• Acta Orthop Belg · Feb 2010

    Comparative Study

    A comparison of post-op haemoglobin levels and allogeneic blood transfusion rates following total knee arthroplasty without drainage or with reinfusion drains.

    • Shariff Hazarika, Rajarshi Bhattacharya, Mainudden Bhavikatti, and Matthew Dawson.
    • Cumberland Infirmary, Cumbria Acute Hospitals NHS Trust, Carlisle, UK. sahazarika@doctors.org.uk
    • Acta Orthop Belg. 2010 Feb 1; 76 (1): 74-8.

    AbstractThe effects of re-infusion drains on the rate of allogeneic blood transfusion and post-op haemoglobin levels in Total Knee Arthroplasty were examined. A group of 22 patients undergoing primary Total Knee Arthroplasty using a CBCII Constavac Stryker re-infusion drainage system were compared with a group of 30 patients, matched for age, sex and type of prosthesis but without any drain usage. The re-infusion drain.group had a significantly lower day 1 and day 3 post-operative haemoglobin compared to the non-drainage group. The re-infusion drain group had a higher allogenic transfusion rate compared to the non-drainage group. There were no significant differences between the two groups regarding the rate of wound and transfusion related complications and mean length of post-operative stay. We found that reinfusion drains were ineffective in reducing allogeneic transfusion requirements as compared with non-drainage in total knee arthroplasty.

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