title: Results of primary total knee arthroplasty in Jehovah's Witness patients.
abstract: Total knee arthroplasty can be challenging in Jehovah's Witnesses, as these patients do not accept blood transfusions. We reported our experiences with a special blood management protocol for these patients who underwent total knee arthroplasty. There were 124 self-reported Jehovah's Witnesses who had a mean age of 64 years and who underwent total knee arthroplasties between 1998 and 2009. Mean follow-up was 60 months (range, 24-120 months). Implant survivorship, with revision for aseptic component failure as an end point, was 98%. At the final follow-up, mean Knee Society objective and function score improved to 91 and 81 points, respectively. The authors believe that this blood management protocol was responsible for performing safe and transfusion-free total knee arthroplasties that can ultimately lead to excellent outcomes.
authors: Total Joint Replacement Bloodless Surgery Program, Beth Israel Medical Center, New York, New York, USA.
authors: Steven F
authors: SF
authors: Harwin
authors: Kimona
authors: K
authors: Issa
authors: Qais
authors: Q
authors: Naziri
authors: Aaron J
authors: AJ
authors: Johnson
authors: Michael A
authors: MA
authors: Mont
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D005260:Female; D006801:Humans; D033221:Jehovah's Witnesses; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D011475:Prosthesis Failure