Computer navigation has no beneficial effect on blood loss and transfusion in sequential bilateral total knee Arthroplasty

Journal of Orthopaedic Surgery
Anoop JhuraniRitu Sharma

Abstract

Bilateral total knee arthroplasty is associated with significant blood loss. Postoperative anaemia retards patients recovery, and blood transfusion increases the risk for major complications including infection. While strategies like hypotensive anaesthesia, tranexamic acid, bone wax and so on are useful to conserve blood, navigation has also shown to decrease blood loss and transfusion in unilateral knee arthroplasty. The aim of this study was to compare the blood loss and transfusion in sequential bilateral knee arthroplasty performed with or without navigation. A retrospective case control cohort study of sequential bilateral knee arthroplasties was performed between 2 groups of 77 patients each, group N operated with navigation and group M operated without navigation. Both groups were matched for age, sex and body mass index. All patients were operated with similar surgical technique. The two cohorts were compared for blood loss calculated by three reliable methods. The preoperative haemoglobin (Hb) in group N was 12.83 ± 1.32 and group M was 12.58 ± 1.33 ( p = 0.24). The postoperative Hb taken day 4 before any blood transfusions was 8.60 ± 1.24 in group N and 8.54 ± 1.16 in group M ( p = 0.75). The average fall in Hb was 4...Continue Reading

References

May 6, 2004·The Journal of Bone and Joint Surgery. British Volume·S K ChauhanR J Beaver
Nov 2, 2005·The Journal of Bone and Joint Surgery. British Volume·Y KalairajahA J Spriggins
Mar 29, 2006·International Orthopaedics·Narayana PrasadArun Mullaji
Apr 29, 2006·Acta Anaesthesiologica Scandinavica·P A M EvertsA van Zundert
Feb 24, 2007·Journal of Biomechanics·Robert A SistonScott L Delp
Aug 30, 2008·International Orthopaedics·Bin LiHui Zhao
Mar 25, 2011·Indian Journal of Orthopaedics·Mandeep S DhillonSharad Prabhakar
Mar 28, 2013·Indian Journal of Orthopaedics·Paras Kumar MohanlalSr Samsani
Jul 17, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yifei DaiAaron Rosenberg
Dec 24, 2014·Indian Journal of Anaesthesia·Sandhya Yaddanapudi, Ln Yaddanapudi
May 15, 2015·The Journal of Arthroplasty·David J Licini, R Michael Meneghini
May 20, 2015·Journal of Orthopaedic Surgery and Research·Jun LiuLei Wang
Nov 3, 2015·Chinese Medical Journal·Fu-Qiang GaoHong Zhang
Sep 7, 2016·Knee Surgery & Related Research·Young-Jun SeolEun-Kyoo Song
Jan 17, 2017·The Journal of Arthroplasty·Ing H MooKein B Poon
Aug 24, 2017·BMC Musculoskeletal Disorders·Syed Hamza MufarrihShahryar Noordin

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection

Software Mentioned

STATA

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.

Blood And Marrow Transplantation

The use of hematopoietic stem cell transplantation or blood and marrow transplantation (bmt) is on the increase worldwide. BMT is used to replace damaged or destroyed bone marrow with healthy bone marrow stem cells. Here is the latest research on bone and marrow transplantation.