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J Knee Surg 2013; 26(06): 401-404
DOI: 10.1055/s-0033-1353994
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Blood Management Strategies in Primary and Revision Total Knee Arthroplasty for Jehovah's Witness Patients

Kimona Issa
1   Department of Orthopedics, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Baltimore, Maryland
,
Samik Banerjee
1   Department of Orthopedics, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Baltimore, Maryland
,
Aiman Rifai
2   Department of Orthopedic Surgery, St Joseph's Hospital, Seton Hall University, Paterson, New Jersey
,
Bhaveen H. Kapadia
1   Department of Orthopedics, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Baltimore, Maryland
,
Steven F. Harwin
3   Department of Orthopedic Surgery, Beth Israel Medical Center, New York, New York
,
Vincent K. McInerney
2   Department of Orthopedic Surgery, St Joseph's Hospital, Seton Hall University, Paterson, New Jersey
,
Michael A. Mont
1   Department of Orthopedics, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Baltimore, Maryland
› Author Affiliations
Further Information

Publication History

08 June 2013

01 July 2013

Publication Date:
16 August 2013 (online)

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Abstract

Primary or revision total knee arthroplasties (TKAs) may be associated with a marked amount of intraoperative or postoperative blood loss that potentially may lead to the need for blood transfusions. However, Jehovah's Witnesses usually refuse blood transfusions because of their religious beliefs. This may create clinical or ethical challenges for the treating physicians. Therefore, following established blood management protocols specifically designed for these patients may be beneficial for the performance of safe and transfusion-free procedures with minimal complications. In this report, we provide an overview of various potential preoperative, intraoperative, and postoperative blood management measures that may be used for the care of Jehovah's Witnesses who undergo knee arthroplasty procedures. In addition, we review reported outcomes of primary and revision TKAs in these patients.

Keywords

total knee arthroplasty - blood management
 

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