To study the difference in decreasing hemoglobin level and blood transfusion rate after using cement plug compare to bone plug in bilateral TKA bilateral TKA, postoperative hematocrit levels, cement plug, bone plug, blood transfusion
Conditions
Interventions
Intramedullary canal pluging by bone at femoral site when do total knee arthroplasty procedure ,Intramedullary canal pluging by cement at femoral site when do total knee arthroplasty procedure
Experimental Procedure/Surgery,Experimental Procedure/Surgery
bone plug,cement plug
Sponsors
orthopaedics , police general hospital
Eligibility
Sex/Gender
All
Age
55 Years to 95 Years
Inclusion criteria
Inclusion criteria: 1.Patients with knee osteoarthritis who underwent bilateral total knee arthroplasty (TKA) at the Police General Hospital between 2023 and 2025. 2.Surgery performed using the subvastus approach 3.Aged between 55 and 95 years old.
Exclusion criteria
Exclusion criteria: 1.Patients with a history of blood clots (thromboembolism) or easy bleeding (bleeding diathesis), those currently on antiplatelet or anticoagulant medications, or patients with a history of major bleeding. 2.Secondary OA knee 3.Baseline Hb < 11 g/dl 4.History of cancer, metabolic bone disease, end-stage renal disease (ESRD), or cirrhosis. 5.Patients at risk for acute myocardial infarction (MI), ischemic or hemorrhagic stroke, or deep vein thrombosis (DVT). 6. Patients with documented allergies to common perioperative analgesics and antibiotics such as Celebrex, Arcoxia, or Fosfomycin, where suitable alternative medications are unavailable.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hemoglobin or Hematocrit level 2 hrs ,24 hrs,72 hrs after total knee arthroplasty procedure Hematocrit level | — |
Secondary
| Measure | Time frame |
|---|---|
| blood transfusion anytime before discharge No. of bag | — |
Countries
Thailand
Contacts
Public ContactPhisut Manakittikij
police general hospital
Outcome results
None listed