Autologous Transfusion after Total Knee Arthroplasty

Authors

  • Fayyaz Ahmed Orfi Department of Orthopaedic, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Shafqat Hussain Department of Orthopaedic, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Ramna Dilbar Department of Orthopaedic, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Ali Arslan Munir Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Sumbal Rana Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i6.8440

Keywords:

Autologous transfusion, Blood products, Total knee replacement (TKR) arthroplasty

Abstract

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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Published

28-12-2023

How to Cite

Fayyaz Ahmed Orfi, Hussain, S., Dilbar, R., Munir, A. A., & Sumbal Rana. (2023). Autologous Transfusion after Total Knee Arthroplasty. Pakistan Armed Forces Medical Journal, 73(6), 1558–1561. https://doi.org/10.51253/pafmj.v73i6.8440

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