Use of Closed Suction Drainage After Primary Total Hip Arthroplasty: a Prospective Randomized Controlled Trial

Overview

Journal Rev Bras Ortop

Specialty Orthopedics

Date 2018 Jun 19

PMID 29911092

Citations 3

Authors

Lorenzo Fagotti

Leandro Ejnisman

Helder de Souza Miyahara

Henrique de Melo Campos Gurgel

Alberto Tesconi Croci

Jose Ricardo Negreiros Vicente

Affiliations

Soon will be listed here.

Abstract

Objective: This study aimed to investigate drain use in a controlled population of patients with hip osteoarthritis undergoing primary total hip arthroplasty.

Methods: This prospective controlled trial evaluated 93 patients randomized into two groups: a group that received drains and a group that did not. The patients who were randomized to the drain group used a 3.2 mm drain placed under the fascia that was kept in place for 24 h. Postoperative evaluations were performed after 24 h and then three, six, and 12 weeks after total hip arthroplasty. The primary outcome was perioperative blood loss in both groups 24 h after total hip arthroplasty. The other parameters that were evaluated included mid-thigh circumference, the rate of blood transfusion, hematocrit, inflammatory serum levels, and the Harris Hip Score.

Results: The clinical and laboratory data revealed no differences between the study groups with respect to blood loss and need for blood transfusion, duration of hospital stay, reoperation rate, complications, inflammatory serum markers, and the Harris Hip Score. Patients without closed suction drainage reported higher pain levels after 24 h (VAS score 1 vs. 2, < 0.01).

Conclusion: Similar clinical and laboratory outcomes were found in both cohorts.

Citing Articles

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.

A prospective randomized study, use of closed suction drainage after revision hip arthroplasty may lead to excessive blood loss.

Bartosz P, Grzelecki D, Chaberek S, Para M, Marczynski W, Bialecki J Sci Rep. 2022; 12(1):881.

PMID: 35043012 PMC: 8766571. DOI: 10.1038/s41598-022-05023-2.

Comparative study of suction drainage placement in cementless hip replacement among patients undergoing extended thromboprophylaxis: a prospective randomized study.

Bartosz P, Marczynski W, Para M, Kogut M, Bialecki J BMC Musculoskelet Disord. 2021; 22(1):688.

PMID: 34389016 PMC: 8364014. DOI: 10.1186/s12891-021-04583-0.

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