POSTER ABSTRACTS - ISAKOS
POSTER ABSTRACTS - ISAKOS
POSTER ABSTRACTS - ISAKOS
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statistical significance between right and left KSS<br />
pre-operatively. There was no statistical<br />
significance between right and left KSS and<br />
WOMAC scores post-operatively. Subjectively, 44<br />
patients reported their first TKA was better than<br />
their second. 48 patients reported both TKA’s<br />
were as good as each other. 18 patients reported<br />
their second TKA was better than their first. The 2<br />
main reasons why one TKA was better than the<br />
other were pain and range of movement.<br />
Conclusion: Objectively, staged bilateral TKA<br />
results in equally good outcome. Subjectively, the<br />
first TKA is better or equal to the second TKA in<br />
84% of cases. We feel that this information is<br />
important during counseling of patients<br />
undergoing bilateral staged TKA.<br />
E-poster w/ Standard #549<br />
Closed Suction Drains in Total Knee<br />
Arthroplasty: Are they Necessary and do they<br />
Affect Transfusion Rates?<br />
Rathnam Obli Sundaram, Warrington, UNITED<br />
KINGDOM, Presenter<br />
Richard W Parkinson, Neston, Cheshire UNITED<br />
KINGDOM<br />
Department of Orthopaedics, Upton, Wirral,<br />
UNITED KINGDOM<br />
Aims:- To determine if closed suction drains are<br />
necessary in primary Total Knee Arthroplasty<br />
(TKA).<br />
Methods:- A retrospective review was performed<br />
on two consecutive groups of patients who<br />
underwent primary TKA. Group 1 - patients who<br />
underwent TKA and had 1 deep closed suction<br />
drain. Group 2 - patients who underwent TKA who<br />
had no drain. Parameters assessed were:- Pre and<br />
48 hour post-operative Haemoglobin and<br />
Haematocrit; Transfusion rates, Daily<br />
Temperature, Length of Stay, Complications and<br />
Range of Knee movement at 3 months. Blood<br />
Transfusions were given post-operatively on the<br />
basis of clinical need without a pre-determined<br />
Haemoglobin trigger factor.<br />
Results: There were 100 patients in each Group.<br />
Group 1 drained a mean of 537 ml of blood in 24<br />
hours and 701 ml in 48 hours. The mean fall in<br />
haemoglobin and haematocrit 48 hours postoperatively<br />
in both groups was 3.34 g/dl and 10%<br />
respectively. 5 patients required a blood<br />
transfusion in both Groups. The mean length of<br />
hospital stay in Group 1 was 8.00 days, and Group<br />
2 was 8.54 days (p
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