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Blood loss after minimally invasive total knee arthroplasty: effects of imageless navigation.
Kaohsiung J Med Sci. 2010 May; 26(5):237-43.KJ

Abstract

A prospective cohort study of 100 patients undergoing primary minimally invasive total knee arthroplasty was carried out to determine blood loss after this procedure and to examine the efficacy of navigation on blood saving. The patients were divided into two groups according to the surgical technique, and underwent either computer-assisted navigation or manual procedures. All operations were performed by a single surgeon using an identical approach. To minimize blood loss, an intraoperative tourniquet was used, but no postoperative drainage was applied. Although the mean surgical time was longer in the navigated group than in the manual group (119.2 vs. 90.9 min; p < 0.001), the reductions in hemoglobin level (1.40 vs. 1.38 g/dL; p = 0.642) and calculated blood loss (470.77 vs. 482.73 mL; p = 0.796) were similar in both groups. Four patients in both groups required blood transfusion. With minimally invasive techniques and drainage avoidance, our study suggests that the blood loss after minimally invasive total knee arthroplasty was not significantly affected by the use of imageless navigation.

Authors+Show Affiliations

Department of Orthopedics, National Cheng Kung University Medical Center, 138 Sheng-Li Road, Tainan, Taiwan.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20466333

Citation

Chang, Chih-Wei, et al. "Blood Loss After Minimally Invasive Total Knee Arthroplasty: Effects of Imageless Navigation." The Kaohsiung Journal of Medical Sciences, vol. 26, no. 5, 2010, pp. 237-43.
Chang CW, Wu PT, Yang CY. Blood loss after minimally invasive total knee arthroplasty: effects of imageless navigation. Kaohsiung J Med Sci. 2010;26(5):237-43.
Chang, C. W., Wu, P. T., & Yang, C. Y. (2010). Blood loss after minimally invasive total knee arthroplasty: effects of imageless navigation. The Kaohsiung Journal of Medical Sciences, 26(5), 237-43. https://doi.org/10.1016/S1607-551X(10)70034-6
Chang CW, Wu PT, Yang CY. Blood Loss After Minimally Invasive Total Knee Arthroplasty: Effects of Imageless Navigation. Kaohsiung J Med Sci. 2010;26(5):237-43. PubMed PMID: 20466333.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Blood loss after minimally invasive total knee arthroplasty: effects of imageless navigation. AU - Chang,Chih-Wei, AU - Wu,Po-Ting, AU - Yang,Chyun-Yu, PY - 2009/10/13/received PY - 2009/11/27/accepted PY - 2010/5/15/entrez PY - 2010/5/15/pubmed PY - 2010/8/24/medline SP - 237 EP - 43 JF - The Kaohsiung journal of medical sciences JO - Kaohsiung J Med Sci VL - 26 IS - 5 N2 - A prospective cohort study of 100 patients undergoing primary minimally invasive total knee arthroplasty was carried out to determine blood loss after this procedure and to examine the efficacy of navigation on blood saving. The patients were divided into two groups according to the surgical technique, and underwent either computer-assisted navigation or manual procedures. All operations were performed by a single surgeon using an identical approach. To minimize blood loss, an intraoperative tourniquet was used, but no postoperative drainage was applied. Although the mean surgical time was longer in the navigated group than in the manual group (119.2 vs. 90.9 min; p < 0.001), the reductions in hemoglobin level (1.40 vs. 1.38 g/dL; p = 0.642) and calculated blood loss (470.77 vs. 482.73 mL; p = 0.796) were similar in both groups. Four patients in both groups required blood transfusion. With minimally invasive techniques and drainage avoidance, our study suggests that the blood loss after minimally invasive total knee arthroplasty was not significantly affected by the use of imageless navigation. SN - 2410-8650 UR - https://www.unboundmedicine.com/medline/citation/20466333/Blood_loss_after_minimally_invasive_total_knee_arthroplasty:_effects_of_imageless_navigation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1607-551X(10)70034-6 DB - PRIME DP - Unbound Medicine ER -