Xiaomin Zhang1, Guoqing Li1, Jun Ma1, Tar Muhe1, Guoqiang Wang1, Li Cao2. 1. Department of Bone and Joint Surgery, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China. 2. Department of Bone and Joint Surgery, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China. Email: xjbone@21cn.com.
Abstract
OBJECTIVE: To evaluate the efficacy and safety of draiange after primary total knee arthroplasty (TKA). METHODS: Comparative studies between with and without drainage after primary TKA were retrieved from Cochrane Library, PubMed, Medline, EMASE, CBM, Highwire, CNKI, VIP and Digital Periodicals in Wanfang Data. All randomized controlled trials were included for meta-analysis with RevMan 5.1.5 software. RESULTS: A total of 9 studies involving 7 in foreign languages and 2 in Chinese were identified. There were knee replacement (n = 706), drainage (n = 359) and non-drainage (n = 347). The results of meta-analysis indicated that no inter-group statistical difference existed in the counts of wound infection, deep venous thrombosis, hemoglobin value decrease at Day 7 post-operation, knee pain at Days 7 and 14 post-operation, post-operative knee range-of-movement or length of hospital stay (P > 0.05). And there were statistical differences with respects to total blood loss, count of blood transfusions, count of skin ecchymosis, increasing rate of knee circumference at Day post-operation (P < 0.05). CONCLUSION: Non-routine placement of drainage after primary uncomplicated TKA may be preferred. However, for extensive release and primary orthopedics, drainage is still necessary. And a surgeon should weigh its pros and cons.
OBJECTIVE: To evaluate the efficacy and safety of draiange after primary total knee arthroplasty (TKA). METHODS: Comparative studies between with and without drainage after primary TKA were retrieved from Cochrane Library, PubMed, Medline, EMASE, CBM, Highwire, CNKI, VIP and Digital Periodicals in Wanfang Data. All randomized controlled trials were included for meta-analysis with RevMan 5.1.5 software. RESULTS: A total of 9 studies involving 7 in foreign languages and 2 in Chinese were identified. There were knee replacement (n = 706), drainage (n = 359) and non-drainage (n = 347). The results of meta-analysis indicated that no inter-group statistical difference existed in the counts of wound infection, deep venous thrombosis, hemoglobin value decrease at Day 7 post-operation, knee pain at Days 7 and 14 post-operation, post-operative knee range-of-movement or length of hospital stay (P > 0.05). And there were statistical differences with respects to total blood loss, count of blood transfusions, count of skin ecchymosis, increasing rate of knee circumference at Day post-operation (P < 0.05). CONCLUSION: Non-routine placement of drainage after primary uncomplicated TKA may be preferred. However, for extensive release and primary orthopedics, drainage is still necessary. And a surgeon should weigh its pros and cons.
Authors: Marcos George de Souza Leao; Gladys Martins Pedroza Neta; Thiago Montenegro da Silva; Yacov Machado Costa Ferreira; Waryla Raissa Vasconcelos Dias Journal: Rev Bras Ortop Date: 2016-08-30