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Reinfusion of unwashed salvaged blood after total knee arthroplasty in patients with rheumatoid arthritis

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Abstract

Autotransfusion with unwashed salvaged blood (USB) is effective for avoiding allogeneic blood transfusion (ABT) in patients undergoing total knee arthroplasty (TKA). We performed a retrospective study to determine the percentage of patients receiving ABT and the volume of postoperative blood drainage after introduction of autotransfusion with USB for patients with rheumatoid arthritis (RA) undergoing TKA. In 100 patients without autotransfusion (group 1) and 100 patients receiving autotransfusion of USB (group 2), we compared the number of patients who required ABT, as well as the postoperative drainage volume, ABT volume, and autotransfusion volume. In group 1, 83% of the patients received ABT, while only 47% received ABT in group 2, and there was a significant decrease (p < 0.001). However, the postoperative drainage volume was significantly increased in group 2 (p < 0.001).

Résumé

L’utilisation du sang récupéré en post-opératoire (USB) est une technique qui permet d’éviter la transfusion de sang autologue, chez les patients ayant bénéficié d’une prothèse totale du genou. Nous avons réalisé une étude rétrospective afin de déterminer le pourcentage de patients recevant le sang récupéré et le volume nécessaire. Nous avons réalisé cette étude pour déterminer le pourcentage de patients recevant une transfusion en rapportant ceci au volume de sang récupéré dans les drains après réalisation d’une auto-transfusion, ces patients étant porteurs d’une arthrite rhumatoïde. Chez 100 patients sans auto-transfusion (groupe 1) et 100 patients ayant bénéficié d’une auto-transfusion (groupe 2), nous avons comparé le nombre de patients ayant bénéficié d’une nouvelle transfusion ainsi que le volume du sang récupéré dans les redons, volume de sang réinjecté et l’importance de l’auto-transfusion. Dans le groupe 1, 83% des patients ont reçu une transfusion alors que seulement 47% en ont eu besoin dans le groupe 2. Il existe une différence significative entre ces deux groupes (p < 0.001). Cependant la perte sanguine dans les redons était significativement plus important dans le groupe 2 (p < 0.001).

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Authors and Affiliations

  1. Department of Orthopaedics, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo, 177-8521, Japan

    Keiji Matsuda & Masahiko Nozawa

  2. Department of Orthopaedics, Nakaizu Spa Hospital, Shizuoka, Japan

    Sadanobu Katsube

  3. Department of Orthopaedics, Juntendo University School of Medicine, Tokyo, Japan

    Katsuhiko Maezawa & Hisashi Kurosawa

Authors
  1. Keiji Matsuda
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  2. Masahiko Nozawa
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  3. Sadanobu Katsube
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  4. Katsuhiko Maezawa
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  5. Hisashi Kurosawa
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Correspondence to Keiji Matsuda.

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Matsuda, K., Nozawa, M., Katsube, S. et al. Reinfusion of unwashed salvaged blood after total knee arthroplasty in patients with rheumatoid arthritis. International Orthopaedics (SICOT) 33, 1615–1618 (2009). https://doi.org/10.1007/s00264-008-0661-5

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  • DOI: https://doi.org/10.1007/s00264-008-0661-5

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