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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 6/2011

01-06-2011 | Knee

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

Authors: Dae-Hee Lee, Debabrata Padhy, Soon-Hyuck Lee, Tae-Kwon Kim, Jungsoon Choi, Seung-Beom Han

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 6/2011

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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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Metadata
Title
Shed blood re-transfusion provides no benefit in computer-assisted primary total knee arthroplasty
Authors
Dae-Hee Lee
Debabrata Padhy
Soon-Hyuck Lee
Tae-Kwon Kim
Jungsoon Choi
Seung-Beom Han
Publication date
01-06-2011
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 6/2011
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-010-1228-8

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