[Postoperative autologous transfusion from blood drainage after total hip joint arthroplasty--how much value is really there?].

P Reize, D Endele, M Rudert, N Wülker
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Abstract

Aim: Are autologous blood transfusions sufficient or do we need the transfusion of unwashed or washed wound drainage blood in total hip arthroplasty?

Method: 253 patients undergoing total hip arthroplasty were retrospectively randomized to autologous blood transfusion or transfusion of unwashed wound drainage. We compared the haemoglobin and haematocrit levels as well as the rate of complications.

Results: Postoperative blood salvage and reinfusion after total hip joint arthroplasty didn't show any advantages. In 10 % we saw complications after transfusion of unwashed wound drainage.

Conclusion: We do not recommend the transfusion of wound drainage.

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【全髋关节置换术后自体引流输血——到底有多大价值?】
目的:全髋关节置换术中自体输血是否足够,是否需要输注未洗或洗过的伤口引流血?方法:回顾性分析253例全髋关节置换术患者,随机分为自体输血组和未清洗伤口引流组。我们比较了血红蛋白和红细胞压积水平以及并发症的发生率。结果:全髋关节置换术后血液潴留及回输无明显优势。在10%的病例中,我们看到了未清洗伤口引流输液后的并发症。结论:我们不推荐伤口引流输液。
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Nachruf [Knowledge transfer and student's satisfaction in orthopaedics--a survey of 476 students]. [Differential behaviour of human adult arthrotic chondrocytes under 2D- and 3D-cultivation set-ups in a collagen I gel]. [Total hip replacement in high total hip dislocation by performing a Z-shaped shortening osteotomy]. [Measurement of ground reaction forces after total hip arthroplasty using different surgical approaches].
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