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Minimally Invasive Total Knee Arthroplasty Utilizing Erythropoietin,Epinepherine, a Bipolar Sealer, and a Reinfusion Drain*Fred Cushner - Insall Scott Kelly - New York, USA*Email: Fcush@att.netBlood loss during the perioperative period of total joint arthroplasty has been well described inthe literature. Despite numerous advances, allogeneic transfusion rates are still reported as highas 50%. Often the literature focuses on one area or mechanism of blood loss prevention but thisarticle focuses on a multimodal approach to blood loss prevention including preoperativeoptimization, intraoperative technique, and postoperative management. Hemoglobin drop andtransfusion rates were retrospectively reviewed for 134 control patients undergoing total kneearthroplasty (TKA) in three groups. Group 1 included low risk patients (Hb >14 g/dl), Group 2included intermediate risk patients (Hb 13-14 g/dl) utilizing reinfusion drain and preoperativeautologous blood donation, and Group 3 included high risk (Hgb