Autologous Transfusion after Total Knee Arthroplasty
Objective: To determine whether the blood lost in total knee arthroplasty surgery can be salvaged and reused using the autotransfusion technique without adverse effects and need more blood requirement. Study Design: Prospective longitudinal study. Place and Duration of Study: Department of Ort...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Army Medical College Rawalpindi
2023-12-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/PAFMJ/article/view/8440 |
| Summary: | Objective: To determine whether the blood lost in total knee arthroplasty surgery can be salvaged and reused using the autotransfusion technique without adverse effects and need more blood requirement.
Study Design: Prospective longitudinal study.
Place and Duration of Study: Department of Orthopaedic Surgery, Combined Military Hospital Rawalpindi from Aug 2020 to Dec 2021.
Methodology: The study included all the candidates undergoing total knee replacement surgery. Fifty-five patients underwent autologous transfusion using blood bags attached to drains and reusing them within 4-6 hours. All the transfusions were recorded.
Results: Out of 55 patients, 49(89%) underwent unilateral knee replacement, and 6(11%) underwent bilateral knee
replacement. All 49 patients (89%) received a single blood transfusion, and all 6(11%) bilateral knee replacements received two blood transfusions each. Out of 61 transfusions, no adverse reaction was noted. One patient needed additional blood
transfusion while undergoing bilateral knee replacement.
Conclusion: Blood autologous transfusion during knee replacement surgeries is a practical and cost-effective measure,
especially in rare blood groups. Autotransfusion is a simple and hassle-free approach that can be used routinely while
avoiding adverse blood reactions.
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| ISSN: | 0030-9648 2411-8842 |