Prospective Randomized Study After the Use of Drains in Total Knee Arthroplasty with Implant

Overview

Journal Rev Bras Ortop

Specialty Orthopedics

Date 2019 Jun 20

PMID 31214542

Citations 4

Authors

Rogerio Franco de Araujo Goes

Anselmo Fernandes da Silva

Fabio Soares Lyra

Fabricio Bolpato Loures

Idemar Monteiro da Palma

Hugo Alexandre de Araujo de Barros Cobra

Pedro Jose Labronici

Affiliations

Soon will be listed here.

Abstract

Objective: to compare the laboratorial results of opening suction drainage 6 hours and 12 hours after total knee arthroplasty surgery.

Methods: prospective and randomized study in 88 patients undergoing with total knee arthroplasty in two groups: in one group the opening suction drainage was performed 6 hours (n = 45) after the surgery and in the other 12 hours (n = 43) after the surgery.

Results: the outcome was a significant fall in the three laboratorial variables (hemoglobin, red blood cells and hematocrit) between the pre and post-operative in the total sample and in the six and 12 hour opening suction drainage groups. In the group with opening suction drainage after 12 hours, the drainage volume was significantly lower than in the group with opening suction drainage after 6 hours (p = 0.0003). However, no significant difference was observed in the absolute delta of the laboratorial variables between the two groups.

Concluasion: the opening suction drainage in six and 12 hours did not show significant difference from the laboratorial values although the volume of the blood drained was higher in the opening suction drainage in six hours.

Citing Articles

The necessity of suction drainage when intra-articular injection of tranexamic acid is used during primary total knee arthroplasty: a retrospective study.

Metoki Y, Iwase D, Kusumoto Y, Aikawa J, Mukai M, Fukushima K BMC Musculoskelet Disord. 2024; 25(1):475.

PMID: 38890633 PMC: 11184754. DOI: 10.1186/s12891-024-07604-w.

Comparison of Blood Loss with the Use of Intravenous and Intraarticular Tranexamic Acid Isolated Intraarticular in Primary Knee Arthroplasty.

Resch E, Lemos L, Santos J, Pozzi J, Konkevicz E Rev Bras Ortop (Sao Paulo). 2023; 58(2):320-325.

PMID: 37252309 PMC: 10212634. DOI: 10.1055/s-0042-1757958.

Closed suction drainage following routine primary total joint arthroplasty is associated with a higher transfusion rate and longer postoperative length of stay: a retrospective cohort study.

Xu H, Xie J, Lei Y, Huang Q, Huang Z, Pei F J Orthop Surg Res. 2019; 14(1):163.

PMID: 31142376 PMC: 6542095. DOI: 10.1186/s13018-019-1211-0.

Does the suction drain diameter matter? Bleeding analysis after total knee replacement comparing different suction drain gauges.

Leao M, Neta G, da Silva T, Ferreira Y, Dias W Rev Bras Ortop. 2016; 51(5):547-554.

PMID: 27818976 PMC: 5091022. DOI: 10.1016/j.rboe.2016.08.014.

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