Total Joint Replacement Bloodless Surgery Program, Beth Israel Medical Center, New York, New York, USA.
J Arthroplasty. 2013 Jan;28(1):49-55. doi: 10.1016/j.arth.2012.05.021. Epub 2012 Jul 6.
Total knee arthroplasty can be challenging in Jehovah's Witnesses, as these patients do not accept blood transfusions. We reported our experiences with a special blood management protocol for these patients who underwent total knee arthroplasty. There were 124 self-reported Jehovah's Witnesses who had a mean age of 64 years and who underwent total knee arthroplasties between 1998 and 2009. Mean follow-up was 60 months (range, 24-120 months). Implant survivorship, with revision for aseptic component failure as an end point, was 98%. At the final follow-up, mean Knee Society objective and function score improved to 91 and 81 points, respectively. The authors believe that this blood management protocol was responsible for performing safe and transfusion-free total knee arthroplasties that can ultimately lead to excellent outcomes.
全膝关节置换术在耶和华见证人（Jehovah's Witnesses）中可能具有挑战性，因为这些患者不接受输血。我们报告了我们在为接受全膝关节置换术的这些患者制定特殊血液管理方案方面的经验。有 124 名自我报告的耶和华见证人，平均年龄为 64 岁，他们在 1998 年至 2009 年间接受了全膝关节置换术。平均随访时间为 60 个月（范围 24-120 个月）。以无菌性组件失效翻修为终点的植入物存活率为 98%。在最终随访时，膝关节协会的客观和功能评分分别提高到 91 分和 81 分。作者认为，这种血液管理方案能够安全地进行无输血的全膝关节置换术，最终可以获得良好的效果。
