Convened under the auspicious of esteemed endorsers - ISTA

slope on the medial side was minimally reduced.In conclusion resurfacing by bicompartimental arthroplasty with two individual components(Uni + PFJ) is an excellent solution to gender and ethnic differences. The individual anatomy ofthe specific patient goes through minimal changes resulting in better functional results.Saturday, October 9, 2010, 16:00-16:50Session B22: Arthroplasty- Getting it Right!Blood Loss and Transfusion Rates With MIS Total Knee ReplacementSurgery in a Community Hospital Setting Utlizing Sympony Platelet Gel*Jeffrey F Traina - Associated Orthopedics, SC - Peoria, USA*Email: trainaj@aol.comTotal knee arthroplasty has been associated with substantial blood loss in the perioperativeperiod necessitating a substantial risk for blood transfusions. There are various methodologiesutilized to decrease postoperative anemia and minimize the need for allogeneic bloodtransfusions. These include autologous pre-donation, the use of erythropoietin and the use ofperioperative cell salvage. Although all of these are successful in decreasing postoperativeanemia, there is still a significant risk of allogeneic blood transfusions in the postoperativeperiod. This is a retrospective review of a consecutive series of total knee replacementsinvestigating blood loss and the need for postoperative blood transfusions utilizing MIS surgicaltechniques and Symphony platelet gel as the sole means of blood conservation.PATIENT DEMOGRPAHICSBetween January 1, 2005 to December 31, 2005, 83 total knee arthroplasties were performed ina variety of community hospitals by a single orthopedic surgeon. The mean age was 64 years(SD 11.6, range 28-90) and the mean BMI was 34.1 (SD 7.6, range 21.3 to 53.4). 71% of thepatients were females and 29% males.All patients, regardless of deformity, age or size, had a quad sparing MIS total kneearthroplasty performed utilizing cemented posterior stabilized components and all patellae wereresurfaced. No patients pre-donated any blood products or had erythropoietin and no drainswere utilized postoperatively. All patients had application of Symphony platelet gel prior tothe interoperative release of the tourniquet. All patients received Coumadin on the day ofsurgery and were managed for four weeks postoperatively to keep their INR approximately 2.0.RESULTSThe mean preoperative hemoglobin was 14 (SD 1.2, range 10.7 to 16.6). The averagepostoperative hemoglobin was 10.0 (SD 1.1, range 8.0 to 14.2). The average drop infile:///E|/ISTA2010-Abstracts.htm[12/7/2011 3:15:47 PM]