Does the intramedullary femoral canal plug reduce blood loss during total knee arthroplasty?
Abstract Introduction The benefit of the femoral canal bone plug during total knee arthroplasty (TKA) in reducing blood loss has never been proven. The aim of this meta-analysis was to determine whether the femoral canal bone plug significantly reduces blood loss in primary TKA. Method All studies p...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | Knee Surgery & Related Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43019-022-00160-4 |
| _version_ | 1818242558284791808 |
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| author | Yutthana Khanasuk Srihatach Ngarmukos Aree Tanavalee |
| author_facet | Yutthana Khanasuk Srihatach Ngarmukos Aree Tanavalee |
| author_sort | Yutthana Khanasuk |
| collection | DOAJ |
| description | Abstract Introduction The benefit of the femoral canal bone plug during total knee arthroplasty (TKA) in reducing blood loss has never been proven. The aim of this meta-analysis was to determine whether the femoral canal bone plug significantly reduces blood loss in primary TKA. Method All studies published before December 2021 were searched. The inclusion criteria were randomized controlled trials comparing blood loss between TKA with plugged and unplugged femoral intramedullary canal, respectively. The primary outcome was postoperative hemoglobin reduction. Results Five studies with a total of 717 patients (361 in the plugged group, 356 in the unplugged group) met the criteria for inclusion in the meta-analysis. The mean difference in hemoglobin level between the two groups was 0.92 g/dL, with significantly less hemoglobin reduction in the plugged group (95% confidence interval [CI] − 1.64 to − 0.21, p = 0.01). The patients in the plugged group also had a significantly lower risk of receiving a blood transfusion (risk ratio 0.58, 95% CI 0.47–0.73, p < 0.00001). Conclusions This meta-analysis demonstrates that using a femoral canal bone plug can significantly reduce blood loss and lower the risk ratio of blood transfusion in patients undergoing TKA. |
| first_indexed | 2024-12-12T13:47:08Z |
| format | Article |
| id | doaj.art-018d996feb844c8294a9fd1c256fa00f |
| institution | Directory Open Access Journal |
| issn | 2234-2451 |
| language | English |
| last_indexed | 2024-12-12T13:47:08Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Knee Surgery & Related Research |
| spelling | doaj.art-018d996feb844c8294a9fd1c256fa00f2022-12-22T00:22:39ZengBMCKnee Surgery & Related Research2234-24512022-06-013411710.1186/s43019-022-00160-4Does the intramedullary femoral canal plug reduce blood loss during total knee arthroplasty?Yutthana Khanasuk0Srihatach Ngarmukos1Aree Tanavalee2Department of Orthopedics, Queen Savang Vadhana Memorial HospitalDepartment of Orthopedics, Faculty of Medicine, Chulalongkorn UniversityDepartment of Orthopedics, Faculty of Medicine, Chulalongkorn UniversityAbstract Introduction The benefit of the femoral canal bone plug during total knee arthroplasty (TKA) in reducing blood loss has never been proven. The aim of this meta-analysis was to determine whether the femoral canal bone plug significantly reduces blood loss in primary TKA. Method All studies published before December 2021 were searched. The inclusion criteria were randomized controlled trials comparing blood loss between TKA with plugged and unplugged femoral intramedullary canal, respectively. The primary outcome was postoperative hemoglobin reduction. Results Five studies with a total of 717 patients (361 in the plugged group, 356 in the unplugged group) met the criteria for inclusion in the meta-analysis. The mean difference in hemoglobin level between the two groups was 0.92 g/dL, with significantly less hemoglobin reduction in the plugged group (95% confidence interval [CI] − 1.64 to − 0.21, p = 0.01). The patients in the plugged group also had a significantly lower risk of receiving a blood transfusion (risk ratio 0.58, 95% CI 0.47–0.73, p < 0.00001). Conclusions This meta-analysis demonstrates that using a femoral canal bone plug can significantly reduce blood loss and lower the risk ratio of blood transfusion in patients undergoing TKA.https://doi.org/10.1186/s43019-022-00160-4PlugSealBlood lossTotal knee arthroplastyTotal knee replacementTKA |
| spellingShingle | Yutthana Khanasuk Srihatach Ngarmukos Aree Tanavalee Does the intramedullary femoral canal plug reduce blood loss during total knee arthroplasty? Knee Surgery & Related Research Plug Seal Blood loss Total knee arthroplasty Total knee replacement TKA |
| title | Does the intramedullary femoral canal plug reduce blood loss during total knee arthroplasty? |
| title_full | Does the intramedullary femoral canal plug reduce blood loss during total knee arthroplasty? |
| title_fullStr | Does the intramedullary femoral canal plug reduce blood loss during total knee arthroplasty? |
| title_full_unstemmed | Does the intramedullary femoral canal plug reduce blood loss during total knee arthroplasty? |
| title_short | Does the intramedullary femoral canal plug reduce blood loss during total knee arthroplasty? |
| title_sort | does the intramedullary femoral canal plug reduce blood loss during total knee arthroplasty |
| topic | Plug Seal Blood loss Total knee arthroplasty Total knee replacement TKA |
| url | https://doi.org/10.1186/s43019-022-00160-4 |
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