250-253

[2]

[Anonymous], 2010, STAT REPORT JEHOVAHS

[3] An analysis of blood management in patients having a total hip or knee arthroplasty [J].

Bierbaum, BE ;

Callaghan, JJ ;

Galante, JO ;

Rubash, HE ;

Tooms, RE ;

Welch, RB .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1999, 81A (01) :2-10

[4] Prophylactic Use of Factor IX Concentrate in a Jehovah's Witness Patient [J].

Bolliger, Daniel ;

Sreeram, Gautam ;

Duncan, Alexander ;

Molinaro, Ross J. ;

Szlam, Fania ;

Chen, Edward P. ;

Tanaka, Kenichi A. .

ANNALS OF THORACIC SURGERY, 2009, 88 (05) :1666-1668

[5]

Bonnett C A, 1987, Orthop Rev, V16, P43

[6] National comparative audit of blood use in elective primary unilateral total hip replacement surgery in the UK [J].

Boralessa, H. ;

Goldhill, D. R. ;

Tucker, K. ;

Mortimer, A. J. ;

Grant-Casey, J. .

ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND, 2009, 91 (07) :599-605

[7] Lessons learned from the outcome of bloodless emergency laparotomies on Jehovah's Witness women presenting in the extremis with ruptured uterus [J].

Chigbu, B. ;

Onwere, S. ;

Kamanu, C. ;

Aluka, C. ;

Okoro, O. ;

Feyi-Waboso, P. ;

Onichakwe, C. .

ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 2009, 279 (04) :469-472

[8]

Connolly J R, 1977, Nebr Med J, V62, P287

[9]

Cuenca Jorge, 2007, Int J Surg, V5, P89, DOI 10.1016/j.ijsu.2006.02.003

[10] Perioperative intravenous iron, with or without erythropoietin, plus restrictive transfusion protocol reduce the need for allogeneic blood after knee replacement surgery [J].

Cuenca, Jorge ;

Garcia-Erce, Jose A. ;

Martinez, Fernando ;

Perez-Serrano, Luis ;

Herrera, Antonio ;

Munoz, Manuel .

TRANSFUSION, 2006, 46 (07) :1112-1119

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