Affordable Access

Plugging the intramedullary canal of the femur in total knee arthroplasty: reduction in postoperative blood loss.

Authors
Type
Published Article
Journal
The Journal of Arthroplasty
0883-5403
Publisher
Elsevier
Publication Date
Volume
15
Issue
7
Pages
947–949
Identifiers
PMID: 11061459
Source
Medline

Abstract

A prospective, randomized trial comparing postoperative drainage was carried out in 120 consecutive knees undergoing total knee arthroplasties divided into 2 groups. In one (55 knees), the entry point for the femoral intramedullary rod was left open. In the other (65 knees), the entry point was closed by an autologous bone plug. The mean drainage after 24 hours and the total drainage were lower when the femoral canal was plugged (800 vs 960 mL and 925 vs 1,165 mL). The bone plug always united, and no loose bodies were seen 6 months after operation. We conclude that the femoral intramedullary guide hole should be plugged with autologous bone because this technique results in a small but significant reduction in early blood loss without countervailing disadvantages.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments