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Correlation between the coverage percentage of prosthesis and postoperative hidden blood loss in primary total knee arthroplasty

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Chinese Medical Journal 2014年第12期127卷 2265-2269页

作者： Gao Fuqiang Guo Wanshou Sun Wei Li Zirong Wang Weiguo Wang Bailiang Cheng Liming Kush Nepali Osteonecrosis and Joint-Preserving and Reconstruction Center Department of Orthopedic SurgeryChina-Japan Friendship HospitalBeijing 100029China

Background The aim of this study was to determine the relationship between prosthesis coverage and postoperative hidden blood loss （HBL） in primary total knee arthroplasty （TKA）.Methods A total of 120 patients who had undergone unilateral TKA from August 2012 to May 2013 were retrospectively *** Gross formula was used to calculate the amount of *** standard anteroposterior （AP） and lateral x-ray films of the knee joint were taken postoperatively and used to measure the percentages of coronal femoral and of coronal and sagittal tibial prosthetic *** Pearson＇s correlation analysis was performed to assess the correlations between the percentages of prosthetic coverage for each AP and lateral position and HBL on the first and third postoperative *** The volumes of HBL on the first and third postoperative days after TKA were （786.5±191.6） ml and （1 256.6±205.1） ml,respectively,and lateral x-ray film measurements of percentages of coronal femoral,tibial coronal,and sagittal prosthetic coverage were （87.9±2.5）％,（88.5±2.2）％,and （89.1±2.3）％,***＇s correlation analysis showed statistically significant correlations between percentages of total knee prosthetic coverage for each AP and lateral position and volumes of HBL on the first and third postoperative days （P ＜0.05）.Conclusions HBL after TKA correlates with degree of prosthetic *** some extent,the size of the surfaces exposed by osteotomy determines the amount of *** of the appropriate prosthesis can significantly reduce postoperative *** individualized prostheses would be a worthwhile development in joint replacement surgery.

关键词： arthroplasty replacement, knee prosthetic coverage blood loss hidden

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