{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T19:36:59Z","timestamp":1786995419315,"version":"build-2736575974"},"reference-count":39,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedics & Traumatology: Surgery & Research"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.otsr.2026.104687","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T19:28:51Z","timestamp":1774034931000},"page":"104687","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Blood loss and transfusion risk in single-stage bilateral UKA compared with bilateral TKA"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3481-9861","authenticated-orcid":false,"given":"Henri","family":"Favreau","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Outrequin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Luc","family":"Raynier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Rousseau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9bastien","family":"Lustig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2752-4918","authenticated-orcid":false,"given":"Fran\u00e7ois","family":"Bonnomet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Trojani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.otsr.2026.104687_bib0005","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph19105982","article-title":"Transfusion trends of knee arthroplasty in Korea: a nationwide study using the Korean national health insurance service sample data","volume":"19","author":"Suh","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.otsr.2026.104687_bib0010","doi-asserted-by":"crossref","first-page":"179","DOI":"10.5792\/ksrr.2016.28.3.179","article-title":"Blood management strategies in total knee arthroplasty","volume":"28","author":"Liu","year":"2016","journal-title":"Knee Surg Relat Res"},{"key":"10.1016\/j.otsr.2026.104687_bib0015","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.arth.2015.07.040","article-title":"A patient blood management program in prosthetic joint arthroplasty decreases blood use and improves outcomes","volume":"31","author":"Loftus","year":"2016","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.otsr.2026.104687_bib0020","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1302\/2058-5241.6.210047","article-title":"One-stage bilateral unicompartmental knee arthroplasty is a suitable option vs. the two-stage approach: a meta-analysis","volume":"6","author":"Feltri","year":"2021","journal-title":"EFORT Open Rev"},{"key":"10.1016\/j.otsr.2026.104687_bib0025","first-page":"11","article-title":"Bilateral total knee arthroplasty: current concepts review","author":"Wang","year":"2023","journal-title":"JBJS Rev"},{"key":"10.1016\/j.otsr.2026.104687_bib0030","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.jor.2021.03.004","article-title":"Estimation of blood volume and blood loss in primary total hip and knee replacement: an analysis of formulae for perioperative calculations and their ability to predict length of stay and blood transfusion requirements","volume":"24","author":"Donovan","year":"2021","journal-title":"J Orthop"},{"key":"10.1016\/j.otsr.2026.104687_bib0035","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1016\/j.arth.2023.09.005","article-title":"Disparities associated with total joint arthroplasty transfusion rates","volume":"39","author":"Meckstroth","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.otsr.2026.104687_bib0040","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1016\/j.surg.2015.02.027","article-title":"Blood transfusion and adverse surgical outcomes: the good and the bad","volume":"158","author":"Ferraris","year":"2015","journal-title":"Surgery"},{"key":"10.1016\/j.otsr.2026.104687_bib0045","doi-asserted-by":"crossref","first-page":"288","DOI":"10.2106\/JBJS.17.00237","article-title":"Perioperative allogeneic red blood-cell transfusion associated with surgical site infection after total hip and knee arthroplasty","volume":"100","author":"Everhart","year":"2018","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.otsr.2026.104687_bib0050","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1016\/j.otsr.2017.06.014","article-title":"Bilateral simultaneous unicompartmental knee arthroplasty versus unilateral total knee arthroplasty: a comparison of the amount of blood loss and transfusion, perioperative complications, hospital stay, and functional recovery","volume":"103","author":"Ahn","year":"2017","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2026.104687_bib0055","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1016\/j.knee.2019.06.008","article-title":"Complications associated with staged versus simultaneous bilateral total knee arthroplasty: an analysis of 7747 patients","volume":"26","author":"Richardson","year":"2019","journal-title":"Knee"},{"key":"10.1016\/j.otsr.2026.104687_bib0060","doi-asserted-by":"crossref","first-page":"3494","DOI":"10.1007\/s00167-014-3188-x","article-title":"Lower blood loss after unicompartmental than total knee arthroplasty","volume":"23","author":"Schwab","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.otsr.2026.104687_bib0065","doi-asserted-by":"crossref","first-page":"1318","DOI":"10.1016\/j.arth.2020.10.042","article-title":"Simultaneous bilateral primary total knee arthroplasty with TXA and restrictive transfusion protocols: still a 1 in 5 risk of allogeneic transfusion","volume":"36","author":"Chalmers","year":"2021","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.otsr.2026.104687_bib0070","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1016\/j.arth.2016.08.026","article-title":"Allogeneic blood transfusion is a significant risk factor for surgical-site infection following total hip and knee arthroplasty: a meta-analysis","volume":"32","author":"Kim","year":"2017","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.otsr.2026.104687_bib0075","doi-asserted-by":"crossref","first-page":"1817","DOI":"10.1007\/s00402-021-03763-w","article-title":"Perioperative blood transfusions in hip and knee arthroplasty: a retrospective assessment of combined risk factors","volume":"142","author":"Erben","year":"2022","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.otsr.2026.104687_bib0080","unstructured":"Transfusions de globules rouges homologues: produits, indications, alternatives. Haute Autorit\u00e9 de Sant\u00e9 n.d. https:\/\/www.has-sante.fr\/jcms\/c_1349939\/fr\/transfusions-de-globules-rouges-homologues-produits-indications-alternatives (Accessed January 19, 2026)."},{"key":"10.1016\/j.otsr.2026.104687_bib0085","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/j.artd.2022.06.017","article-title":"Unicompartmental knee arthroplasty vs total knee arthroplasty: a risk-adjusted Comparison of 30-day Outcomes Using National Data From 2014 to 2018","volume":"17","author":"Suarez","year":"2022","journal-title":"Arthroplasty Today"},{"key":"10.1016\/j.otsr.2026.104687_bib0090","doi-asserted-by":"crossref","first-page":"2087","DOI":"10.1016\/j.arth.2018.02.041","article-title":"Incidence and risk factors for blood transfusion in simultaneous bilateral total joint arthroplasty: a multicenter retrospective study","volume":"33","author":"Cao","year":"2018","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.otsr.2026.104687_bib0095","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1051\/sicotj\/2024056","article-title":"Blood loss in one-stage bilateral total knee arthroplasty: cruciate-retaining vs. posterior stabilized. A propensity score-matched analysis","volume":"10","author":"Laoruengthana","year":"2024","journal-title":"SICOT J"},{"key":"10.1016\/j.otsr.2026.104687_bib0100","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1016\/j.otsr.2018.03.012","article-title":"Single-stage bilateral medial Oxford Unicompartmental Knee Arthroplasty: a case-control study of perioperative blood loss, complications and functional results","volume":"104","author":"Clav\u00e9","year":"2018","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2026.104687_bib0105","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1186\/s12891-019-2724-8","article-title":"Comparison of the therapeutic effect between the simultaneous and staged unicompartmental knee arthroplasty (UKA) for bilateral knee medial compartment arthritis","volume":"20","author":"Feng","year":"2019","journal-title":"BMC Musculoskeletal Disorders"},{"key":"10.1016\/j.otsr.2026.104687_bib0110","doi-asserted-by":"crossref","first-page":"286","DOI":"10.3109\/17453674.2016.1141631","article-title":"Morbidity and mortality after bilateral simultaneous total knee arthroplasty in a fast-track setting","volume":"87","author":"Gromov","year":"2016","journal-title":"Acta Orthop"},{"key":"10.1016\/j.otsr.2026.104687_bib0115","doi-asserted-by":"crossref","first-page":"409","DOI":"10.4055\/cios.2019.11.4.409","article-title":"The effect of prosthesis design on blood loss in simultaneous bilateral total knee arthroplasty: closed-box versus open-box prosthesis","volume":"11","author":"Rattanaprichavej","year":"2019","journal-title":"Clin Orthop Surg"},{"key":"10.1016\/j.otsr.2026.104687_bib0120","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1186\/s12891-021-04027-9","article-title":"Usefulness of an accelerometer-based navigation system in bilateral one-stage total knee arthroplasty","volume":"22","author":"Laoruengthana","year":"2021","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.otsr.2026.104687_bib0125","doi-asserted-by":"crossref","first-page":"30953","DOI":"10.1038\/s41598-024-81995-7","article-title":"Comparison of clinical outcomes of bilateral and unilateral unicompartmental knee arthroplasty for the treatment of knee osteoarthritis","volume":"14","author":"Hao","year":"2024","journal-title":"Sci Rep"},{"key":"10.1016\/j.otsr.2026.104687_bib0130","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1136\/jisakos-2019-000382","article-title":"Simultaneous bilateral unicompartmental knee arthroplasty surgery has benefits in low complication rate and cost-effectiveness: a systematic review","volume":"5","author":"Pujol","year":"2020","journal-title":"J ISAKOS"},{"key":"10.1016\/j.otsr.2026.104687_bib0135","doi-asserted-by":"crossref","first-page":"1290","DOI":"10.18203\/issn.2455-4510.IntJResOrthop20243125","article-title":"Bilateral total knee arthroplasty-analysis of risk factors for blood loss and blood transfusion","volume":"10","author":"Ramakrishnan","year":"2024","journal-title":"Int J Res Orthop"},{"key":"10.1016\/j.otsr.2026.104687_bib0140","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1007\/s00264-014-2545-1","article-title":"Onsets of complications and revisions are not increased after simultaneous bilateral unicompartmental knee arthroplasty in comparison with unilateral procedures","volume":"39","author":"Romagnoli","year":"2015","journal-title":"Int Orthop"},{"key":"10.1016\/j.otsr.2026.104687_bib0145","doi-asserted-by":"crossref","DOI":"10.1016\/j.otsr.2025.104561","article-title":"Management of patients on long-term oral anticoagulant therapy during primary total hip or knee replacement arthroplasty: a prospective non-interventional comparative study","volume":"112","author":"Biau","year":"2026","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2026.104687_bib0150","doi-asserted-by":"crossref","DOI":"10.1016\/j.otsr.2024.103985","article-title":"Prediction of transfusion risk after total knee arthroplasty: use of a machine learning algorithm","volume":"111","author":"Faure","year":"2025","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2026.104687_bib0155","article-title":"Closed suction surgical wound drainage after orthopaedic surgery","volume":"2007","author":"Parker","year":"2007","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.otsr.2026.104687_bib0160","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1186\/s12891-020-03623-5","article-title":"Tourniquet use in routine primary total knee arthroplasty is associated with a higher transfusion rate and longer postoperative length of stay: a real-world study","volume":"21","author":"Xu","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.otsr.2026.104687_bib0165","doi-asserted-by":"crossref","first-page":"1777","DOI":"10.2106\/JBJS.L.01335","article-title":"Predictors of perioperative blood loss in total joint arthroplasty","volume":"95","author":"Park","year":"2013","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.otsr.2026.104687_bib0170","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1016\/j.arth.2011.10.008","article-title":"Predicting need for allogeneic transfusion after total knee arthroplasty","volume":"27","author":"Noticewala","year":"2012","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.otsr.2026.104687_bib0175","article-title":"Satisfaction and functional outcomes in unicompartmental compared with total knee arthroplasty: radiographically matched cohort analysis","volume":"5","author":"Jansen","year":"2020","journal-title":"JB JS Open Access"},{"issue":"8 Suppl","key":"10.1016\/j.otsr.2026.104687_bib0180","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.arth.2012.03.022","article-title":"Total knee arthroplasty has higher postoperative morbidity than unicompartmental knee arthroplasty: a multicenter analysis","volume":"27","author":"Brown","year":"2012","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.otsr.2026.104687_bib0185","doi-asserted-by":"crossref","first-page":"668","DOI":"10.3928\/01477447-20100722-05","article-title":"Unicompartmental and total knee arthroplasty in the over 70 population","volume":"33","author":"Fisher","year":"2010","journal-title":"Orthopedics"},{"key":"10.1016\/j.otsr.2026.104687_bib0190","doi-asserted-by":"crossref","first-page":"1792","DOI":"10.1016\/j.arth.2017.01.020","article-title":"Unicompartmental knee arthroplasty vs total knee arthroplasty for medial compartment arthritis in patients older than 75 years: comparable reoperation, revision, and complication rates","volume":"32","author":"Siman","year":"2017","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.otsr.2026.104687_bib0195","article-title":"Patient relevant outcomes of unicompartmental versus total knee replacement: systematic review and meta-analysis","volume":"364","author":"Wilson","year":"2019","journal-title":"BMJ"}],"container-title":["Orthopaedics & Traumatology: Surgery & Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877056826001088?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877056826001088?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T03:41:08Z","timestamp":1775187668000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1877056826001088"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":39,"alternative-id":["S1877056826001088"],"URL":"https:\/\/doi.org\/10.1016\/j.otsr.2026.104687","relation":{},"ISSN":["1877-0568"],"issn-type":[{"value":"1877-0568","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Blood loss and transfusion risk in single-stage bilateral UKA compared with bilateral TKA","name":"articletitle","label":"Article Title"},{"value":"Orthopaedics & Traumatology: Surgery & Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.otsr.2026.104687","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Masson SAS. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"104687"}}