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Archives of Orthopaedic and Trauma Surgery

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01-08-2018 | Knee Arthroplasty

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

Authors: Chaturong Pornrattanamaneewong, Pakpoom Ruangsomboon, Keerati Chareancholvanich, Vajara Wilairatana, Rapeepat Narkbunnam

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 8/2018

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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Title: Modified Robert Jones bandage can not reduce invisible blood loss after total knee arthroplasty: a randomized-controlled trial
Authors: Chaturong Pornrattanamaneewong
Pakpoom Ruangsomboon
Keerati Chareancholvanich
Vajara Wilairatana
Rapeepat Narkbunnam
Publication date: 01-08-2018
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 8/2018
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-018-2978-x

At a glance: The STEP trials

Springer Medicine

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

Abstract

Introduction

Materials and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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