Prospective comparative study of two different autotransfusion methods versus control group in total knee replacement

被引:13
作者
Blatsoukas, Konstantinos S.
Drosos, Georgios I. [1 ]
Kazakos, Konstantinos [1 ]
Papaioakim, Miltiadis [2 ]
Gioka, Theodora [3 ]
Chloropoulou, Pelagia [4 ]
Verettas, Dionisios-Alexandros [1 ]
机构
[1] Democritus Univ Thrace, Univ Gen Hosp Alexandroupolis, Dept Orthopaed Surg, Dragana, Alexandroupolis, Greece
[2] Democritus Univ Thrace, Univ Gen Hosp Alexandroupolis, Dept Internal Pathol, Dragana, Alexandroupolis, Greece
[3] Univ Gen Hosp Alexandroupolis, Lab Biopathol, Dragana, Alexandroupolis, Greece
[4] Univ Gen Hosp Alexandroupolis, Dept Anaesthesiol, Dragana, Alexandroupolis, Greece
关键词
Total knee replacement; Blood transfusion; Autotransfusion; Post-operative transfusion; Intraoperative transfusion; POSTOPERATIVE BLOOD SALVAGE; RANDOMIZED CONTROLLED-TRIAL; TOTAL JOINT ARTHROPLASTY; AUTOLOGOUS TRANSFUSION; ELECTIVE KNEE; SHED BLOOD; ORTHOPEDIC-SURGERY; HIP-ARTHROPLASTY; TOURNIQUET USE; MANAGEMENT;
D O I
10.1007/s00402-010-1062-y
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
The aim of this study was to evaluate the efficacy of two different autotransfusion methods in total knee replacement (TKR) performed without tourniquet, in comparison to allogeneic blood transfusion (ABT) only. In a comparative study, 248 patients with knee osteoarthritis were randomized in three groups: in control Group 85 the patients underwent only ABT post-operatively, in Group 1 (n:92) an intraoperative and postoperative autotransfusion were utilized, and in Group 2 (n:71) only a postoperative autotransfusion was applied. Post-operative ABT was utilized according to predetermined criteria. Comparing Group 0 to Group 1 and 2 the difference in need for ABT post-operatively was statistically highly significant (p < 0.001) even when the results were analyzed classifying the patients according to the preoperative Hb levels. The difference between Group 1 and 2 was not significant. According to the results of this study, auto-transfusion reduces the need for ABT in TKR performed without tourniquet.
引用
收藏
页码:733 / 737
页数:5
相关论文
共 40 条
[1]   Autotransfusion drains in total knee replacement. Are they alternatives to homologous transfusion? [J].
Abuzakuk, T. ;
Kumar, V. Senthil ;
Shenava, Y. ;
Bulstrode, C. ;
Skinner, J. A. ;
Cannon, S. R. ;
Briggs, T. W. .
INTERNATIONAL ORTHOPAEDICS, 2007, 31 (02) :235-239
[2]   Postoperative drainage of knee arthroplasty is not necessary - A randomized study of 90 patients [J].
Adalberth, G ;
Bystrom, S ;
Kolstad, K ;
Mallmin, H ;
Milbrink, J .
ACTA ORTHOPAEDICA SCANDINAVICA, 1998, 69 (05) :475-478
[3]  
Aglietti P, 2000, CLIN ORTHOP RELAT R, P169
[4]  
ALBERT GM, 1990, J BONE JOINT SURG AM, V72, P1010
[5]   A prospective randomised controlled trial of autologous retransfusion in total knee replacement [J].
Amin, A. ;
Watson, A. ;
Mangwani, J. ;
Nawabi, D. ;
Ahluwalia, R. ;
Loeffler, M. .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2008, 90B (04) :451-454
[6]   Effectiveness of a protocol to improve transfusion practice in knee replacement surgery [J].
Boralessa, H ;
Boralessa, H ;
Contreras, M ;
Lang-Stevenson, A ;
DeSilva, A .
VOX SANGUINIS, 2001, 81 (04) :248-253
[7]   Autologous transfusion techniques: a systematic review of their efficacy [J].
Carless, P ;
Moxey, A ;
O'Connell, D ;
Henry, D .
TRANSFUSION MEDICINE, 2004, 14 (02) :123-144
[8]   Perioperative blood salvage [J].
Engelfriet, C. P. ;
Reesink, H. W. ;
Felfernig, Michael ;
Sporn, Paul ;
Kretschmer, V. ;
Karger, R. ;
Hansen, Ernil ;
Koopman-van Gemert, A. W. M. M. ;
Thomas, Dafydd ;
Thompson, John F. ;
Haynes, Sarah .
VOX SANGUINIS, 2006, 91 (02) :185-192
[9]   Perioperative blood salvage as an alternative to predonating blood for primary total knee and hip arthroplasty [J].
Friederichs, MG ;
Mariani, EM ;
Bourne, MH .
JOURNAL OF ARTHROPLASTY, 2002, 17 (03) :298-303
[10]   Effect of tourniquet application on deep vein thrombosis after total knee arthroplasty [J].
Fukuda, Aki ;
Hasegawa, Masahiro ;
Kato, Ko ;
Shi, Dequan ;
Sudo, Akihiro ;
Uchida, Atsumasa .
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2007, 127 (08) :671-675