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Comparative Study
. 2001;25(4):257-9.
doi: 10.1007/s002640100250.

Reinfusion of drained blood as an alternative to homologous blood transfusion after total knee replacement

A Sinha  1 , M Sinha, S Burgert
Affiliations
Comparative Study

Reinfusion of drained blood as an alternative to homologous blood transfusion after total knee replacement

A Sinha et al. Int Orthop. 2001.

Abstract
in English, French

In patients undergoing total knee replacement we carried out a longitudinal cohort study to determine the efficacy and safety of a postoperative autologous blood reinfusion system, as an alternative to homologous, banked blood transfusions. Fifty patients received reinfusion of unwashed, filtered, shed blood, supplemented with banked blood transfusions as required. A control group of 50 patients in whom standard suction drains were used received homologous blood transfusions as required. In the study group, the homologous blood requirement was reduced by 80%. There was no significant difference in the postoperative haemoglobin values between the two groups. None of the patients developed any adverse reactions after reinfusion.

Chez des patients opérés par arthroplastie totale du genou nous avons fait une étude par cohorte longitudinale pour déterminer l'efficacité et la sécurité d'un système de réinfusion du sang de drainage postopératoire, comme une alternative aux transfusions de sang homologue. Cinquante patients ont eu une reinfusion du sang autologue filtré, complété par des transfusions de sang homologue selon les besoins. Un groupe témoin de 50 patients avec drainage standard a reçu des transfusions de sang homologue comme nécessaire. Dans le groupe de l'étude, la nécessité de sang homologue a été réduite de 80%. Il n'y avait aucune différence notable des taux postopératoires d'hémoglobine entre les deux groupes. Aucun des malades n'a présenté d'effet secondaire après reinfusion.

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