Reducing Blood Loss in Bilateral Total Knee Arthroplasty with Patient-Specific Instrumentation
Publication Date
2015
Journal Title
Orthop Clin North Am
Abstract
Patient-specific instrumentation (PSI) in total knee arthroplasty (TKA) has been introduced to obtain consistent alignment, prevent instrumentation of the medullary canal and improve operating room efficiency. This article compares simultaneous bilateral TKA performed with and without the use of PSI in terms of surgical time; blood loss and transfusion requirements; length-of-stay; early thromboembolic events; and complication rates. There was a trend to reduced total blood loss (as measured by drop in hemoglobin values) and lower transfusion rate after surgery. Further research in the form of high quality randomized trials and cost-benefit analyses may help in further consolidation of these findings.
Volume Number
46
Issue Number
3
Pages
343-350
Document Type
Article
EPub Date
2015/06/05
Status
Faculty
Facility
School of Medicine
Primary Department
Orthopedic Surgery
PMID
DOI
10.1016/j.ocl.2015.02.003
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