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

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

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.

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Acknowledgment

This work was supported by Korea University Grants (K0500241).

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Korea University School of Medicine, Anam Hospital, 126-1, Anam-dong 5-ga, Seongbuk-gu, Seoul, 136-705, Korea

    Dae-Hee Lee, Debabrata Padhy, Soon-Hyuck Lee, Tae-Kwon Kim & Seung-Beom Han

  2. Department of Biostatistics, Korea University College of Medicine, Seoul, Korea

    Jungsoon Choi

Authors
  1. Dae-Hee Lee
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  2. Debabrata Padhy
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  3. Soon-Hyuck Lee
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  4. Tae-Kwon Kim
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  6. Seung-Beom Han
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Correspondence to Seung-Beom Han.

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Lee, DH., Padhy, D., Lee, SH. et al. Shed blood re-transfusion provides no benefit in computer-assisted primary total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 19, 926–931 (2011). https://doi.org/10.1007/s00167-010-1228-8

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  • DOI: https://doi.org/10.1007/s00167-010-1228-8

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