Reinfusion of whole blood after revision surgery for infected total hip and knee arthroplasties |
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| Affiliation: | 1. Department of Chemical Engineering, IIT Madras, India;2. Department of Metallurgical and Materials Engineering, IIT Madras, India;3. JSW Steel Plant R&D Centre, Toranagallu, India;1. AGH University of Science and Technology, Faculty of Physics and Applied Computer Science, Al. Mickiewicza 30, 30-059 Kraków, Poland;2. Department of Engineering Science and Mechanics, Shibaura Institute of Technology, 3-7-5 Toyosu, Koto-ku, Tokyo 135-8548, Japan;3. AGH University of Science and Technology, Faculty of Metal Engineering and Industrial Computer Science, Al. Mickiewicza 30, 30-059 Kraków, Poland;1. Nano-Science & Semiconductor Labs, Metallurgical Lab., Physics Department, Faculty of Education, Ain Shams University, Roxy, Cairo, Egypt;2. Department of Physics, Faculty of Science, King Khalid University, P.O. Box 9004, Abha 61413, Saudi Arabia;3. Center of Nanotechnology, King Abdulaziz University, Jeddah 21589, Saudi Arabia;4. Materials Science and Nanotechnology Department, Faculty of Postgraduate Studies for Advanced Sciences, Beni ⿿ Suef University, Beni-Suef, Egypt;5. Deaprtment of physics, Faculty of Science, University of Jeddah, Saudi Arabia;6. Chemistry Department, Faculty of Science, King Khalid University, P.O. Box 9004, Abha 61413, Saudi Arabia |
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| Abstract: | Because of its proven effectiveness in reducing the need for banked blood transfusions following total joint arthroplasty, the indications for postoperative blood retrieval were expanded to include seven cases of infected total knee or hip arthroplasties where a one-stage exchange procedure was performed. Each joint had been aspirated after surgery and had positive cultures but no gross pus at the time of revision surgery. Each of the operations included debridement with reimplantation of a cementless prosthesis under cover of intravenous antibiotics for 48 hours followed by oral treatment until discharge. Antibiotic-soaked morselized bone graft was used in all patients to restore deficient nonstructural bone. Wound drainage blood was retrieved and reinfused during the first 8 hours after surgery, averaging 958 cc. Banked blood usage averaged 2.4 U (88% homologous) with an average blood loss of 1,974 cc. One patient experienced shaking chills during a second reinfusion of 600 cc of blood without stoppage of the transfusion. Wound hematoma occurred in one patient but did not require surgical evacuation. No patient developed evidence of septicemia. |
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