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Updated: Aug 17, 2026

Knee Arthrocentesis in Adults
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Knee Arthrocentesis in Adults

Published on: February 25, 2022

Blood loss and transfusion rates in bilateral total knee arthroplasty

Fred D Cushner1, W Norman Scott, Giles Scuderi

  • 1Department of Surgery, Division of Orthopedic Surgery, Albert Einstein College of Medicine of Yeshiva University, New York, NY, USA.

The Journal of Knee Surgery
|May 27, 2005
PubMed

From 1994 to 1998, we performed 170 bilateral total knee arthroplasties (TKAs) with cemented, posterior cruciate-substituting prostheses. Blood management included preoperative autologous donation, symptom-based transfusion, and autoreinfusion devices. Perioperative allogeneic transfusion rates for patients who donated 0, 1, 2, 3, or 4 units of blood were 40.00%, 0.00%, 3.70%, 0.00%, and 3.23%, respectively. Preoperative autologous donation >2 units also resulted in lower preoperative hemoglobin levels. For bilateral TKA, a protocol of 2 preoperative autologous donation units and reinfusion of postoperative drainage reduces anemia during the preoperative and postoperative periods.

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