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Category: Volume 4 Issue 09 Sept 2016
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Title: Blood Loss after Total Knee Arthroplast

Authors: Dr Shiekh Ajaz , Dr Mufti Mahmood, Dr Mohammad Ashraf Khan, Dr Mohammad, Dr Irfan Andleeb, Dr Pervaiz

 DOI:  http://dx.doi.org/10.18535/jmscr/v4i9.77

Abstract

Introduction

Total knee arthroplasty is associated with considerable blood loss[1,2]. Various measures which reduce effective blood loss include use of tourniquet[3], minimally invasive surgery[4].use of cautery. Sealing of femoral canal[5], position of knee[6] and use of antifibrinolytic agents[7]

References

1.      Bierbaum BE, Callaghan JJ, Galante JO, et al.An analysis of blood management in patients having a total hip or knee arthroplasty.J Bone Joint Surg [Am] 1999;81-A:2-6.

2.      Lemos MJ, Healy WL.Blood transfusion in orthopaedic operations.J Bone JointSurg [ Am]1996;78-A:1260-70.

3.      Vandenbussche E, Duranthon LD, Couturier M, Podhorz L, Augereau B.Theeffect of tourniquet use in total knee arthroplasty.Int Orthop2002;26:306-9

4.      Tria AJ Jr, Coon TM.Minimal incision total knee arthroplasty: early experience. Clin Orthop 2003; 416:185-90

5.      Ko PS, Tio MK, Tang WL, Lam JJ.Sealing the intramedullary femoral canal with autologous bone plug in total knee arthroplasty.J Arthroplasty2003;18:6 .

6.      Ong SM, Taylor GJ.Can knee position save blood following total knee replacement. Knee2003;10:81-5.

7.      Samama CM.A direct antifibrinolytic agent in major orthopaedic surgery. Orthopedics2004;27(6 Suppl):675-80.

8.      Nadler SB, Hidalgo JU, Bloch T.Prediction of blood volume in normal human adults. Surgery 962;51:224-32.

9.      Brecher ME, Monk T, Goodnough L.A standarized method for calculating bloodloss. Transfusion1997;37:1070-4.

10.  Charrois O, Kahwaji A, Vastel L, Rosencher N, Courpied JP.Blood loss in totalhip arthroplasty for rapidly destructive coxarthrosis.Int Orthop Cem Coskun AVCI, Deniz GULABI, et al: Minimal invasive midvastus versus standard parapatellar approach in total knee arthroplasty.  Acta Orthop Traumatol Turc 2013; 47(1):1-7

11.  G.S. Roysam, M.J. Oakley: Subvastus approach for total knee arthroplasty. The Journal of Arthroplasty June 2001, Vol. 16(4):454-457

12.  Kalairajah, D. Simpson, A. J. Cossey et al: Blood Loss after Total Knee Replacement.  J Bone Joint Surg [Br]  2005;87-B:1480

Corresponding Author

Dr Shiekh Ajaz