The Use of Reinfusion Drains after Total Knee Arthroplasty in Patients treated with Low Molecular Weight Heparin for Thromboembolic Prophylaxis

HSS Journal


Alexander C. Gordon, MD
Illinois Bone and Joint Institute

Pam Pulido, RN, BSN
Department of Orthopaedics
Scripps Clinic, La Jolla, CA

Steven N. Copp, MD
Kace A. Ezzet, MD
Richard H. Walker, MD
Shiley Center for Orthopaedic Research and Education
Scripps Clinic, La Jolla, CA

Clifford W. Colwell, Jr., MD
Department of Orthopaedics
Shiley Center for Orthopaedic Research and Education
Scripps Clinic, La Jolla, CA

Abstract
The effect of closed-suction drainage with red-cell reinfusion on patients receiving low molecular weight heparin (LMWH) prophylaxis after total knee arthroplasty (TKA) has not been previously studied. Therefore, our goals were to determine the effect of reinfusion drains and LMWH on allogeneic transfusions and wound complications after TKA by comparing patients treated with and without drains.  Overall, transfusion rates were lower in the drain group, 40% vs. 15% (P = .04). Patients with reinfusion drains had a significantly higher rate of allogeneic transfusion (15.8%) than those predonating autologous blood and no drain (5.4%) (P = .0003).  The drain group had lower rates of wound complications (P = NS). We were unable to demonstrate the efficacy of red-cell reinfusion as a substitute for autologous donation in TKA.

This article appears in HSS Journal: Volume 1, Number 1.
View the full article at springerlink.com.


About the HSS Journal
HSS Journal, an academic peer-reviewed journal, is published twice a year, February and September, and features articles by internal faculty and HSS alumni that present current research and clinical work in the field of musculoskeletal medicine performed at HSS, including research articles, surgical procedures, and case reports.


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