The Efficacy of Bone Wax in Total Joint Arthroplasty: A Systematic Review and Meta-Analysis.

IF 1.2 Q3 ORTHOPEDICS

Archives of Bone and Joint Surgery-ABJS Pub Date : 2024-01-01 DOI:10.22038/ABJS.2024.73243.3392

Mohammad Daher, Gaby Haykal, Ali Ghoul, Jean Tarchichi, Amer Sebaaly

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引用次数: 0

Abstract

Objectives: This meta-analysis was conducted to study the hemostatic efficacy of bone wax in total joint arthroplasty (TJA) defined in this manuscript as total knee arthroplasty and total hip arthroplasty.

Methods: PubMed, Embase, Google Scholar (page 1-20), and Scopus were searched updated to November 2023. Only comparative studies were included. The clinical outcomes evaluated were the transfusion rate, total blood loss, and the loss of hemoglobin on day 1, 3, and 5 post-operatively.

Results: Only 3 studies met the inclusion criteria and were included in this meta-analysis. Bone wax was associated with a reduced transfusion rate (p=0.01), reduced total blood loss (p=0.001), and a decrease in hemoglobin loss on day 1 (p<0.00001), day 3 (p<0.0001), and day 5 (p<0.00001) after the surgery.

Conclusion: Bone wax reduced the rate of transfusion, total blood loss, and hemoglobin loss after the surgery. This may induce a reduction the cost of correcting post-operative anemia as well as decrease hospital stay and improving functional outcomes in patients undergoing TJA. Better-conducted randomized controlled studies and cost-effectivity studies could strengthen these findings.

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骨蜡在全关节成形术中的疗效：系统回顾与元分析》。

目的：本荟萃分析旨在研究骨蜡在全关节置换术（TJA）中的止血效果：方法：检索了 PubMed、Embase、Google Scholar（第 1-20 页）和 Scopus（更新至 2023 年 11 月）。仅纳入了对比研究。评估的临床结果为术后第1、3和5天的输血率、总失血量和血红蛋白损失量：结果：只有 3 项研究符合纳入标准，并被纳入此次荟萃分析。骨蜡与输血率降低（p=0.01）、总失血量减少（p=0.001）和术后第 1 天血红蛋白丢失减少（pConclusion）有关：骨蜡降低了手术后的输血率、总失血量和血红蛋白损失。这可能会降低纠正术后贫血的成本，缩短住院时间，改善接受 TJA 手术患者的功能预后。更好地开展随机对照研究和成本效益研究可加强这些研究结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Bone and Joint Surgery-ABJS ORTHOPEDICS-

CiteScore

2.30

自引率

0.00%

发文量

128

期刊介绍： The Archives of Bone and Joint Surgery (ABJS) aims to encourage a better understanding of all aspects of Orthopedic Sciences. The journal accepts scientific papers including original research, review article, short communication, case report, and letter to the editor in all fields of bone, joint, musculoskeletal surgery and related researches. The Archives of Bone and Joint Surgery (ABJS) will publish papers in all aspects of today`s modern orthopedic sciences including: Arthroscopy, Arthroplasty, Sport Medicine, Reconstruction, Hand and Upper Extremity, Pediatric Orthopedics, Spine, Trauma, Foot and Ankle, Tumor, Joint Rheumatic Disease, Skeletal Imaging, Orthopedic Physical Therapy, Rehabilitation, Orthopedic Basic Sciences (Biomechanics, Biotechnology, Biomaterial..).