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Arch Orthop Trauma Surg · Aug 2012
Randomized Controlled TrialFibrin sealants in orthopaedic surgery: practical experiences derived from use of QUIXIL® in total knee arthroplasty.
- Torsten Kluba, Katrin Fiedler, Beate Kunze, Ingmar Ipach, and Andreas Suckel.
- Department of Orthopaedics, University Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.
- Arch Orthop Trauma Surg. 2012 Aug 1;132(8):1147-52.
BackgroundTotal knee arthroplasty is associated with a significant postoperative blood loss even without any form of perioperative anticoagulation.MethodsThe potential role of QUIXIL(®), a fibrin sealant used in orthopaedic surgery to control blood loss and avoid blood transfusions in patients undergoing total knee arthroplasty was evaluated in a prospective randomized trial with twenty-four patients diagnosed with primary osteoarthritis of the knee.ResultsResults showed that application of 2 ml QUIXIL(®) adds costs to treatment without reducing the number of transfused red blood cell counts and postoperative haemoglobin loss. However, significant lower levels of postoperative fluid loss (P = 0.026) was detected in QUIXIL(®) treated patients.ConclusionRegarding cost effectiveness and benefit no indication for the use of 2 ml QUIXIL(®) fibrin sealant in standard knee arthroplasty could be proofed statistically.
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