Blood loss in patients for total knee arthroplasty

Hiroshi Fujimoto, Toshihumi Ozaki, Kohji Asaumi, Hisayoshi Kato, Keiichiro Nishida, Yasuhiro Takahara, Nobuhiro Abe, Hajime Inoue

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Ninety-four patients with osteoarthritis (OA) and 180 with rheumatoid arthritis (RA) undergoing unilateral total knee arthroplasty (TKA) were analyzed to clarify the necessity for preoperative autogenous blood deposition or homologous blood transfusion. Two hundred and twenty-four and 50 patients underwent TKA with cement and without cement, respectively. The difference in average blood loss in patients between with (372 ml) and without cementation (449 ml) was significant. In the OA group the average blood loss significantly decreased after cementation but not in the RA group. Although the rate of avoiding transfusion in the OA group did not significantly decrease with the use of cement (92.4% vs. 93.3%), that in the RA group did (80% to 57.1%). Eight of 159 patients with hemoglobin level (Hb) of 11.0 g/dl or higher received homologous blood transfusion. Of these eight patients five had associated disorders. Only one patient with Hb of 12.0 g/dl or higher underwent homologous blood transfusion. Patients with Hb of 12.0 g/dl or higher are not indicated for preoperative autologous blood deposition. In patients with Hb between 11.0 and 12.0 g/dl preoperative blood deposition may be planned after consideration of general condition and complication. Patients with Hb lower than 11.0 g/dl should undergo preoperative blood deposition.

Original languageEnglish
Pages (from-to)149-154
Number of pages6
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume11
Issue number3
Publication statusPublished - May 2003

Fingerprint

Knee Replacement Arthroplasties
Blood Transfusion
Osteoarthritis
Cementation
Rheumatoid Arthritis
Blood Group Antigens
Hemoglobins

Keywords

  • Autogenous
  • Blood
  • Deposition
  • Total knee arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Surgery

Cite this

Fujimoto, H., Ozaki, T., Asaumi, K., Kato, H., Nishida, K., Takahara, Y., ... Inoue, H. (2003). Blood loss in patients for total knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy, 11(3), 149-154.

Blood loss in patients for total knee arthroplasty. / Fujimoto, Hiroshi; Ozaki, Toshihumi; Asaumi, Kohji; Kato, Hisayoshi; Nishida, Keiichiro; Takahara, Yasuhiro; Abe, Nobuhiro; Inoue, Hajime.

In: Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 11, No. 3, 05.2003, p. 149-154.

Research output: Contribution to journalArticle

Fujimoto, H, Ozaki, T, Asaumi, K, Kato, H, Nishida, K, Takahara, Y, Abe, N & Inoue, H 2003, 'Blood loss in patients for total knee arthroplasty', Knee Surgery, Sports Traumatology, Arthroscopy, vol. 11, no. 3, pp. 149-154.
Fujimoto, Hiroshi ; Ozaki, Toshihumi ; Asaumi, Kohji ; Kato, Hisayoshi ; Nishida, Keiichiro ; Takahara, Yasuhiro ; Abe, Nobuhiro ; Inoue, Hajime. / Blood loss in patients for total knee arthroplasty. In: Knee Surgery, Sports Traumatology, Arthroscopy. 2003 ; Vol. 11, No. 3. pp. 149-154.
@article{9b67bd99f5404a2ebbc290b963586beb,
title = "Blood loss in patients for total knee arthroplasty",
abstract = "Ninety-four patients with osteoarthritis (OA) and 180 with rheumatoid arthritis (RA) undergoing unilateral total knee arthroplasty (TKA) were analyzed to clarify the necessity for preoperative autogenous blood deposition or homologous blood transfusion. Two hundred and twenty-four and 50 patients underwent TKA with cement and without cement, respectively. The difference in average blood loss in patients between with (372 ml) and without cementation (449 ml) was significant. In the OA group the average blood loss significantly decreased after cementation but not in the RA group. Although the rate of avoiding transfusion in the OA group did not significantly decrease with the use of cement (92.4{\%} vs. 93.3{\%}), that in the RA group did (80{\%} to 57.1{\%}). Eight of 159 patients with hemoglobin level (Hb) of 11.0 g/dl or higher received homologous blood transfusion. Of these eight patients five had associated disorders. Only one patient with Hb of 12.0 g/dl or higher underwent homologous blood transfusion. Patients with Hb of 12.0 g/dl or higher are not indicated for preoperative autologous blood deposition. In patients with Hb between 11.0 and 12.0 g/dl preoperative blood deposition may be planned after consideration of general condition and complication. Patients with Hb lower than 11.0 g/dl should undergo preoperative blood deposition.",
keywords = "Autogenous, Blood, Deposition, Total knee arthroplasty",
author = "Hiroshi Fujimoto and Toshihumi Ozaki and Kohji Asaumi and Hisayoshi Kato and Keiichiro Nishida and Yasuhiro Takahara and Nobuhiro Abe and Hajime Inoue",
year = "2003",
month = "5",
language = "English",
volume = "11",
pages = "149--154",
journal = "Knee Surgery, Sports Traumatology, Arthroscopy",
issn = "0942-2056",
publisher = "Springer Verlag",
number = "3",

}

TY - JOUR

T1 - Blood loss in patients for total knee arthroplasty

AU - Fujimoto, Hiroshi

AU - Ozaki, Toshihumi

AU - Asaumi, Kohji

AU - Kato, Hisayoshi

AU - Nishida, Keiichiro

AU - Takahara, Yasuhiro

AU - Abe, Nobuhiro

AU - Inoue, Hajime

PY - 2003/5

Y1 - 2003/5

N2 - Ninety-four patients with osteoarthritis (OA) and 180 with rheumatoid arthritis (RA) undergoing unilateral total knee arthroplasty (TKA) were analyzed to clarify the necessity for preoperative autogenous blood deposition or homologous blood transfusion. Two hundred and twenty-four and 50 patients underwent TKA with cement and without cement, respectively. The difference in average blood loss in patients between with (372 ml) and without cementation (449 ml) was significant. In the OA group the average blood loss significantly decreased after cementation but not in the RA group. Although the rate of avoiding transfusion in the OA group did not significantly decrease with the use of cement (92.4% vs. 93.3%), that in the RA group did (80% to 57.1%). Eight of 159 patients with hemoglobin level (Hb) of 11.0 g/dl or higher received homologous blood transfusion. Of these eight patients five had associated disorders. Only one patient with Hb of 12.0 g/dl or higher underwent homologous blood transfusion. Patients with Hb of 12.0 g/dl or higher are not indicated for preoperative autologous blood deposition. In patients with Hb between 11.0 and 12.0 g/dl preoperative blood deposition may be planned after consideration of general condition and complication. Patients with Hb lower than 11.0 g/dl should undergo preoperative blood deposition.

AB - Ninety-four patients with osteoarthritis (OA) and 180 with rheumatoid arthritis (RA) undergoing unilateral total knee arthroplasty (TKA) were analyzed to clarify the necessity for preoperative autogenous blood deposition or homologous blood transfusion. Two hundred and twenty-four and 50 patients underwent TKA with cement and without cement, respectively. The difference in average blood loss in patients between with (372 ml) and without cementation (449 ml) was significant. In the OA group the average blood loss significantly decreased after cementation but not in the RA group. Although the rate of avoiding transfusion in the OA group did not significantly decrease with the use of cement (92.4% vs. 93.3%), that in the RA group did (80% to 57.1%). Eight of 159 patients with hemoglobin level (Hb) of 11.0 g/dl or higher received homologous blood transfusion. Of these eight patients five had associated disorders. Only one patient with Hb of 12.0 g/dl or higher underwent homologous blood transfusion. Patients with Hb of 12.0 g/dl or higher are not indicated for preoperative autologous blood deposition. In patients with Hb between 11.0 and 12.0 g/dl preoperative blood deposition may be planned after consideration of general condition and complication. Patients with Hb lower than 11.0 g/dl should undergo preoperative blood deposition.

KW - Autogenous

KW - Blood

KW - Deposition

KW - Total knee arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=0141430885&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0141430885&partnerID=8YFLogxK

M3 - Article

VL - 11

SP - 149

EP - 154

JO - Knee Surgery, Sports Traumatology, Arthroscopy

JF - Knee Surgery, Sports Traumatology, Arthroscopy

SN - 0942-2056

IS - 3

ER -