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Modified Robert Jones bandage can not reduce invisible blood loss after total knee arthroplasty: a randomized-controlled trial

  • Knee Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

To compare the efficacy and safety of modified Robert Jones bandage (MRJB) and non-compressive dressing (NCD) on reducing invisible blood loss (IBL) after total knee arthroplasty (TKA).

Materials and methods

Eighty patients who underwent unilateral TKA were randomly assigned into two groups: MRJB and NCD groups. Pre- and post-operative hematocrit levels, amount of drained blood and transfused blood were measured and calculated into IBL. Pain score, amount of morphine usage, range of motion (ROM) at discharge, blood transfusion rate, and complications were also recorded and compared between both groups.

Results

There was no significant difference in the mean IBL between MRJB (221.2 ± 233.3 ml) and NCD groups (158.5 ± 186.7 ml) (p = 0.219). Post-operative pain score at rest and during ambulation, amount of morphine usage, ROM at discharge, blood transfusion rate, and complications were also similar between two groups.

Conclusions

This study cannot determine the benefit of MRJB over NCD. The use of MRJB may not be necessary after primary TKA.

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Funding

This study was not financially supported.

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand

    Chaturong Pornrattanamaneewong, Pakpoom Ruangsomboon, Keerati Chareancholvanich & Rapeepat Narkbunnam

  2. Department of Orthopedic Surgery, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, Thailand

    Vajara Wilairatana

Authors
  1. Chaturong Pornrattanamaneewong
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  2. Pakpoom Ruangsomboon
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  3. Keerati Chareancholvanich
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  4. Vajara Wilairatana
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  5. Rapeepat Narkbunnam
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Corresponding author

Correspondence to Rapeepat Narkbunnam.

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All authors declare no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Pornrattanamaneewong, C., Ruangsomboon, P., Chareancholvanich, K. et al. Modified Robert Jones bandage can not reduce invisible blood loss after total knee arthroplasty: a randomized-controlled trial. Arch Orthop Trauma Surg 138, 1151–1157 (2018). https://doi.org/10.1007/s00402-018-2978-x

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  • DOI: https://doi.org/10.1007/s00402-018-2978-x

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