Original articleBlood loss in sequential bilateral total knee arthroplasty
References (9)
- et al.
Staged versus simultaneous bilateral total knee replacement
J Arthroplasty
(1986) - et al.
Pulmonary and coagulation changes in tourniquet shock
J Surg Res
(1975) - et al.
Mild hypothermia increases blood loss and transfusion requirements during total hip arthroplasty
Lancet
(1996) - et al.
Bilateral knee replacements: simultaneous or staged
J R Coll Surg Edinb
(1993)
Cited by (56)
Is blood transfusion really required in simultaneous bilateral Total Knee Replacement: A retrospective observational study
2020, Journal of Clinical Orthopaedics and TraumaPostoperative Outcomes Associated With Neuraxial vs General Anesthesia Following Bilateral Total Knee Arthroplasty
2017, Journal of ArthroplastyCitation Excerpt :Because of the theoretically higher immediate postoperative hematocrit (although these data are not available in the dataset) in the NA group, transfusion rates after hospital day 1 may be less in this group relative to the GA cohort for this reason. Not surprisingly, there is significantly more blood loss in BTKA than unilateral TKA, and significantly more transfusions [18,19]. Although blood transfusions are generally safe, they are not without possibly significant complications [20].
Optimizing effectivity of tranexamic acid in bilateral knee arthroplasty — A prospective randomized controlled study
2017, KneeCitation Excerpt :Simultaneous bilateral total knee arthroplasty (TKA) is associated with greater blood loss and greater requirement of blood transfusions compared to unilateral TKA. Blood loss in bilateral TKA is estimated to be between 1000 ml to 3400 ml [1] as compared to 800 to 1800 ml in unilateral TKA [2,3,4,5,6]. Tranexamic acid (TEA) is a synthetic analog of the amino acid lysine which inhibits fibrinolysis locally without any effect on the fibrinolysis in the plasma from peripheral venous circulation [7].
Disparate postoperative results in the first and second knees on simultaneous bilateral total knee arthroplasty
2014, Journal of ArthroplastyComparison of postoperative morbidity between simultaneous bilateral and staged bilateral total knee arthroplasties: Serological perspective and clinical consequences
2014, Journal of ArthroplastyCitation Excerpt :There has been a concern that acute blood loss and subsequent hemoglobin drop may cause ischemic injuries in the brain and heart, resulting in cerebral infarction and heart failure [16], as these organs are critical tissues that require a constant oxygen supply. To date, blood transfusion requirements have been reported as one of the drawbacks of simultaneous procedures [2,17–19]. In one study, a hemoglobin level < 10 g/dl was considered a secure indication for blood transfusion after TKA [20].