Abstract
PurposeAlthough allogeneic blood transfusion is the most common method of transfusion in total knee arthroplasty (TKA), there are reports showing significant decrease in the amount of allogeneic transfusion and incidence of side effects after combined use of autologous transfusion. The purpose of this study is to investigate the efficacy of using an autologous transfusion device in TKA.Materials and MethodsPatients who underwent TKA at our institution from January 2003 to January 2014 were divided into two groups: group A (n=127) who received allogeneic transfusion only in TKA and group B (n=118) who received autologous transfusion via an autologous transfusion device and allogeneic transfusion. In both groups, the patients were transfused when the hemoglobin level was below 9 g/dL. In group B, blood collected by the autologous transfusion device was transfused only once after surgery. The total blood loss volume, total transfusion volume, and the presence of side effects were assessed based on medical records.ResultsGroup A received 294.6 mL more allogeneic transfusion than group B (p<0.001). There were no significant differences with regard to the development of side effects between groups.ConclusionsApplication of an autologous transfusion device during TKA can be effective in reducing the allogeneic transfusion volume. Moreover, allogeneic transfusion was not necessary after autologous transfusion in some patients.
Highlights
The incidence of osteoarthritis is increasing as the world’s population is rapidly aging, and total knee arthroplasty (TKA) has become a common surgery in the orthopedic field
We investigated whether allogeneic blood transfusion combined with autologous transfusion using an autologous transfusion device can reduce the use of allogenic transfusion compared with allogenic transfusion alone in a substantial numwww.jksrr.org
The patients were divided into group A and group B according to the use of an autologous transfusion device which was introduced in May 2009 at our institution
Summary
The incidence of osteoarthritis is increasing as the world’s population is rapidly aging, and total knee arthroplasty (TKA) has become a common surgery in the orthopedic field. There are increasing doubts about the efficacy of allogeneic transfusion due to the risk of transfusion-transmitted infectious diseases and the absence. Of management measures during transfusion[2,3,4]). Curran et al.5) reported on the growing incidence of transfusion-transmitted infectious diseases such as AIDS following allogeneic transfusion. Alter6) indicated that hepatitis B virus could be transmitted by transfusion. A lot of studies have suggested that allogeneic transfusion can be reduced by autologous transfusion[3,10,11,12])
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