title: Effectiveness of autologous transfusion system in primary total hip and knee arthroplasty.
abstract: BACKGROUND
  Autologous transfusion has become a cost-efficient and useful option in the treatment of patients with high blood loss following major orthopaedic surgery. However, the effectiveness of autologous transfusion in total joint replacement remains controversial.
  
  
  OBJECTIVE
  The current study analyzed the efficacy of autologous transfusion with washed shed blood (WSB) in primary total knee and total hip arthroplasty (TKA, THA).
  
  
  METHODS
  Between January 2011 and December 2011, patients being treated with a primary TKA (n=162) and/or THA (n=227) and who met the inclusion criteria were recruited to the study in consecutive fashion.
  
  
  RESULTS
  The patient age, BMI and ASA scores showed no statistically significant correlation to the degree of blood loss, quantity of autotransfusion necessary or Hb differential in TKA patients. The use of an autologous transfusion system in TKA and THA is not correlated statistically to a reduction in the amount of allogenic or autologous transfusion.
  
  
  CONCLUSIONS
  The use of the autotransfusion system does not correlate significantly with the amount of allogenic transfusion in TKA and THA in the current authors' patient cohort. Age, BMI and ASA score appeared not to exert significant influence on the total amount of autotransfusion or Hb difference.
authors.affiliation: Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany Department of Orthopaedic Surgery, Traumatology and Sports Medicine, Cologne Merheim Medical Center, Witten/Herdecke University, Cologne, Germany.
authors.forename: Marco M
authors.initials: MM
authors.lastname: Schneider
authors.affiliation: Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany.
authors.forename: Daniel
authors.initials: D
authors.lastname: Kendoff
authors.affiliation: Department of Orthopaedic Surgery, Cappagh National Orthopaedic Hospital, Finglas Dublin, Ireland.
authors.forename: Padhraig F
authors.initials: PF
authors.lastname: Oloughlin
authors.affiliation: Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany.
authors.forename: Carola
authors.initials: C
authors.lastname: Hessling
authors.affiliation: Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany.
authors.forename: Thorsten
authors.initials: T
authors.lastname: Gehrke
authors.affiliation: Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Citak
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D016063:Blood Loss, Surgical; D001804:Blood Transfusion, Autologous / Q000379:methods; D005260:Female; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
chemical_list: D006454:Hemoglobins
keywords: Autotransfusion system; allogenic blood transfusions; effectivness; total hip arthroplasty; total knee arthroplasty