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The efficacy of autologous blood transfusion in primary Total Hip Arthroplasty

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Author(s): A R Guha, S Mukhopadhyay, A McMurtrie, R Kulshreshtha, S L Karlakki

Journal: Journal of Orthopaedics
ISSN 0972-978X

Volume: 6;
Issue: 3;
Date: 2009;
Original page

Keywords: Primary hip replacement | autologous blood transfusion

ABSTRACT
The use of Autologous blood transfusion (ABT) has been recommended in primary total knee arthroplasty and also in revision hip arthroplasty. Currently, however, no guidelines exist regarding its use in primary total hip arthroplasty (THA).The purpose of this study was to assess whether the use of ABT in primary THA reduced the overall rate of allogeneic transfusion.We prospectively reviewed 80 patients who underwent primary THA with ABT between June 2005 and January 2007 (study group). 33 patients who underwent primary THA without ABT during the same period were used as controls. All patients were operated on by the senior author (SLK). We compared the pre-op and post-op haemoglobin and PCV, intra and post operative blood loss, volume of blood re-transfused using the ABT system and volume of allogeneic blood transfused in both groups. A significantly higher number of patients received allogeneic blood transfusion in the control Group (45.5%) compared to patients in the study group (27.5 %) p
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