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器官移植长期效应期刊
SJR: 0.133 SNIP: 0.491 CiteScore™: 0.89

ISSN 打印: 1050-6934
ISSN 在线: 1940-4379

器官移植长期效应期刊

DOI: 10.1615/JLongTermEffMedImplants.v13.i5.40
10 pages

Experience Improves Successful Use of Fibrin Sealant in Total Knee Arthroplasty: Implications for Surgical Education

Gwo-Jaw Wang
Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia, USA
Charles A. Goldthwaite, Jr.
Surgical Therapeutic Advancement Center, University of Virginia, Charlottesville, Virginia, USA
Sandra G. Burks
Surgical Therapeutic Advancement Center, University of Virginia, Charlottesville, Virginia, USA
William D. Spotnitz
Division of Thoracic and Cardiovascular Surgery, University of Florida; Surgical Therapeutic Advancement Center, University of Virginia, Charlottesville, Virginia, USA

ABSTRACT

This study evaluating fibrin sealant application in total knee arthroplasty (TKA) found significant differences in the decline in adjusted hemoglobin loss at 48 hours postoperatively in the treatment group (FS) relative to the control group (C) when the groups were segregated into early and late subgroups. The decline between the late C, 3.53 ± 0.22 g/dL, and the late FS, 3.01 ± 0.20 g/dL, was 0.52 g/dL (p = 0.04). The decline between the early C, 3.51 ± 0.21 g/dL, and the early FS, 3.25 ± 0.22 g/dL, was 0.26 g/dL (p = 0.34). This study demonstrates the importance of experience and education in successful application of tissue adhesives.


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