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The Journal of Bone and Joint Surgery, Vol 69, Issue 3 325-328, Copyright © 1987 by Journal of Bone and Joint Surgery, Inc
Transfusion of previously deposited autologous blood for patients undergoing hip-replacement surgery
ST Woolson, JS Marsh and JB Tanner
The efficacy of a program of transfusion of previously deposited autologous
blood for patients undergoing total hip-replacement surgery was studied by
comparing five different parameters for a group of fifty consecutive
patients who deposited blood for autologous transfusion and a randomly
chosen, closely matched control group of fifty patients who received only
homologous blood. Sixty-two per cent of the patients in the group that
deposited autologous blood did not receive additional homologous blood
while in the hospital. The patients who deposited autologous blood had a
mean preoperative hematocrit of 36 per cent, compared with 39 per cent for
the control group, but the average postoperative hematocrits of the two
groups did not differ (33 per cent). There was no significant difference in
the average total loss of blood or need for replacement of blood between
the groups. Transfusion-related complications developed in two patients in
the control group. We concluded that previous deposit of autologous blood
for transfusion is an effective method for reducing the need for
transfusion of homologous blood and for avoiding the attendant
complications of transfusion of homologous blood. This method of the
replacement of blood should be considered for patients who are to undergo a
major orthopaedic procedure on the hip.
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