| [Drainage versus nondrainage in total knee arthroplasty]. | |
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MedLine Citation:
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PMID: 22333455 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: To compare the clinical outcome of total knee arthroplasty with or without wound drainage. METHODS: A comparative study involving 56 patients who were accepted primary unilateral total knee arthroplasty, divided into two groups. Group 1 included 27 patients with wound drainage; group 2 included 29 patients without any drainage. All operations were performed by a single surgeon, and all patients were recovered under the same programs. The mean blood loss, hidden blood loss, volume of transfusion, transfused rate of two groups were compared. Meanwhile, the clinical results of two groups, including pain, swelling, hematoma, infection, range of motion, deep venous thrombosis, and wound healing, were evaluated. RESULTS: The average blood loss in group 1 was (1250 ± 487) ml, which was significantly higher than that of group 2, (932 ± 332) ml (t = 2.877, P = 0.006). The volume of transfusion was (933 ± 487) ml in group 1 compare to (510 ± 443) ml in group 2 (t = 3.406, P = 0.001). Blood transfusion was required in 88.9% of 27 patients managed with a drain compared with 62.1% of 29 managed without a drain (χ(2) = 5.364, P = 0.021). There was no statistical difference in the hidden blood loss, pain score, swelling, or the range of motion, or in the incidence of deep venous thrombosis, infection, hematoma, and wound problems. CONCLUSIONS: According to our study, the use of wound drainage provides no apparent advantages after total knee arthroplasty. The blood loss and the need for blood transfusion may decrease significantly in patients without wound drainage after total knee arthroplasty, meanwhile, there were no significant differences in other clinical results between two groups. However, large-scale randomized controlled clinical trials were needed to verify the conclusion. |
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Authors:
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Ji Zhang; Hong Zhang |
Publication Detail:
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Type: English Abstract; Journal Article |
Journal Detail:
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Title: Zhonghua wai ke za zhi [Chinese journal of surgery] Volume: 49 ISSN: 0529-5815 ISO Abbreviation: Zhonghua Wai Ke Za Zhi Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2012-02-15 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0153611 Medline TA: Zhonghua Wai Ke Za Zhi Country: China |
Other Details:
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Languages: chi Pagination: 1119-22 Citation Subset: IM |
Affiliation:
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Department of Adult Joint Reconstructive Surgery, Beijing Jishuitan Hospital, Beijing 100035, China. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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