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| The effect of knee osteoarthritis on the hidden blood loss after total knee arthrop lasty |
| HEMin1 PENG Bing-long1 LIU Shui-hong2 YANGHui-wen1 TIAN Hui-jun1 ZHANG Yong3 GAO Zhi-zeng4▲ |
1.Department of Joint Surgery,People′s Hospital of Pingxiang City in Jiangxi Province,Pingxiang 337000,China;
2.Department of Laboratory,People′s Hospital of Pingxiang City in Jiangxi Province,Pingxiang 337000,China;
3.Department of Blood Transfusion,People′s Hospital of Pingxiang City in Jiangxi Province,Pingxiang 337000,China;
4.Department of Joint Surgery,the First Affiliated Hospital of Nanchang University in Jiangxi Province,Nanchang 330000,China |
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Abstract Objective To explore the effect of imaging classification of knee osteoarthritis on occult blood loss after total knee arthroplasty,for providing clinical reference for the treatment of patients with total knee arthroplasty.M ethods 68 cases of patients treated by primary unilateral TKA in our hospital from August 2015 to July 2016 were selected.According to Kellgren and Lawrence imaging classification standard for grading,The relationship between imaging classification and invisible blood losswas analyzed,Ⅲclasswas 28 cases,Ⅳclasswas 40 cases.Results The amount of blood transfusion,blood transfusion rate,blood transfusion rate,total blood loss and hidden blood loss of gradeⅣwere significantly higher than those of gradeⅢ(P＜0.05).There was no significant difference in occult blood loss rate between the two groups(P＞0.05).Conclusion Preoperative imaging classification of patients undergoing total knee arthroplasty can help surgeons to evaluate perioperative bleeding,and do a good job in blood management,which is of great significance for the protection of the life safety of patients.
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