Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Musser, E.
Influence of cement on the amount of blood transfusions in patients with primary total knee endoprosthesis
[ Diplomarbeit ] Medical University of Graz; 2012. pp. 90
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- Autor*innen der Med Uni Graz:
- Betreuer*innen:
- Kastner Norbert
- Sadoghi Patrick
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- Abstract:
- The implementation of total knee endoprosthesis is a major surgical procedure, in which especially the blood management is an important topic among many other complications, which might arise. The blood management should begin timely before the surgery to determine current blood conditions, because sliced bones can lead to severe intra- and postoperative blood loss, which have to be compensated quickly by blood transfusions. The study is a retrospective correlation analysis of 200 reviewed patients between 1996 and 2011 of the orthopaedic department who underwent primary total knee arthroplasty. The patients were divided into three main groups, the total cemented group, the non-cemented treatment group, and the hybrid treatment group. We recorded demographically the blood loss by using the bellovac system, the retransfused blood volume, and how many erythrocyte concentrates were administered to the patients in the three different cementing treatment groups. In our correlation analysis, we found a significant positive correlation with cementing of the tibial plateau and less blood loss without a correlation with retransfusions. We found no correlation with respect to cementation of the femoral shield. The analysis shows, that cementing the tibial plateau significantly negatively influences the amount of postoperative erythrocyte concentrates after implantation of TKA.