Study on Preventive Intervention of Peri-knee Ecchymosis After Total Knee Replacement

Dabiao Hou; Yongnan Tang; Chunhua Huang; Wenrui Wu; Hongyi Zhang; Dongbin Luo

doi:doi:10.11648/j.js.20210904.20

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Study on Preventive Intervention of Peri-knee Ecchymosis After Total Knee Replacement

Dabiao Hou, Yongnan Tang, Chunhua Huang, Wenrui Wu, Hongyi Zhang, Dongbin Luo

Published in Journal of Surgery (Volume 9, Issue 4)

Received: 19 July 2021 Accepted: 30 July 2021 Published: 9 August 2021

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Abstract

Objective: To investigate the effectiveness, controllability and safety of fresh plasma infusion in preventing ecchymosis after total knee arthroplasty (TKA). Methods: Patients with osteoarthritis of the knee who received the initial TKA were assigned to study group, control group, and blank control group according to APTT and PT results on the first day postoperatively. Patients in the study group received 400ml fresh frozen plasma infusion on the first day after TKA, and patients in the control group and blank control group received conventional postoperative treatment. The incidence of ecchymosis, the circumference of the affected limb and visual analog scale (VAS) were compared and analyzed in the three groups. Results: 20 patients were included into each group, respectively. After the infusion of fresh frozen plasma, the number of peri-knee ecchymosis in the study group was significantly less than that in the control group on the 7th and 14th days after the operation (P<0.05). On the 14th day after operation, the circumference of the affected limb in the study group was significantly lower than that in the control group (P<0.05), the circumference of the affected limb in the control group was higher than that in the blank control group, and the circumference of the affected limb in the study group was similar to that in the blank control group (P>0.05). On the 7th and 14th day after surgery, the pain degree of the three groups was relieved, and the VAS score of the study group and the blank control group showed no statistically significant difference (P>0.05), while the VAS score of the study group was lower than that of the control group, the difference was statistically significant (P<0.05). Conclusion: For patients with abnormal coagulation function after TKA, timely postoperative infusion of fresh frozen plasma can reduce the incidence of postoperative ecchymosis and relieve pain, which has certain clinical reference significance.

Published in	Journal of Surgery (Volume 9, Issue 4)
DOI	10.11648/j.js.20210904.20
Page(s)	199-203
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Total Knee Arthroplasty, Ecchymosis, Plasma

References

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[2]	Fan Y, Liu Y, Lin J, et al. Drainage does not promote post-operative rehabilitation after bilateral total knee arthroplasties compared with nondrainage. Chin Med Sci J. 2013; 28 (4): 206-10.
[3]	Idestrup C, Sawhney M, Nix C, et al. The incidence of hematoma formation in patients with continuous femoral catheters following total knee arthroplasty while receiving rivaroxaban as thromboprophylaxis: an observational study. RegAnesth Pain Med. 2014; 39 (5): 414-7.
[4]	Gylvin S H, Fink-Jensen A, Johansson P I, et al. Psychopharmacologic treatment and blood transfusion in fast-track total hip and knee arthroplasty [J]. Transfusion, 2017, 57 (4): 971-976.
[5]	Zhang S, Xu B, Huang Q, et al. Early Removal of Drainage Tube after Fast-Track Primary Total Knee Arthroplasty. [J]. J Knee Surg, 2017, 30 (06): 571-576.
[6]	Yin D, Delisle J, Banica A, et al. Tourniquet and closed-suction drains in total knee arthroplasty. No beneficial effects on bleeding management and knee function at a higher cost [J]. Orthopaedics& Traumatology Surgery & Research, 2017, 103 (4): 583.
[7]	Erne F, Wetzel S, Wülker N, et al. Closed Suction Drainage after Primary Total Knee Arthroplasty: A Prospective Randomized Trial. [J]. Journal of Knee Surgery, J Knee Surg 2018; 31 (08): 804-810.
[8]	Wu Y, Yang T, Zeng Y, et al. Effect of different postoperative limb positions on blood loss and range of motion in total knee arthroplasty: An updated meta-analysis of randomized controlled trials [J]. International Journal of Surgery, 2017, 37: 15-23.
[9]	Yuangang Wu, Yi Zeng, Canfeng Li, et al. The effect of post-operative limb positioning on blood loss and early outcomes after primary total knee arthroplasty: a randomized controlled trial [J]. Int Orthop, 2019, 43 (9): 2083-2091.
[10]	Zou Y, Tian S, Wang Y, et al. Administering aspirin, rivaroxaban and low-molecular-weight heparin to prevent deep venous thrombosis after total knee arthroplasty. Blood Coagul Fibrinolysis. 2014; 25 (7): 660-4.
[11]	Guidelines for the diagnosis and treatment of osteoarthritis in China (2018 edition) [J]. Chinese Journal of Orthopaedics, 2018, 38 (12): 705-715.
[12]	Lieberman JR, Pensak MJ. Prevention of venous thromboembolic disease after total hip and knee arthroplasty. J Bone Joint Surg Am. 2013; 95 (19): 1801-1811.
[13]	He ML, Xiao ZM, Lei M, et al. Continuous passive motion for preventing venous thromboembolism after total knee arthroplasty. Cochrane Database Syst Rev. 2014, 7: CD008207.
[14]	Hong K H, Pan J K, Pan B Q, et al. Comparison between autologous blood transfusion drainage and closed-suction drainage / no drainage in total knee arthroplasty: a Meta-analysis [J]. Bmc Musculoskeletal Disorders, 2016, 17 (1): 142.
[15]	Wang D, Xu J, Zeng W N, et al. Closed Suction Drainage Is Not Associated with Faster Recovery after Total Knee Arthroplasty: A Prospective Randomized Controlled Study of 80 Patients.[J]. Orthopaedic Surgery, 2016, 8 (2): 226-233.
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APA Style

Dabiao Hou, Yongnan Tang, Chunhua Huang, Wenrui Wu, Hongyi Zhang, et al. (2021). Study on Preventive Intervention of Peri-knee Ecchymosis After Total Knee Replacement. Journal of Surgery, 9(4), 199-203. https://doi.org/10.11648/j.js.20210904.20

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ACS Style

Dabiao Hou; Yongnan Tang; Chunhua Huang; Wenrui Wu; Hongyi Zhang, et al. Study on Preventive Intervention of Peri-knee Ecchymosis After Total Knee Replacement. J. Surg. 2021, 9(4), 199-203. doi: 10.11648/j.js.20210904.20

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AMA Style

Dabiao Hou, Yongnan Tang, Chunhua Huang, Wenrui Wu, Hongyi Zhang, et al. Study on Preventive Intervention of Peri-knee Ecchymosis After Total Knee Replacement. J Surg. 2021;9(4):199-203. doi: 10.11648/j.js.20210904.20

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@article{10.11648/j.js.20210904.20,
  author = {Dabiao Hou and Yongnan Tang and Chunhua Huang and Wenrui Wu and Hongyi Zhang and Dongbin Luo},
  title = {Study on Preventive Intervention of Peri-knee Ecchymosis After Total Knee Replacement},
  journal = {Journal of Surgery},
  volume = {9},
  number = {4},
  pages = {199-203},
  doi = {10.11648/j.js.20210904.20},
  url = {https://doi.org/10.11648/j.js.20210904.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210904.20},
  abstract = {Objective: To investigate the effectiveness, controllability and safety of fresh plasma infusion in preventing ecchymosis after total knee arthroplasty (TKA). Methods: Patients with osteoarthritis of the knee who received the initial TKA were assigned to study group, control group, and blank control group according to APTT and PT results on the first day postoperatively. Patients in the study group received 400ml fresh frozen plasma infusion on the first day after TKA, and patients in the control group and blank control group received conventional postoperative treatment. The incidence of ecchymosis, the circumference of the affected limb and visual analog scale (VAS) were compared and analyzed in the three groups. Results: 20 patients were included into each group, respectively. After the infusion of fresh frozen plasma, the number of peri-knee ecchymosis in the study group was significantly less than that in the control group on the 7th and 14th days after the operation (P0.05). On the 7th and 14th day after surgery, the pain degree of the three groups was relieved, and the VAS score of the study group and the blank control group showed no statistically significant difference (P>0.05), while the VAS score of the study group was lower than that of the control group, the difference was statistically significant (P<0.05). Conclusion: For patients with abnormal coagulation function after TKA, timely postoperative infusion of fresh frozen plasma can reduce the incidence of postoperative ecchymosis and relieve pain, which has certain clinical reference significance.},
 year = {2021}
}

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TY  - JOUR
T1  - Study on Preventive Intervention of Peri-knee Ecchymosis After Total Knee Replacement
AU  - Dabiao Hou
AU  - Yongnan Tang
AU  - Chunhua Huang
AU  - Wenrui Wu
AU  - Hongyi Zhang
AU  - Dongbin Luo
Y1  - 2021/08/09
PY  - 2021
N1  - https://doi.org/10.11648/j.js.20210904.20
DO  - 10.11648/j.js.20210904.20
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 199
EP  - 203
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20210904.20
AB  - Objective: To investigate the effectiveness, controllability and safety of fresh plasma infusion in preventing ecchymosis after total knee arthroplasty (TKA). Methods: Patients with osteoarthritis of the knee who received the initial TKA were assigned to study group, control group, and blank control group according to APTT and PT results on the first day postoperatively. Patients in the study group received 400ml fresh frozen plasma infusion on the first day after TKA, and patients in the control group and blank control group received conventional postoperative treatment. The incidence of ecchymosis, the circumference of the affected limb and visual analog scale (VAS) were compared and analyzed in the three groups. Results: 20 patients were included into each group, respectively. After the infusion of fresh frozen plasma, the number of peri-knee ecchymosis in the study group was significantly less than that in the control group on the 7th and 14th days after the operation (P0.05). On the 7th and 14th day after surgery, the pain degree of the three groups was relieved, and the VAS score of the study group and the blank control group showed no statistically significant difference (P>0.05), while the VAS score of the study group was lower than that of the control group, the difference was statistically significant (P<0.05). Conclusion: For patients with abnormal coagulation function after TKA, timely postoperative infusion of fresh frozen plasma can reduce the incidence of postoperative ecchymosis and relieve pain, which has certain clinical reference significance.
VL  - 9
IS  - 4
ER  -

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Author Information

Dabiao Hou

Department of Orthopedic Surgery, Guangzhou Hospital of Integrated Traditional and Western Medicine, Guangzhou, China
Yongnan Tang

Department of Orthopedic Surgery, Guangzhou Hospital of Integrated Traditional and Western Medicine, Guangzhou, China
Chunhua Huang

Department of Orthopedic Surgery, Guangzhou Hospital of Integrated Traditional and Western Medicine, Guangzhou, China
Wenrui Wu

Department of Orthopedic Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Hongyi Zhang

Department of Orthopedic Surgery, Guangzhou Hospital of Integrated Traditional and Western Medicine, Guangzhou, China
Dongbin Luo

Department of Orthopedic Surgery, Guangzhou Hospital of Integrated Traditional and Western Medicine, Guangzhou, China

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APA Style

Dabiao Hou, Yongnan Tang, Chunhua Huang, Wenrui Wu, Hongyi Zhang, et al. (2021). Study on Preventive Intervention of Peri-knee Ecchymosis After Total Knee Replacement. Journal of Surgery, 9(4), 199-203. https://doi.org/10.11648/j.js.20210904.20

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ACS Style

Dabiao Hou; Yongnan Tang; Chunhua Huang; Wenrui Wu; Hongyi Zhang, et al. Study on Preventive Intervention of Peri-knee Ecchymosis After Total Knee Replacement. J. Surg. 2021, 9(4), 199-203. doi: 10.11648/j.js.20210904.20

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AMA Style

Dabiao Hou, Yongnan Tang, Chunhua Huang, Wenrui Wu, Hongyi Zhang, et al. Study on Preventive Intervention of Peri-knee Ecchymosis After Total Knee Replacement. J Surg. 2021;9(4):199-203. doi: 10.11648/j.js.20210904.20

Copy | Download

@article{10.11648/j.js.20210904.20,
  author = {Dabiao Hou and Yongnan Tang and Chunhua Huang and Wenrui Wu and Hongyi Zhang and Dongbin Luo},
  title = {Study on Preventive Intervention of Peri-knee Ecchymosis After Total Knee Replacement},
  journal = {Journal of Surgery},
  volume = {9},
  number = {4},
  pages = {199-203},
  doi = {10.11648/j.js.20210904.20},
  url = {https://doi.org/10.11648/j.js.20210904.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210904.20},
  abstract = {Objective: To investigate the effectiveness, controllability and safety of fresh plasma infusion in preventing ecchymosis after total knee arthroplasty (TKA). Methods: Patients with osteoarthritis of the knee who received the initial TKA were assigned to study group, control group, and blank control group according to APTT and PT results on the first day postoperatively. Patients in the study group received 400ml fresh frozen plasma infusion on the first day after TKA, and patients in the control group and blank control group received conventional postoperative treatment. The incidence of ecchymosis, the circumference of the affected limb and visual analog scale (VAS) were compared and analyzed in the three groups. Results: 20 patients were included into each group, respectively. After the infusion of fresh frozen plasma, the number of peri-knee ecchymosis in the study group was significantly less than that in the control group on the 7th and 14th days after the operation (P0.05). On the 7th and 14th day after surgery, the pain degree of the three groups was relieved, and the VAS score of the study group and the blank control group showed no statistically significant difference (P>0.05), while the VAS score of the study group was lower than that of the control group, the difference was statistically significant (P<0.05). Conclusion: For patients with abnormal coagulation function after TKA, timely postoperative infusion of fresh frozen plasma can reduce the incidence of postoperative ecchymosis and relieve pain, which has certain clinical reference significance.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Study on Preventive Intervention of Peri-knee Ecchymosis After Total Knee Replacement
AU  - Dabiao Hou
AU  - Yongnan Tang
AU  - Chunhua Huang
AU  - Wenrui Wu
AU  - Hongyi Zhang
AU  - Dongbin Luo
Y1  - 2021/08/09
PY  - 2021
N1  - https://doi.org/10.11648/j.js.20210904.20
DO  - 10.11648/j.js.20210904.20
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 199
EP  - 203
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20210904.20
AB  - Objective: To investigate the effectiveness, controllability and safety of fresh plasma infusion in preventing ecchymosis after total knee arthroplasty (TKA). Methods: Patients with osteoarthritis of the knee who received the initial TKA were assigned to study group, control group, and blank control group according to APTT and PT results on the first day postoperatively. Patients in the study group received 400ml fresh frozen plasma infusion on the first day after TKA, and patients in the control group and blank control group received conventional postoperative treatment. The incidence of ecchymosis, the circumference of the affected limb and visual analog scale (VAS) were compared and analyzed in the three groups. Results: 20 patients were included into each group, respectively. After the infusion of fresh frozen plasma, the number of peri-knee ecchymosis in the study group was significantly less than that in the control group on the 7th and 14th days after the operation (P0.05). On the 7th and 14th day after surgery, the pain degree of the three groups was relieved, and the VAS score of the study group and the blank control group showed no statistically significant difference (P>0.05), while the VAS score of the study group was lower than that of the control group, the difference was statistically significant (P<0.05). Conclusion: For patients with abnormal coagulation function after TKA, timely postoperative infusion of fresh frozen plasma can reduce the incidence of postoperative ecchymosis and relieve pain, which has certain clinical reference significance.
VL  - 9
IS  - 4
ER  -

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