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Journal of Long-Term Effects of Medical Implants

 

ISSN for PRINT: 1050-6934

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$1021.00

Issues per year:

6

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2003, Volume13

Issue 5

  84 pages  

DOI: 10.1615/JLongTermEffMedImplants.v13.i5   

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  • 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., PhD
    Surgical Therapeutic Advancement Center, University of Virginia, Charlottesville, Virginia, USA

    Sandra G. Burks, BSN, RN
    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.

    DOI: 10.1615/JLongTermEffMedImplants.v13.i5.40

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