Prospective Randomized Evaluation of a Collagen/Thrombin and Autologous Platelet Hemostatic Agent During Total Knee Arthroplasty

被引:15
作者
Bloomfield, Michael R. [1 ]
Klika, Alison K. [1 ]
Molloy, Robert M. [1 ]
Froimson, Mark I. [1 ]
Krebs, Viktor E. [1 ]
Barsoum, Wael K. [1 ]
机构
[1] Cleveland Clin, Dept Orthopaed Surg A41, Cleveland, OH 44195 USA
关键词
total knee arthroplasty; blood conservation; Vitagel; platelet-rich plasma; thrombin; BLOOD-LOSS; CLINICAL-USE; DONOR SITES; TRANSFUSION; THROMBIN; HIP; PREVENTION; MANAGEMENT; INFECTION; SURGERY;
D O I
10.1016/j.arth.2011.09.014
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The purpose of this study was to evaluate the effectiveness of a collagen/thrombin and autologous platelet hemostatic agent in preventing blood loss during primary total knee arthroplasty. This prospective, double-blinded, randomized study was designed to enroll a total of 100 patients. Patients were randomized 1:1 to either the treatment arm (standard hemostasis plus study product) or the control arm (standard hemostasis alone). Transfusion requirements, as determined by a blinded investigator using standardized criteria, were significantly lower in the treatment group (no blood transfusions) compared with the control group (5 transfusions; P = .007). These data support the addition of the study product to prevent blood transfusions after primary total knee arthroplasty.
引用
收藏
页码:695 / 702
页数:8
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