Abstract
A total of 1449 orthopedic operations for functional reconstruction and rehabilitation were performed at Showa University Fujigaoka Rehabilitation Hospital in the 4 years from 1991 to 1994. The number of operations increased each year. In particular, with advances in materials for artificial joints, the number of cases of knee and hip joint replacement has inc-reased.
With the development of video systems, endoscopic surgery for knee, hip, and shoulder joints has increased.
To avoid homologous blood transfusion, preoperative autologous blood donation and perioperative and postoperative blood salvage are used for operations of the hip joint and spine in this hospital. Therefore, operations with homologous blood donation are rare.
Because we predict an increase in the number of surgical cases in the future, we must improve the safety of anesthetic management, inclding prevention of infectious diseases.
