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Prospective comparative study of two different autotransfusion methods versus control group in total knee replacement

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Aim

The aim of this study was to evaluate the efficacy of two different autotransfusion methods in total knee replacement (TKR) performed without tourniquet, in comparison to allogeneic blood transfusion (ABT) only.

Method

In a comparative study, 248 patients with knee osteoarthritis were randomized in three groups: in control Group 85 the patients underwent only ABT post-operatively, in Group 1 (n:92) an intraoperative and postoperative autotransfusion were utilized, and in Group 2 (n:71) only a postoperative autotransfusion was applied. Post-operative ABT was utilized according to predetermined criteria.

Results

Comparing Group 0 to Group 1 and 2 the difference in need for ABT post-operatively was statistically highly significant (p < 0.001) even when the results were analyzed classifying the patients according to the preoperative Hb levels. The difference between Group 1 and 2 was not significant.

Conclusion

According to the results of this study, auto-transfusion reduces the need for ABT in TKR performed without tourniquet.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University General Hospital of Alexandroupolis, Dragana, Alexandroupolis, Greece

    Konstantinos S. Blatsoukas

  2. Department of Orthopaedic Surgery, Democritus University of Thrace, University General Hospital of Alexandroupolis, Dragana, Alexandroupolis, Greece

    Georgios I. Drosos, Konstantinos Kazakos & Dionisios-Alexandros Verettas

  3. Department of Internal Pathology, Democritus University of Thrace, University General Hospital of Alexandroupolis, Dragana, Alexandroupolis, Greece

    Miltiadis Papaioakim

  4. Laboratory of Biopathology, University General Hospital of Alexandroupolis, Dragana, Alexandroupolis, Greece

    Theodora Gioka

  5. Department of Anaesthesiology, University General Hospital of Alexandroupolis, Dragana, Alexandroupolis, Greece

    Pelagia Chloropoulou

Authors
  1. Konstantinos S. Blatsoukas
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  2. Georgios I. Drosos
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  3. Konstantinos Kazakos
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  4. Miltiadis Papaioakim
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  5. Theodora Gioka
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  7. Dionisios-Alexandros Verettas
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Correspondence to Georgios I. Drosos.

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Blatsoukas, K.S., Drosos, G.I., Kazakos, K. et al. Prospective comparative study of two different autotransfusion methods versus control group in total knee replacement. Arch Orthop Trauma Surg 130, 733–737 (2010). https://doi.org/10.1007/s00402-010-1062-y

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  • DOI: https://doi.org/10.1007/s00402-010-1062-y

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