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Efficiency of Autologous Blood Donation in Combination with a Cell Saver in Bilateral Total Knee Arthroplasty

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HSS Journal

Abstract

The increased blood loss and resulting need for allogenic blood has been a major concern of one-stage bilateral total knee arthroplasty (TKA). One hundred eighteen consecutive patients donating either 2 units (87 patients) or 3 units (31 patients) of autologous blood prior to one-stage bilateral TKA were retrospectively evaluated to determine: (1) how many patients received allogenic transfusion; (2) what percentage of autologous blood was wasted; and (3) whether donating 2 or 3 units of autologous blood before surgery is more cost-effective. Fifteen patients in the 2-units donation group (17.2%) and one patient in the 3-units donation group (3.2%) required allogenic blood transfusions. In the 2-units group, 37.9% of the patients wasted 21.8% of predonated autologous blood, and in the 3-units group, 64.5% of the patients wasted 32.3% of predonated autologous blood. The estimated cost for patients donating 2 or 3 units of blood was $1,814.17 and $1,996.10, respectively. Donating 2 units of autologous blood is more cost-effective; however, patients donating 3 units of blood required less allogenic blood.

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Acknowledgments

The authors wish to thank the following surgeons for including their patients in this study: David W. Altchek, MD; Mathias P. Bostrom, MD; Frank A. Cordasco, MD, MS; Charles N. Cornell, MD; Mark P. Figgie, MD; Steven B. Haas, MD; Stephen J. O’Brien, MD, MBA; Douglas E. Padgett, MD; Thomas P. Sculco, MD; Edwin P. Su, MD; Geoffrey H. Westrich, MD; and Russell Windsor, MD, PC.

Conflict of interest statement

No financial support was received. None of the investigators have a conflict of interest related to the topic of the publication.

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Authors and Affiliations

  1. Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA

    Friedrich Boettner MD, Peter Sculco AB, Eric Altneu BA & Thomas P. Sculco MD

  2. Hisar International Hospital, 34768 Umraniye-Istanbul, Istanbul, Turkey

    Bülent Çapar MD

Authors
  1. Friedrich Boettner MD
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  2. Peter Sculco AB
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  3. Eric Altneu BA
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  4. Bülent Çapar MD
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  5. Thomas P. Sculco MD
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Corresponding author

Correspondence to Friedrich Boettner MD.

Additional information

Ethical Board Review statement: Institutional Review Board Approval IRB 25053

Level of evidence: level III: retrospective, case-controlled study

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Boettner, F., Sculco, P., Altneu, E. et al. Efficiency of Autologous Blood Donation in Combination with a Cell Saver in Bilateral Total Knee Arthroplasty. HSS Jrnl 5, 45–48 (2009). https://doi.org/10.1007/s11420-008-9101-8

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  • DOI: https://doi.org/10.1007/s11420-008-9101-8

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