No Need for Routine Closed Suction Drainage in Elective Arthroplasty of the Hip: a Prospective Randomized Trial in 104 Operations

Overview

Journal Acta Orthop Scand

Specialty Orthopedics

Date 2004 Mar 17

PMID 15022802

Citations 17

Authors

Alejandro Gonzalez Della Valle

Gaston Slullitel

Renato Vestri

Fernando Comba

Martin Buttaro

Francisco Piccaluga

Affiliations

Soon will be listed here.

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.

Citing Articles

Is It Safe to Perform Revision Hip Arthroplasty Without Suction Drains?.

Umer H, Iqbal H, Shah N, Vora H, Mahmood A, Board T Cureus. 2023; 15(5):e39682.

PMID: 37398732 PMC: 10308253. DOI: 10.7759/cureus.39682.

Analysis of the Need for Postoperative Drainage Application for Hip Arthroplasty: A Systematic Review and Meta-Analysis.

Yang M, Yan C, Niu N, Lu Y, Yue W, Pan L Comput Math Methods Med. 2022; 2022:2069468.

PMID: 35251296 PMC: 8894062. DOI: 10.1155/2022/2069468.

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

Huerfano E, Huerfano M, Shanaghan K, Barlow M, Memtsoudis S, Gonzalez Della Valle A HSS J. 2020; 16(Suppl 2):285-292.

PMID: 33380958 PMC: 7749894. DOI: 10.1007/s11420-019-09718-7.

Risk factors associated with blood transfusion after shoulder arthroplasty.

Makhni E, Trofa D, Watling J, Bobman J, Bigliani L, Jobin C JSES Open Access. 2019; 1(1):10-14.

PMID: 30675532 PMC: 6340832. DOI: 10.1016/j.jses.2017.03.004.

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

Slullitel P, Onativia J, Buttaro M, Sanchez M, Comba F, Zanotti G EFORT Open Rev. 2018; 3(7):434-441.

PMID: 30233819 PMC: 6129958. DOI: 10.1302/2058-5241.3.170032.