The effect of drainage tube on bleeding and prognosis after total knee arthroplasty: a prospective cohort study

Journal of Orthopaedic Surgery and Research

Gen-Di Lu¹  Ya-Juan Yang¹  Shi-Ying Wang¹  Pei-Liang Fu²  Xiao-Han Liu¹ 

[1] Department of Nursing, Changzheng Hospital, Second Military Medical University, No. 415 Fengyang Road, Shanghai 200003, China;Department of Joint Surgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China

关键词: Prognosis;    Bleeding;    Drainage tube;    Total knee arthroplasty;   

Others  :  813484
DOI  :  10.1186/1749-799X-9-27

 received in 2013-12-02, accepted in 2014-04-07,  发布年份 2014

【 摘 要 】

Background

To evaluate the effect of drainage tube on prognosis after total knee arthroplasty (TKA) and explore an effective treatment with favorable prognosis.

Methods

In a prospective study, 18 patients with TKA for the first time were included and randomly divided into three groups, group A (no placement of drainage tube), group B (negative pressure drainage), and group C (4 h clamping drainage). Intraoperative and postoperative blood loss, operation time, and the drainage volume were recorded and analyzed. Arthrocele, ecchymosis, and range of motion (ROM) were examined postoperatively. The degree of pain was scored by Visual Analog Scale (VAS) after 6, 12, and 24 h of operation. The complications were examined and HSS (hospital for special surgery) knee score was taken during the follow-up period.

Results

There was no significant difference in operation time, total blood loss, intraoperative blood loss, and VAS score among three groups. Meanwhile, the hidden blood loss in group B was significantly decreased compared with group A (P = 0.0015). The postoperative drainage volume of group B was significantly increased compared with group C (P = 0.0002). No drainage increased the rate of arthrocele and ecchymosis. Compared with group A, ROM after 3 days of operation in groups B and C was significantly increased (P = 0.0357, P = 0.0372, respectively). During follow-up study, no deep infection or deep venous thrombosis was found.

Conclusion

After TKA, early clamping of the drainage tube reduced the bleeding loss without adverse effect on prognosis, which might be useful for clinical application in future.

【 授权许可】

   
2014 Liu et al.; licensee BioMed Central Ltd.

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