Preoperative autologous blood donation in primary total knee arthroplasty: a single-centre experience on 214 consecutive patients

Vox Sanguinis
M FranchiniG Aprili

Abstract

Although preoperative autologous blood donation (PABD) is a widespread practice in elective orthopedic surgery, it is controversial whether this procedure avoids allogeneic blood transfusions in patients undergoing total knee arthroplasty (TKA). We performed a retrospective study on 214 consecutive patients undergoing PABD before elective primary TKA. Thirty-eight patients (17.8%) were transfused with autologous red blood cells (RBC), while four of them (10.5% of those requiring transfusions, 1.9% of all patients) also received allogeneic RBC. The transfused patients were, in most cases, female and had significantly lower basal and preoperative haemoglobin levels. Based on the results of this study, PABD is not necessary in most patients undergoing TKA, although older female patients with low basal haemoglobin levels could benefit from a predeposit programme and/or erythropoietin support in order to reduce the risk of exposure to allogeneic blood.

References

Feb 1, 2000·The Journal of Bone and Joint Surgery. American Volume·A M HatzidakisK L Garvin
Apr 12, 2001·Transfusion Medicine·B G FeaganA Kirkley
Mar 17, 2004·Acta Orthopaedica Scandinavica·Urs MüllerStefan Eggli
Apr 3, 2004·Archives of Orthopaedic and Trauma Surgery·Yukihide MinodaKunio Takaoka
Apr 7, 2004·The Journal of Arthroplasty·Matthew R BongPaul E Di Cesare

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Citations

Sep 17, 2013·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Jad Bou MonsefFriedrich Boettner
Dec 24, 2008·Transfusion and Apheresis Science : Official Journal of the World Apheresis Association : Official Journal of the European Society for Haemapheresis·Sergio CabibboPietro Bonomo
May 27, 2015·Transfusion Medicine Reviews·Ralph VassalloUNKNOWN BEST Collaborative
Feb 22, 2011·Transplantation Proceedings·B Borghi, R Borghi

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