Prospective randomized study on the use of drainage in total knee arthroplasty
Abstract
IntroductionThe use of drainage in total knee arthroplasty is a widely accepted practice in Orthopedics; however, there is not conclusive evidence about its benefit in the literature. The purpose of this study was to compare two groups of patients in whom primary total knee arthroplasty with and without drainage was performed.MethodsProspective randomized study in which 76 primary total knee arthroplasties were performed; patients were divided into two groups: group A, with drainage, and group B, without drainage. The number of transfusions, the drainage debit, postoperative complications and length of hospital stay were evaluated. Diameter of the thigh, range of motion, hematocrit and hemoglobin were also recorded before and after surgery in both groups.ResultsNo statistically significant differences were found in thigh diameter, range of motion, hematocrit, hemoglobin, number of transfusions, and hospital stay. The number of complications in group B (without drainage) was higher (P = 0.019): two deep infections, two cases of cellulitis, one case of blebs, a hip fracture, a superficial vein thrombosis, a deep venous thrombosis, and one pulmonary thromboembolism.ConclusionPatients without postoperative drainage presented a higher number of complications.Downloads
References
Willis-Owen C, Konyves A, Martin DK. Factors affecting the incidence of infection in hip and knee replacement: an analysis of
cases. J Bone Joint Surg Br 2010;92(8):1128-33.
Hazarika SH, Hattacharya RB, Havikatti MB, Awson MD. A comparison of post-op haemoglobin levels and allogeneic blood
transfusion rates following total knee arthroplasty without drainage or with reinfusion drains. Acta Orthop Belg 2010;76:74-8.
Omonbude D, El Masry M, O’Connor PJ, Grainger AJ, Allgar V L, Calder SJ. Measurement of joint effusion and haematoma
formation by ultrasound in assessing the effectiveness of drains after total knee replacement: A prospective randomised study.
J Bone Joint Surg Br 2010;92(1):51-5.
Kumar S, Penematsa S, Parekh S. Are drains required following a routine primary total joint arthroplasty? Int Orthop
;31(5):593–6.
Li C, Nijat A, Askar M. No clear advantage to use of wound drains after unilateral total knee arthroplasty: a prospective
randomized, controlled trial. J Arthroplasty 2011;26(4):519-22.
Parker N, Roberts CP, Hay D. Closed suction drainage for hip and knee arthroplasty. A meta-analysis. J Bone Joint Surg Am
;86:1146-52.
Adalberth G, Byström S, Kolstad K, Mallmin H, Milbrink J. Postoperative drainage of knee arthroplasty is not necessary: a
randomized study of 90 patients. Acta Orthop Scand 1998;69(5):475-8.
Esler CN, Blakeway C, Fiddian J. The use of a closed-suction drain in total knee arthroplasty. J Bone Joint Surg Br
;85(2):215-7.
Kim YH, Cho SH, Kim RS. Drainage versus nondrainage in simultaneous bilateral total knee arthroplasty. Clin Orthop Rel Res
;347:188-93.
Reilly TJ, Gradisar IA Jr, Pakan W, Reilly M. The use of postoperative suction drainage in total knee arthroplasty. Clin Orthop
Rel Res 1986;208:238-42.
Al-Zahid S, Davies AP. Closed suction drains, reinfusion drains or no drains in primary total knee replacement? Ann R Coll Surg
Engl 2012;94(5):347-50.
Zhang Q, Guo W, Zhang Q, Liu Z, Cheng L, Li Z. Comparison between closed suction drainage and nondrainage in total knee
arthroplasty: a meta-analysis. J Arthroplasty 2011;26(8):1265-72.
González Della Valle A, Slullitel G, Vestri R, Comba F, Buttaro M, Piccaluga F. No need for routine closed suction drainage in
elective arthroplasty of the hip: a prospective randomized trial in 104 operations. Acta Orthop Scand 2004;75(1):30-3.
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