Comparison of Floseal(r) and electrocautery in hemostasis after total knee arthroplasty.
OBJECTIVE
To evaluate whether hemostasis with eletrocauterization in comparison with Floseal((r)) leads to different bleeding rates during total knee arthroplasty.


METHODS
A COMPARATIVE STUDY WAS PERFORMED BETWEEN TWO GROUPS: group with ten consecutive total knee arthroplasties with Floseal((r)) used as hemostatic method and control group with ten consecutive total knee arthroplasties with eletrocauterization as hemostatic method. Bleeding parameters such as debit of the drain, liquid infusion and blood transfusion rate were recorded.


RESULTS
Floseal((r)) group received less blood transfusion, less liquid infusion and lower drainage in absolute numbers compared to the control group. However, no parameter was statistically significant.


CONCLUSIONS
Hemostasis with Floseal((r)) is as effective as hemostasis with eletrocauterization, what makes it a viable alternative to patients with contraindication to electric scalpel use. Level of Evidence II, Prospective Comparative Study.
Institute of Orthopedics and Traumatology, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Camilo Partezani
CP
Helito
Institute of Orthopedics and Traumatology, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Riccardo Gomes
RG
Gobbi
Institute of Orthopedics and Traumatology, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Lucas Machado
LM
Castrillon
Institute of Orthopedics and Traumatology, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Betina Bremer
BB
Hinkel
Institute of Orthopedics and Traumatology, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
José Ricardo
JR
Pécora
Institute of Orthopedics and Traumatology, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Gilberto Luis
GL
Camanho
Arthroplasty; Hemorrhage; Knee