Skip to main content
Erschienen in: HSS Journal ® 1/2005

01.09.2005 | Original Article

The Use of Reinfusion Drains after Total Knee Arthroplasty in Patients Treated with Low Molecular Weight Heparin for Thromboembolic Prophylaxis

verfasst von: Alexander C. Gordon, Pam Pulido, Steven N. Copp, Kace A. Ezzet, Richard H. Walker, Clifford W. Colwell Jr

Erschienen in: HSS Journal ® | Ausgabe 1/2005

Einloggen, um Zugang zu erhalten

Abstract

The effect of closed-suction drainage with red-cell reinfusion on patients receiving low molecular weight heparin (LMWH) prophylaxis after total knee arthroplasty (TKA) has not been previously studied. Therefore, our goals were to determine the effect of reinfusion drains and LMWH on allogeneic transfusions and wound complications after TKA by comparing patients treated with and without drains. Overall, transfusion rates were lower in the drain group (40% vs 15%, P=.04). Patients with reinfusion drains had a significantly higher rate of allogeneic transfusion (15.8%) than those predonating autologous blood and no drain (5.4%, P=.0003). The drain group had lower rates of wound complications (P=not significant). We were unable to demonstrate the efficacy of red-cell reinfusion as a substitute for autologous donation in TKA.
Literatur
1.
Zurück zum Zitat Bong, MR, Patel, V, Chang, E, Issack, PS, Hebert, R, Cesare, PE 2004Risks associated with blood transfusion after total knee arthroplastyJ Arthroplasty19281287CrossRefPubMed Bong, MR, Patel, V, Chang, E, Issack, PS, Hebert, R, Cesare, PE 2004Risks associated with blood transfusion after total knee arthroplastyJ Arthroplasty19281287CrossRefPubMed
2.
Zurück zum Zitat Colwell, CW,Jr, Spiro, TE, Trowbridge, AA, Stephens, JW, Gardiner, GA,Jr, Ritter, MA 1995Efficacy and safety of enoxaparin versus unfractionated heparin for prevention of deep venous thrombosis after elective knee arthroplasty. Enoxaparin Clinical Trial GroupClin Orthop3211927PubMed Colwell, CW,Jr, Spiro, TE, Trowbridge, AA, Stephens, JW, Gardiner, GA,Jr, Ritter, MA 1995Efficacy and safety of enoxaparin versus unfractionated heparin for prevention of deep venous thrombosis after elective knee arthroplasty. Enoxaparin Clinical Trial GroupClin Orthop3211927PubMed
3.
Zurück zum Zitat Esler, CN, Blakeway, C, Fiddian, NJ 2003The use of a closed-suction drain in total knee arthroplasty. A prospective, randomised studyJ Bone Joint Surg Br85215217CrossRefPubMed Esler, CN, Blakeway, C, Fiddian, NJ 2003The use of a closed-suction drain in total knee arthroplasty. A prospective, randomised studyJ Bone Joint Surg Br85215217CrossRefPubMed
4.
Zurück zum Zitat Fitzgerald, RH,Jr, Spiro, TE, Trowbridge, AA, Gardiner, GA,Jr, Whitsett, TL, O’Connell, MB, Ohar, JA, Young, TR 2001Prevention of venous thromboembolic disease following primary total knee arthroplasty. A randomized, multicenter, open-label, parallel-group comparison of enoxaparin and warfarinJ Bone Joint Surg Am83900906PubMed Fitzgerald, RH,Jr, Spiro, TE, Trowbridge, AA, Gardiner, GA,Jr, Whitsett, TL, O’Connell, MB, Ohar, JA, Young, TR 2001Prevention of venous thromboembolic disease following primary total knee arthroplasty. A randomized, multicenter, open-label, parallel-group comparison of enoxaparin and warfarinJ Bone Joint Surg Am83900906PubMed
5.
Zurück zum Zitat Geerts, WH, Heit, JA, Clagett, GP, Pineo, GF, Colwell, CW, Anderson, FA,Jr, Wheeler, HB 2001Prevention of venous thromboembolismChest119132S175SCrossRefPubMed Geerts, WH, Heit, JA, Clagett, GP, Pineo, GF, Colwell, CW, Anderson, FA,Jr, Wheeler, HB 2001Prevention of venous thromboembolismChest119132S175SCrossRefPubMed
6.
Zurück zum Zitat Han, CD, Shin, DE 1997Postoperative blood salvage and reinfusion after total joint arthroplastyJ Arthroplasty12511516CrossRefPubMed Han, CD, Shin, DE 1997Postoperative blood salvage and reinfusion after total joint arthroplastyJ Arthroplasty12511516CrossRefPubMed
7.
Zurück zum Zitat Healy WL, Pfeifer BA, Kurtz SR, Johnson C, Johnson W, Johnston R, Sanders D, Karpman R, Hallack GN, Valeri CR (1994) Evaluation of autologous shed blood for autotransfusion after orthopaedic surgery. Clin Orthop 53–59 Healy WL, Pfeifer BA, Kurtz SR, Johnson C, Johnson W, Johnston R, Sanders D, Karpman R, Hallack GN, Valeri CR (1994) Evaluation of autologous shed blood for autotransfusion after orthopaedic surgery. Clin Orthop 53–59
8.
Zurück zum Zitat Holt, BT, Parks, NL, Engh, GA, Lawrence, JM 1997Comparison of closed-suction drainage and no drainage after primary total knee arthroplastyOrthopedics2011211124PubMed Holt, BT, Parks, NL, Engh, GA, Lawrence, JM 1997Comparison of closed-suction drainage and no drainage after primary total knee arthroplastyOrthopedics2011211124PubMed
9.
Zurück zum Zitat Parker, MJ, Roberts, CP, Hay, D 2004Closed suction drainage for hip and knee arthroplasty. A meta-analysisJ Bone Joint Surg Am8611461152CrossRefPubMed Parker, MJ, Roberts, CP, Hay, D 2004Closed suction drainage for hip and knee arthroplasty. A meta-analysisJ Bone Joint Surg Am8611461152CrossRefPubMed
10.
Zurück zum Zitat Ritter, MA, Keating, EM, Faris, PM 1994Closed wound drainage in total hip or total knee replacement. A prospective, randomized studyJ Bone Joint Surg Am763538PubMed Ritter, MA, Keating, EM, Faris, PM 1994Closed wound drainage in total hip or total knee replacement. A prospective, randomized studyJ Bone Joint Surg Am763538PubMed
11.
Zurück zum Zitat Simpson, MB, Murphy, KP, Chambers, HG, Bucknell, AL 1994The effect of postoperative wound drainage reinfusion in reducing the need for blood transfusions in elective total joint arthroplasty: a prospective, randomized studyOrthopedics17133137PubMed Simpson, MB, Murphy, KP, Chambers, HG, Bucknell, AL 1994The effect of postoperative wound drainage reinfusion in reducing the need for blood transfusions in elective total joint arthroplasty: a prospective, randomized studyOrthopedics17133137PubMed
12.
Zurück zum Zitat Slagis, SV, Benjamin, JB, Volz, RG, Giordano, GF 1991Postoperative blood salvage in total hip and knee arthroplasty. A randomised controlled trialJ Bone Joint Surg Br73591594PubMed Slagis, SV, Benjamin, JB, Volz, RG, Giordano, GF 1991Postoperative blood salvage in total hip and knee arthroplasty. A randomised controlled trialJ Bone Joint Surg Br73591594PubMed
13.
Zurück zum Zitat Warwick, D, Harrison, J, Whitehouse, S, Mitchelmore, A, Thornton, M 2002A randomised comparison of a foot pump and low-molecular-weight heparin in the prevention of deep-vein thrombosis after total knee replacementJ Bone Joint Surg Br84344350CrossRefPubMed Warwick, D, Harrison, J, Whitehouse, S, Mitchelmore, A, Thornton, M 2002A randomised comparison of a foot pump and low-molecular-weight heparin in the prevention of deep-vein thrombosis after total knee replacementJ Bone Joint Surg Br84344350CrossRefPubMed
14.
Zurück zum Zitat Willemen, D, Paul, J, White, SH, Crook, DW 1991Closed suction drainage following knee arthroplasty. Effectiveness and risksClin Orthop264232234PubMed Willemen, D, Paul, J, White, SH, Crook, DW 1991Closed suction drainage following knee arthroplasty. Effectiveness and risksClin Orthop264232234PubMed
15.
Zurück zum Zitat Woolson, ST, Wall, WW 2003Autologous blood transfusion after total knee arthroplasty: a randomized, prospective study comparing predonated and postoperative salvage bloodJ Arthroplasty18243249CrossRefPubMed Woolson, ST, Wall, WW 2003Autologous blood transfusion after total knee arthroplasty: a randomized, prospective study comparing predonated and postoperative salvage bloodJ Arthroplasty18243249CrossRefPubMed
Metadaten
Titel
The Use of Reinfusion Drains after Total Knee Arthroplasty in Patients Treated with Low Molecular Weight Heparin for Thromboembolic Prophylaxis
verfasst von
Alexander C. Gordon
Pam Pulido
Steven N. Copp
Kace A. Ezzet
Richard H. Walker
Clifford W. Colwell Jr
Publikationsdatum
01.09.2005
Erschienen in
HSS Journal ® / Ausgabe 1/2005
Print ISSN: 1556-3316
Elektronische ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-005-0122-2

Weitere Artikel der Ausgabe 1/2005

HSS Journal ® 1/2005 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Aquatherapie bei Fibromyalgie wirksamer als Trockenübungen

03.05.2024 Fibromyalgiesyndrom Nachrichten

Bewegungs-, Dehnungs- und Entspannungsübungen im Wasser lindern die Beschwerden von Patientinnen mit Fibromyalgie besser als das Üben auf trockenem Land. Das geht aus einer spanisch-brasilianischen Vergleichsstudie hervor.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärztinnen und Psychotherapeuten.

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.