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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 1, 49-53.
doi: 10.1302/0301-620X.88B1.16653  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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A prospective comparison of clamping the drain or post-operative salvage of blood in reducing blood loss after total knee arthroplasty

N. Tsumara, MD, Orthopaedic Surgeon1; S. Yoshiya, MD, Orthopaedic Surgeon2; T. Chin, MD, Orthopaedic Surgeon1; R. Shiba, MD, Orthopaedic Surgeon1; K. Kohso, MD, Orthopaedic Surgeon1; and M. Doita, MD, Orthopaedic Surgeon2

1 Hyogo Rehabilitation Center, 1070 Akebono-cho Nishi-ku, Kobe 651-2181, Japan.
2 Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho chyuou-ku, Kobe 650-0017, Japan.

Correspondence should be sent to Dr N. Tsumara; e-mail: tsumuranob{at}nifty.com

We undertook a prospective, randomised study in order to evaluate the efficacy of clamping the drains after intra-articular injection of saline with 1:500 000 adrenaline compared with post-operative blood salvage in reducing blood loss in 212 total knee arthroplasties. The mean post-operative drained blood volume after drain clamping was 352.1 ml compared to 662.3 ml after blood salvage (p < 0.0001). Allogenic blood transfusion was needed in one patient in the drain group and for three in the blood salvage group. Drain clamping with intra-articular injection of saline with adrenaline is more effective than post-operative autologous blood transfusion in reducing blood loss during total knee arthroplasty.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General