Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: General Orthopaedics
Abstract number: 22921
PRELIMINARY EXPERIENCE WITH LOCAL HAEMOSTATIC AGENT
(VITAGEL) IN TOTAL KNEE REPLACEMENT
Stephenie S. J. TIEW, Aaron NG, Olufemi OYEKANMI, Aliasgar JIVANJEE, Buchi
ARUMILLI
Manchester Royal Infirmary, Manchester (UNITED KINGDOM)
Introduction: - The purpose of this study is to ascertain the effectiveness of
haemostatic agent (Vitagel) in TKRs. Material and methods: - From Feb 09 to August
09, we prospectively studied 25 consecutive patients (mean age, 69.5 years; range,
60 to 84 years; 17 female, 8 male). Who had undergone TKRs. Patient
demographics, perioperative blood loss, the need of blood transfusion, hospital
length of stay and post-operative complications were recorded. The patients were
divided in two groups. In group A, 11 patients received 1 unit of Vitagel, placed in the
medial gutters, lateral gutters and suprapatellar pouch prior to deep closure of
implanted TKRs. In group B, 14 patients were used as control group. Results: - Both
groups have similar demographic details. The study revealed no significant difference
between the 2 groups with regards to hospital length of stay (5 vs.7; p> 0.05 with
95% CI -3 to 0) and drop in haemoglobin level (2.4 vs. 2.3; p> 0.05 with 95% CI -1.1
to 1.1). However, the blood transfusion requirement is less in group A as compared
to group B (risk ration 0.778; odds ratio 0.556). No difference was observed in
complication rates in both groups. Conclusion: - Hospital length of stay was
shortened in group A but not statistically significant. However, there is a 10.4%
absolute risk reduction for transfusion in group A compared to group B.
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