TKA: Knee positioning and compression bandaging found to not reduce blood loss .
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Postoperative blood loss management in total knee arthroplasty: a comparison of four different methods
Knee Surg Sports Traumatol Arthrosc. 2011 Jun;19(6):955-9. doi: 10.1007/s00167-010-1309-8. Epub 2010 Nov 13147 patients were randomized to determine the impact of intraoperative compression bandaging and postoperative knee position on blood loss in total knee arthroplasty. Patients were allocated to one of four groups: postoperative knee flex, intraoperative compression bandaging, a combination of both treatments, or control treatment with standard postoperative crepe bandaging. Follow-up was conducted of haematological parameters postoperatively for 2 days. The results indicated that none of the treatment groups displayed any significant reduction in blood loss parameters compared to control, and that postoperative knee positioning and intraoperative compression bandaging did not impact blood loss in TKA.
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