Saratov JOURNAL of Medical and Scientific Research

Kornilov N.N.

Vreden Russian Research Institute of Traumatology and Orthopaedics, Department of Knee Pathology, Leading Research Assistant, Mechnikov North Western State Medical University, Department of Traumatology and Orthopaedics, Assistant, Doctor of Medical Sciences

Modern surgical aspects in blood loss management in total knee arthroplasty


The frequency of knee arthroplasty in knee arthritis is forcing the orthopedic community to take measures to optimize this surgical intervention. Despite the fact that this is a routine operation, it is often accompanied by significant blood loss. Large intraoperative blood loss leads to the development of postoperative post-hemorrhagic anemia which is an extremely unfavorable effect in the course of wound healing, moreover, it affects the length of stay of a patient in clinic and the cost of treatment. The analysis of the literature on the issue of patient blood loss management tells of divergent efforts of experts in related fields of medicine and complex multi-disciplinary research on this topic, often — with contradictory conclusions. It can be noted that nowadays there is no accurate, reliable and scientifically proven sound algorithm of blood loss management in primary total knee arthroplasty in modern Russian and foreign literature.

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