Blood loss after minimally invasive total knee arthroplasty: Effects of imageless navigation

Research output: Contribution to journalReview article

16 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)237-243
Number of pages7
JournalKaohsiung Journal of Medical Sciences
Volume26
Issue number5
DOIs
Publication statusPublished - 2010 May

Fingerprint

Knee Replacement Arthroplasties
Drainage
Tourniquets
Operative Time
Blood Transfusion
Hemoglobins
Cohort Studies
Prospective Studies

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

@article{ea05f010c7784304977c70567929f631,
title = "Blood loss after minimally invasive total knee arthroplasty: Effects of imageless navigation",
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.",
author = "Chang, {Chih Wei} and Wu, {Po Ting} and Yang, {Chyun Yu}",
year = "2010",
month = "5",
doi = "10.1016/S1607-551X(10)70034-6",
language = "English",
volume = "26",
pages = "237--243",
journal = "Kaohsiung Journal of Medical Sciences",
issn = "1607-551X",
publisher = "Elsevier (Singapore) Pte Ltd",
number = "5",

}

TY - JOUR

T1 - Blood loss after minimally invasive total knee arthroplasty

T2 - Effects of imageless navigation

AU - Chang, Chih Wei

AU - Wu, Po Ting

AU - Yang, Chyun Yu

PY - 2010/5

Y1 - 2010/5

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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=79958167808&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79958167808&partnerID=8YFLogxK

U2 - 10.1016/S1607-551X(10)70034-6

DO - 10.1016/S1607-551X(10)70034-6

M3 - Review article

C2 - 20466333

AN - SCOPUS:79958167808

VL - 26

SP - 237

EP - 243

JO - Kaohsiung Journal of Medical Sciences

JF - Kaohsiung Journal of Medical Sciences

SN - 1607-551X

IS - 5

ER -