Literature DB >> 15022802

No need for routine closed suction drainage in elective arthroplasty of the hip: a prospective randomized trial in 104 operations.

Alejandro González Della Valle1, Gastón Slullitel, Renato Vestri, Fernando Comba, Martín Buttaro, Francisco Piccaluga.   

Abstract

BACKGROUND: The purpose of this study was to determine the utility of closed suction drainage (CSD) in elective total hip arthroplasty (THA). PATIENTS AND METHODS: We randomized 104 elective, consecutive THAs to receive drainage (53) or no drainage (51). 60 arthroplasties were cemented and 44 hybrid.
RESULTS: In the drainage group, 2 hematomas and 2 superficial wound infections occurred; there were no wound complications in the undrained group (p = 0.04). Patients receiving drainage had a greater reduction in hematocrit (10.4 vs 7.4) (p = 0.03), and longer hospital stay (5.1 days vs 4.7) (p = 0.01). At the 3-month follow-up, we found no deep wound infections in either group.
INTERPRETATION: We no longer use CSD in elective, primary, routine THA.

Entities:  

Mesh：

Year:  2004        PMID： 15022802     DOI： 10.1080/00016470410001708050

Source DB:  PubMed          Journal:  Acta Orthop Scand        ISSN： 0001-6470


  14 in total

1.  Closed suction drainage has no benefits in revision total hip arthroplasty: a randomized controlled trial.

Authors:  Simcha G Fichman; Tatu J Mäkinen; Benjamin Lozano; Wael A Rahman; Oleg Safir; Allan E Gross; David Backstein; Paul R T Kuzyk
Journal:  Int Orthop       Date:  2015-08-18       Impact factor: 3.075

Review 2.  Is wound drainage necessary in hip arthroplasty? A meta-analysis of randomized controlled trials.

Authors:  Zhao-Yu Chen; Yan Gao; Wei Chen; Xu Li; Ying-Ze Zhang
Journal:  Eur J Orthop Surg Traumatol       Date:  2013-08-06

3.  [Postoperative management of hip and knee endoprostheses].

Authors:  S Seitz; W Rüther
Journal:  Z Rheumatol       Date:  2012-10       Impact factor: 1.372

Review 4.  Do we really need closed-suction drainage in total hip arthroplasty? A meta-analysis.

Authors:  Xin-die Zhou; Jin Li; Yan Xiong; Li-feng Jiang; Wei-jun Li; Li-dong Wu
Journal:  Int Orthop       Date:  2013-08-28       Impact factor: 3.075

Review 5.  Myths and legends in orthopaedic practice: are we all guilty?

Authors:  Nirmal C Tejwani; Igor Immerman
Journal:  Clin Orthop Relat Res       Date:  2008-08-26       Impact factor: 4.176

6.  Use of Topical Tranexamic Acid Reduces Direct and Indirect Blood Loss and Transfusion Rates in Revision Total Hip Arthroplasty.

Authors:  Elina Huerfano; Manuel Huerfano; Kate Shanaghan; Maureen Barlow; Stavros Memtsoudis; Alejandro Gonzalez Della Valle
Journal:  HSS J       Date:  2019-10-18

7.  Risk factors for predicting increased surgical drain output in patients after anterior cervical corpectomy and fusion.

Authors:  Jinqian Liang; Jianhua Hu; Chong Chen; Hao Yin; Fangliang Dong
Journal:  J Orthop Surg Res       Date:  2017-12-28       Impact factor: 2.359

8.  State-of-the-art diagnosis and surgical treatment of acute peri-prosthetic joint infection following primary total hip arthroplasty.

Authors:  Pablo A Slullitel; José I Oñativia; Martin A Buttaro; Marisa L Sánchez; Fernando Comba; Gerardo Zanotti; Francisco Piccaluga
Journal:  EFORT Open Rev       Date:  2018-07-17

9.  The use of clamped drainage to reduce blood loss in total hip arthroplasty.

Authors:  Jian-Gang Cao; Lei Wang; Jun Liu
Journal:  J Orthop Surg Res       Date:  2015-08-25       Impact factor: 2.359

10.  Evidence base and practice variation in acute care processes for knee and hip arthroplasty surgeries.

Authors:  Marcel Mayer; Justine Naylor; Ian Harris; Helen Badge; Sam Adie; Kathryn Mills; Joseph Descallar
Journal:  PLoS One       Date:  2017-07-19       Impact factor: 3.240
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