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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 8,
1092-1097.
doi: 10.1302/0301-620X.89B8.18736 Copyright © 2007 by British Editorial Society of Bone and Joint Surgery Post-operative blood salvage with autologous retransfusion in primary total hip replacementL. K. Smith, MCSP, MSc, Research Associate1; D. H. Williams, MRCS, MSc, Specialist Registrar2; and V. G. Langkamer, MBBS, FRCS, MD, Consultant Orthopaedic Surgeon1
1 Department of Trauma and Orthopaedic Surgery Weston General Hospital, Grange Road, Uphill, Weston-super-Mare BS23 4TQ, UK. Correspondence should be sent to Ms L. K. Smith; e-mail: lindsay.smith{at}waht.swest.nhs.uk
Clinical, haematological or economic benefits of post-operative blood salvage with autologous blood re-transfusion have yet to be clearly demonstrated for primary total hip replacement. We performed a prospective randomised study to analyse differences in postoperative haemoglobin levels and homologous blood requirements in two groups of patients undergoing primary total hip replacement. A series of 158 patients was studied. In one group two vacuum drains were used and in the other the ABTrans autologous retransfusion system. A total of 58 patients (76%) in the re-transfusion group received autologous blood. There was no significant difference in the mean post-operative haemoglobin levels in the two groups. There were, however, significantly fewer patients with post-operative haemoglobin values less than 9.0 g/dl and significantly fewer patients who required transfusion of homologous blood in the re-transfusion group. There was also a small overall cost saving in this group. This article has been cited by other articles:
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