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The association between bone mineral density and postoperative drainage volume following cruciate-substituting primary total knee arthroplasty: a cross-sectional study

Peerakul Yuthasak|Leeyaphan Jirapong|Rojjananukulpong Karn
대한슬관절학회 (Korean Knee Society)|2021.12|Knee Surgery and Related Research|제33권 |pp. 22-22|DOI 10.1186/s43019-021-00107-1

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키워드

FactorBone mineral densityTotal knee arthroplastyBlood loss

초록

The prevalence of osteoporosis in patients who undergo a primary total knee arthroplasty (TKA) is increasing. Low bone mineral density (BMD) is related to unfavorable outcomes following TKA such as migration of uncemented tibial components. Postoperative blood loss in TKA is an important complication. Non-modifying predicting factors for postoperative blood loss in patients undergoing primary TKA need further elucidation. Studies on the association between BMD and blood loss after TKA are limited. We aimed to demonstrate the relationship between BMD and postoperative drainage volume following primary TKA.A cross-sectional study was conducted between January 2014 and August 2020. A total of 119 primary varus osteoarthritis knees with BMD results were included in the study. Patients with secondary causes of osteoporosis were excluded. The median postoperative drainage volume of participants in the normal total hip BMD group and the normal trochanter BMD group was higher than that of patients in the low total hip BMD group and the low trochanter BMD group (285.0 ml vs 230.0 ml, P = 0.003; 282.5 ml vs 240.0 ml, P = 0.013, respectively). Multivariate regression analyses showed that operative time, spinal anesthesia, and normal total hip BMD status were significant predictive factors associated with increased postoperative drainage volume ( P = 0.014, 0.022, and 0.013, respectively). No association was identified between the lumbar spine BMD status and postoperative drainage volume. The relationship between BMD and postoperative blood loss in primary TKA was identified in this study. Normal total hip BMD was found to be associated with an increased postoperative drainage volume after primary TKA compared with low BMD.

Abstract

The prevalence of osteoporosis in patients who undergo a primary total knee arthroplasty (TKA) is increasing. Low bone mineral density (BMD) is related to unfavorable outcomes following TKA such as migration of uncemented tibial components. Postoperative blood loss in TKA is an important complication. Non-modifying predicting factors for postoperative blood loss in patients undergoing primary TKA need further elucidation. Studies on the association between BMD and blood loss after TKA are limited. We aimed to demonstrate the relationship between BMD and postoperative drainage volume following primary TKA.A cross-sectional study was conducted between January 2014 and August 2020. A total of 119 primary varus osteoarthritis knees with BMD results were included in the study. Patients with secondary causes of osteoporosis were excluded. The median postoperative drainage volume of participants in the normal total hip BMD group and the normal trochanter BMD group was higher than that of patients in the low total hip BMD group and the low trochanter BMD group (285.0 ml vs 230.0 ml, P = 0.003; 282.5 ml vs 240.0 ml, P = 0.013, respectively). Multivariate regression analyses showed that operative time, spinal anesthesia, and normal total hip BMD status were significant predictive factors associated with increased postoperative drainage volume ( P = 0.014, 0.022, and 0.013, respectively). No association was identified between the lumbar spine BMD status and postoperative drainage volume. The relationship between BMD and postoperative blood loss in primary TKA was identified in this study. Normal total hip BMD was found to be associated with an increased postoperative drainage volume after primary TKA compared with low BMD.

참고문헌 (35)

  1. Zhu M, "Effects of anesthetic technique on blood loss and complications after simultaneous bilateral total knee arthroplasty", Arch Orthop Trauma Surg, 135(4), pp.565~571 (2015)[DOI]
  2. Sizer SC, "Predicting blood loss in total knee and hip arthroplasty", Orthop Clin North Am, 46(4), pp.445~459 (2015)[DOI]
  3. Hu Y, "Blood loss of total knee arthroplasty in osteoarthritis : an analysis of influential factors", J Orthop Surg Res, 13(1), pp.325~ (2018)[DOI]
  4. Gandhi R, "Tranexamic acid and the reduction of blood loss in total knee and hip arthroplasty : a metaanalysis", BMC Res Notes, 6(1), pp.184~ (2013)[DOI]
  5. Yang ZG, "Effectiveness and safety of tranexamic acid in reducing blood loss in total knee arthroplasty : a meta-analysis", J Bone Joint Surg Am, 94(13), pp.1153~1159 (2012)[DOI]
  6. Wu YG, "Tranexamic acid plus low-dose epinephrine reduces blood loss in total knee arthroplasty: a systematic review and meta-analysis", Orthop Surg, 10(4), pp.287~295 (2018)[DOI]
  7. Zhang H, "The effect of tranexamic acid on blood loss and use of blood products in total knee arthroplasty: a metaanalysis", Knee Surg Sports Traumatol Arthrosc, 20(9), pp.1742~1752 (2012)[DOI]
  8. Hinarejos P, "Computerassisted surgery can reduce blood loss after total knee arthroplasty", Knee Surg Sports Traumatol Arthrosc, 17(4), pp.356~360 (2009)[DOI]
  9. Han SB, "Computer navigation is effective in reducing blood loss but has no effect on transfusion requirement following primary total knee arthroplasty : a meta-analysis", Knee Surg Sports Traumatol Arthrosc, 24(11), pp.3474~3481 (2016)[DOI]
  10. Licini DJ, "Modern abbreviated computer navigation of the femur reduces blood loss in total knee arthroplasty", J Arthroplast, 30(10), pp.1729~1732 (2015)[DOI]
  11. Tsumara N, "A prospective comparison of clamping the drain or post-operative salvage of blood in reducing blood loss after total knee arthroplasty", J Bone Joint Surg Br, 88(1), pp.49~53 (2006)
  12. Banerjee S, "Postoperative blood loss prevention in total knee arthroplasty", J Knee Surg, 26(6), pp.395~400 (2013)[DOI]
  13. Wang CG, "Safety and efficacy of intraarticular tranexamic acid injection without drainage on blood loss in total knee arthroplasty: a randomized clinical trial", Int J Surg, 20, pp.1~7 (2015)[DOI]
  14. Li ZJ, "Fibrin sealant before wound closure in total knee arthroplasty reduced blood loss : a meta-analysis", Knee Surg Sports Traumatol Arthrosc, 23(7), pp.2019~2025 (2015)[DOI]
  15. Wang K, "Sealing the Intramedullary Femoral Canal for Blood Loss in Total Knee Arthroplasty : A Meta-analysis of Randomized Controlled Trials", J Knee Surg, 34(2), pp.208~215 (2021)[DOI]
  16. Wu Y, "Effect of different postoperative limb positions on blood loss and range of motion in total knee arthroplasty : an updated meta-analysis of randomized controlled trials", Int J Surg, 37, pp.15~23 (2017)[DOI]
  17. Bernatz JT, "Unrecognized osteoporosis is common in patients with a wellfunctioning total knee arthroplasty", J Arthroplast, 34(10), pp.2347~2350 (2019)[DOI]
  18. Ha CW, "Underestimation and undertreatment of osteoporosis in patients awaiting primary total knee arthroplasty", Arch Orthop Trauma Surg, 140(8), pp.1109~1114 (2020)[DOI]
  19. Andersen MR, "Low preoperative BMD is related to high migration of tibia components in uncemented TKA-92 patients in a combined DEXA and RSA study with 2-year follow-up", J Arthroplast, 32(7), pp.2141~2146 (2017)[DOI]
  20. He Y, "Can bone mineral density affect intra-operative blood loss of mini-invasive posterior lumbar interbody fusion?", Endosc Robot Surg, 3(3), pp.66~69 (2020)
  21. Xue AL, "Bone fracture risk in patients with rheumatoid arthritis : a meta-analysis", Medicine(Baltimore), 96(36), pp.e6983~ (2017)[DOI]
  22. Prasad N, "Blood loss in total knee arthroplasty: an analysis of risk factors", Int Orthop, 31(1), pp.39~44 (2007)[DOI]
  23. Magill P, "Identifying the period of greatest blood loss after lower limb arthroplasty", Arthroplasty Today, 4(4), pp.499~504 (2018)[DOI]
  24. Pookarnjanamorakot C, "The incidence of deep vein thrombosis and pulmonary embolism after total knee arthroplasty : the screening study by radionuclide venography", J Med Assoc Thail, 87(8), pp.869~876 (2004)
  25. Faul F, "G*Power 3 : a flexible statistical power analysis program for the social, behavioral, and biomedical sciences", Behav Res Methods, 39(2), pp.175~191 (2007)[DOI]
  26. Mickey RM, "The impact of confounder selection criteria on effect estimation", Am J Epidemiol, 129(1), pp.125~137 (1989)[DOI]
  27. Choksi P, "The challenges of diagnosing osteoporosis and the limitations of currently available tools", Clin Diabetes Endocrinol, 4(1), pp.12~ (2018)[DOI]
  28. Mangiafico RA, "Increased prevalence of peripheral arterial disease in osteoporotic postmenopausal women", J Bone Miner Metab, 24(2), pp.125~131 (2006)[DOI]
  29. von Muhlen D, "Peripheral arterial disease and osteoporosis in older adults : the Rancho Bernardo Study", Osteoporos Int, 20(12), pp.2071~2078 (2009)[DOI]
  30. Collins TC, "Peripheral arterial disease is associated with higher rates of hip bone loss and increased fracture risk in older men", Circulation, 119(17), pp.2305~2312 (2009)[DOI]
  31. Tanko LB, "Low bone mineral density in the hip as a marker of advanced atherosclerosis in elderly women", Calcif Tissue Int, 73(1), pp.15~20 (2003)[DOI]
  32. Vogt MT, "Bone mineral density and blood flow to the lower extremities : the study of osteoporotic fractures", J Bone Miner Res, 12(2), pp.283~289 (1997)[DOI]
  33. Noticewala MS, "Predicting need for allogeneic transfusion after total knee arthroplasty", J Arthroplast, 27(6), pp.961~967 (2012)[DOI]
  34. Beattie KA, "The relationships between bone mineral density in the spine, hip, distal femur and proximal tibia and medial minimum joint space width in the knees of healthy females", Osteoarthr Cartil, 13(10), pp.872~878 (2005)[DOI]
  35. Sehat KR, "Hidden blood loss following hip and knee arthroplasty. Correct management of blood loss should take hidden loss into account", J Bone Joint Surg Br, 86(4), pp.561~565 (2004)

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