Blood Loss and Transfusion Rates in Bilateral Total Knee Arthroplasty

Fred D. Cushner; W. Norman Scott; Giles Scuderi; Kala Hill; John N. Insall

doi:10.1055/s-0030-1248166

The Journal of Knee Surgery, Table of Contents

J Knee Surg 2005; 18(2): 102-107
DOI: 10.1055/s-0030-1248166

Original Article

Blood Loss and Transfusion Rates in Bilateral Total Knee Arthroplasty

Fred D. Cushner^1, ² , W. Norman Scott² , Giles Scuderi² , Kala Hill³ , John N. Insall⁴

¹The Department of Surgery, Division of Orthopedic Surgery, Albert Einstein College of Medicine of Yeshiva University, New York, NY
²The Insall Scott Kelly Institute for Orthopaedics and Sports Medicine, New York, NY
³Ortho Biotech Clinical Affairs, LLC, Bridgewater, NJ
⁴Deceased

Abstract

ABSTRACT

From 1994 to 1998, we performed 170 bilateral total knee arthroplasties (TKAs) with cemented, posterior cruciate-substituting prostheses. Blood management included preoperative autologous donation, symptom-based transfusion, and autoreinfusion devices. Perioperative allogeneic transfusion rates for patients who donated 0, 1, 2, 3, or 4 units of blood were 40.00%, 0.00%, 3.70%, 0.00%, and 3.23%, respectively. Preoperative autologous donation >2 units also resulted in lower preoperative hemoglobin levels. For bilateral TKA, a protocol of 2 preoperative autologous donation units and reinfusion of postoperative drainage reduces anemia during the preoperative and postoperative periods.

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