Sealing the intramedullary femoral canal with autologous bone plug in total knee arthroplasty

In a prospective study of 262 consecutive patients with total knee arthroplasty, we compared the postoperative suction drainage and transfusion requirement in cases in which the defect made by the femoral intramedullary rod was either unplugged (n = 134) or plugged (n = 128). All operations were per...

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Bibliographic Details
Published in:The Journal of arthroplasty 2003-01, Vol.18 (1), p.6-9
Main Authors: Ko, P.S., Tio, M.K., Tang, Y.K., Tsang, W.L., Lam, J.J.
Format: Article
Language:English
Subjects:
Analysis of Variance
Arthroplasty, Replacement, Knee - methods
blood loss
Blood Loss, Surgical - prevention & control
Blood Transfusion - statistics & numerical data
bone plug
Bone Transplantation
Drainage
Female
Femur
Humans
Knee Prosthesis
Male
Prospective Studies
total knee arthroplasty (TKA)
transfusion
Transplantation, Autologous
Treatment Outcome
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Description
Summary:In a prospective study of 262 consecutive patients with total knee arthroplasty, we compared the postoperative suction drainage and transfusion requirement in cases in which the defect made by the femoral intramedullary rod was either unplugged (n = 134) or plugged (n = 128). All operations were performed with a single surgical approach and technique. Inflammatory arthritis and lateral releases were excluded. Blood loss was recorded at 24, 48, and 72 hours. The difference in postoperative suction drainage was not statistically significant. The hemoglobin decrease in the unplugged group (3.5 g/dL) was different from that in the plugged group (2.3 g/dL) (P
ISSN:0883-5403
1532-8406
DOI:10.1054/arth.2003.50001