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ArticleInternational orthopaedics2025

Impact of enhanced recovery after surgery on postoperative blood management following primary total knee arthroplasty: a propensity score-matched analysis.

Abdullah S Mogalli, Jianbo Zhao, Yang Chen, Xin Qi

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Article in International orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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3 citing papers in PubMed.

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5 · Who and what money

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4 authors.

Abdullah S MogalliDepartment of Bone and Joint Surgery, Orthopaedic Center, The First Hospital of Jilin University, Xin-Min Street No. 1, Changchun, 130021, Jilin, China.
Jianbo ZhaoDepartment of Bone and Joint Surgery, Orthopaedic Center, The First Hospital of Jilin University, Xin-Min Street No. 1, Changchun, 130021, Jilin, China.
Yang ChenDepartment of Bone and Joint Surgery, Orthopaedic Center, The First Hospital of Jilin University, Xin-Min Street No. 1, Changchun, 130021, Jilin, China.
Xin QiDepartment of Bone and Joint Surgery, Orthopaedic Center, The First Hospital of Jilin University, Xin-Min Street No. 1, Changchun, 130021, Jilin, China. dr.qixin@jlu.edu.cn.ORCID 0000-0002-5280-6845

Funding

Natural Science Foundation of Jilin Province 20210101324JCWu Jieping Medical Foundation 320.6750.2020-8-40
6 · The paper itself

Abstract

purposeTo evaluate the efficacy of blood management in patients underwent unilateral Total Knee Arthroplasty (TKA) under an enhanced recovery after surgery (ERAS) program.

methodPatients underwent unilateral TKA from January 2019 to October 2023 in a university hospital were retrospectively studied. A total of 200 cases were selected in the analysis. After matching with propensity scoring, 51 patients in each group were included. The postoperative Haemoglobin (Hb), albumin (Alb), C-reactive protein (CRP), total length of stay (LOS), and estimated blood loss after operation were compared between the two groups. Clinical outcomes including Western Ontario and McMaster Universities Arthritis Index (WOMAC), SF-12, and Oxford Knee Score (OKS) were also compared at six week and three month follow-up.

resultsThe results showed that the Hb of the ERAS group was significantly higher than those of the non-ERAS group (P < 0.05) on the third postoperative. The mean CRP level was lower, LOS was shorter, and Alb level was higher in the ERAS group compared to that in the non-ERAS group (P < 0.05). The clinical outcomes such as WOMAC and OKS, SF-12 scores were higher in the ERAS group at both follow-up.

conclusionERAS protocol effectively minimizes perioperative blood loss and supports optimal nutrient levels in patients. ERAS management significantly contributes to the postoperative recovery of knee function in patients undergoing primary total knee arthroplasty.

Indexed as

Arthroplasty, Replacement, KneeEnhanced Recovery After SurgeryPropensity ScoreAgedBlood Loss, SurgicalBlood TransfusionC-Reactive ProteinFemaleHemoglobinsHumansLength of StayMaleMiddle AgedRecovery of FunctionRetrospective StudiesC-Reactive ProteinHemoglobinsBlood managementComplicationsEnhanced recovery after surgeryFollow-upLength of stayTotal knee arthroplasty

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.