Effect of drainge and compressive bandage dressing on blood loss after total knee arthroplasty
10.11958/j.issn.0253-9896.2015.10.029
- VernacularTitle:全膝关节置换术后放置引流与加压包扎对失血量的影响
- Author:
Jiaqiang ZHOU
;
Dengyue MA
;
Zhenhui SUN
;
Lei WANG
;
Jun LIU
- Publication Type:Journal Article
- Keywords:
arthroplasty,replacement,knee;
blood loss,surgical;
negative-pressure wound therapy;
drainage;
total knee arthroplasty;
pressure dressing
- From:
Tianjin Medical Journal
2015;(10):1194-1196
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficiency of compressive bandage dressing and drainage on the blood loss after total knee arthroplasty (TKA). Methods Patients (n=120) who visited Tianjin General Hospital Bin Hai Branch and Tianjin People's Hospital due to varus knee osteoarthritis and underwent TKA were retrospectively analyzed.There are 20 males and 100 females with, mean age was 65.18±6.88 years. Depending on whether placement of drainage, patients were divided into drainage group (60 cases) and pressure bandage dressing group (60 cases). Blood loss, blood transfusion and full blood count (FBC) were all analyzed after TKA in both groups. Results Blood loss after TKA in drainage and pressure dressing group were (1 026.85±274.44),(789.52±251.58) mL respectively. Blood loss was less severe in pressure dressing group than that in drainage group (t=4.938, P<0.01). Allogeneic transfusions were needed in 14 cases of drainage group and five cases of pres?sure bandage dressing group. The circumstances that requires blood transfusion was significantly lower in pressure bandage group than that in drainage group (χ2=5.065, P<0.05). The postoperative limb swelling and postoperative joint mobility did not show statistical significance (P>0.05). Conclusion Application of compressive bandage dressing in TKA surgery is easy to be operate and can reduce perioperative blood loss and allogeneic transfusion incidence.
