Safety of Total Knee Arthroplasty Without Drain Placement in Primary Osteoarthritis Patients, with Postoperative Blood Loss and the Duration for Recovery of Hemoglobin Level
Keywords:
total knee arthroplasty, total blood loss, hemoglobin level, hematocrit levelAbstract
Objective: The objectives of this study were determining the safety of total knee arthroplasty without drain, and study for the average total blood loss and the duration for hemoglobin and hematocrit to return to pre-operative level.
Methods: This study was conducted at Samutsakhon Hospital from January 2018 to March 2020. The studied group consisted of 100 patients undergoing total knee arthroplasty without drain (100 knees). The hemoglobin and hematocrit were collected preoperatively and postoperatively at day 5, 2 weeks, 1 month, 2 months and 3 months to determine the calculated blood loss and the duration for hemoglobin and hematocrit level to return to preoperative level. Complications of the surgical wounds were as well recorded.
Results: The mean blood loss was 758.93 ml and the duration for hemoglobin and hematocrit level returned to preoperative level at an average of 51.30 days. Only 1 patient received blood transfusion. There were no any complications of the surgical wounds such as infection and hematoma.
Conclusion: The total knee arthroplasty without drain is safe and the duration for hemoglobin and hematocrit level to return to preoperative level is within 3 months (mean 51.30 days).
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
