» Articles » PMID: 16761154

Autologous Blood Transfusion Following Total Knee Arthroplasty: is It Always Necessary?

Overview
Journal Int Orthop
Specialty Orthopedics
Date 2006 Jun 9
PMID 16761154
Citations 3
Authors
Affiliations
Soon will be listed here.
Abstract

A retrospective study of 85 patients undergoing primary total knee replacement (TKR), who also received autologous blood transfusion (ABT) to compensate for the perioperative blood loss. In our series 16.4% of the patients needed allogenic blood transfusion. Of the remaining 83.4% only 49.5% received autologous transfusion. Autologous transfusion was withheld in 34.1% of cases either because the blood volume was inadequate or because the collection time exceeded the recommended time limit. The mean haemoglobin (Hb) level with or without autologous transfusion was 10 g, raising the question of the necessity of using autologous transfusion in primary total TKR.

Citing Articles

Evaluation of efficacy and safety of perioperative tranexamic acid during Primary Total Knee Arthroplasty: A randomized, Clinical trial.

Alasaad H, Ibrahim J Orthop Rev (Pavia). 2024; 16:118441.

PMID: 38846341 PMC: 11152984. DOI: 10.52965/001c.118441.


Comparison of therapeutic effects between drainage blood reinfusion and temporary clamping drainage after total knee arthroplasty in patients with rheumatoid arthritis.

Li B, Liu Z, Shen P, Zhou B, Bai L Clinics (Sao Paulo). 2015; 70(3):202-6.

PMID: 26017652 PMC: 4449476. DOI: 10.6061/clinics/2015(03)09.


Unwashed shed blood: should we transfuse it?.

Liumbruno G, Waters J Blood Transfus. 2011; 9(3):241-5.

PMID: 21627923 PMC: 3136589. DOI: 10.2450/2011.0109-10.

References
1.
Sinha A, Sinha M, Burgert S . Reinfusion of drained blood as an alternative to homologous blood transfusion after total knee replacement. Int Orthop. 2001; 25(4):257-9. PMC: 3620832. DOI: 10.1007/s002640100250. View

2.
Rizzi L, Bertacchi P, Ghezzi L, Bellavita P, Scudeller G . Postoperative blood salvage in hip and knee arthroplasty. A prospective study on cost effectiveness in 161 patients. Acta Orthop Scand. 1998; 69(1):31-4. DOI: 10.3109/17453679809002352. View

3.
Salido J, Marin L, Gomez L, Zorrilla P, Martinez C . Preoperative hemoglobin levels and the need for transfusion after prosthetic hip and knee surgery: analysis of predictive factors. J Bone Joint Surg Am. 2002; 84(2):216-20. DOI: 10.2106/00004623-200202000-00008. View

4.
Shenolikar A, Wareham K, Newington D, Thomas D, Hughes J, Downes M . Cell salvage auto transfusion in total knee replacement surgery. Transfus Med. 1998; 7(4):277-80. DOI: 10.1046/j.1365-3148.1997.d01-43.x. View

5.
Gronborg H, Otte K, Jensen T, Marving J, Solgaard S, RECHNAGEL K . Survival of autotransfused red cells. 51Cr studies in 10 knee arthroplasty patients. Acta Orthop Scand. 1996; 67(5):439-42. DOI: 10.3109/17453679608996664. View