PMID: 16613746Apr 15, 2006Paper

Use of post-operative drainage and auto-transfusion sets in total knee arthroplasty

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
J Hendrych

Abstract

The aim of the study was to show advantages of post-operative collection of shed blood and its return to the patient's circulation, using blood-reinfusion sets, in terms of requirements for homologous blood, transmission of infections and posttransfusion reactions in total knee arthroplasty. Two groups of patients were studied. In group 1, comprising 88 patients, shed blood was collected by means of sets for post-operative wound drainage and subsequent autotransfusion. In group 2, with 44 patients, the standard Redon drainage system was used and blood losses were compensated for by homologous blood. Osteoarthrosis of the knee joint was the indication for total knee arthroplasty. Patients with a hemoglobin level lower than 110 g/l, rheumatoid arthropathy, hemophilic arthropathy, coagulopathy, infectious or cancer diseases, or liver or kidney failure were not included, as well as patients who were treated with non-steroid anti-rheumatic drugs, steroids or anticoagulation drugs. Post-operative blood losses within 6 h of surgery, by 24:00 hours on the day of operation and on the 1st and 2nd postoperative days were recorded. The amount of returned blood and requirements for homologous blood transfusion were also recorded. None of th...Continue Reading

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