Thread: Joint replacement surgeons have many options for blood management

ORTHOPEDICS TODAY September 1, 2010
Joint replacement surgeons have many options for blood management

Because surgeons create blood loss anemia when performing total knee arthroplasty, they need to take responsibility for minimizing the consequences, according to an investigator at the 11th Annual Current Concepts in Joint Replacement (CCJR) Spring Meeting in Las Vegas.
Bernard N. Stulberg, MD, a professor of orthopedic surgery at Cleveland Clinic, Center for Adult Reconstruction, said the effects of acute blood loss anemia include fatigue, confusion, reduced vigor, delayed wound healing, delayed rehabilitation and depressed cardiac function, as well “as perhaps modulation that comes with transfusion.”

http://www.orthosupersite.com/view.aspx?rid=68092

J Arthroplasty. 2012 Jul 6. [Epub ahead of print]

Results of Primary Total Knee Arthroplasty in Jehovah's Witness Patients.

Harwin SF, Issa K, Naziri Q, Johnson AJ, Mont MA.
Source

Total Joint Replacement Bloodless Surgery Program, Beth Israel Medical Center, New York, New York.

Abstract

Total knee arthroplasty can be challenging in Jehovah's Witnesses, as these patients do not accept blood transfusions. We reported our experiences with a special blood management protocol for these patients who underwent total knee arthroplasty. There were 124 self-reported Jehovah's Witnesses who had a mean age of 64 years and who underwent total knee arthroplasties between 1998 and 2009. Mean follow-up was 60 months (range, 24-120 months). Implant survivorship, with revision for aseptic component failure as an end point, was 98%. At the final follow-up, mean Knee Society objective and function score improved to 91and 81 points, respectively. The authors believe that this blood management protocol was responsible for performing safe and transfusion-free total knee arthroplasties that can ultimately lead to excellent outcomes.
Results of Primary Total Knee Arthroplasty in... [J Arthroplasty. 2012] - PubMed - NCBI