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01-09-2005 | Original Article

The Use of Reinfusion Drains after Total Knee Arthroplasty in Patients Treated with Low Molecular Weight Heparin for Thromboembolic Prophylaxis

Authors: Alexander C. Gordon, Pam Pulido, Steven N. Copp, Kace A. Ezzet, Richard H. Walker, Clifford W. Colwell Jr

Published in: HSS Journal ® | Issue 1/2005

Abstract

The effect of closed-suction drainage with red-cell reinfusion on patients receiving low molecular weight heparin (LMWH) prophylaxis after total knee arthroplasty (TKA) has not been previously studied. Therefore, our goals were to determine the effect of reinfusion drains and LMWH on allogeneic transfusions and wound complications after TKA by comparing patients treated with and without drains. Overall, transfusion rates were lower in the drain group (40% vs 15%, P=.04). Patients with reinfusion drains had a significantly higher rate of allogeneic transfusion (15.8%) than those predonating autologous blood and no drain (5.4%, P=.0003). The drain group had lower rates of wound complications (P=not significant). We were unable to demonstrate the efficacy of red-cell reinfusion as a substitute for autologous donation in TKA.

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Title: The Use of Reinfusion Drains after Total Knee Arthroplasty in Patients Treated with Low Molecular Weight Heparin for Thromboembolic Prophylaxis
Authors: Alexander C. Gordon
Pam Pulido
Steven N. Copp
Kace A. Ezzet
Richard H. Walker
Clifford W. Colwell Jr
Publication date: 01-09-2005
Publisher: Springer-Verlag
Published in: HSS Journal ® / Issue 1/2005
Print ISSN: 1556-3316
Electronic ISSN: 1556-3324
DOI: https://doi.org/10.1007/s11420-005-0122-2

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The Use of Reinfusion Drains after Total Knee Arthroplasty in Patients Treated with Low Molecular Weight Heparin for Thromboembolic Prophylaxis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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