Closed Suction Drainage for Hip and Knee Arthroplasty

Parker, Martyn J.; Roberts, C.P.; Hay, Dale F.

doi:10.2106/00004623-200406000-00005

Cited by 271 publications

(196 citation statements)

References 24 publications

Supporting

Mentioning

183

Contrasting

Unclassified

Order By: Relevance

“…We also observed a lower odds for prosthetic infection in patients undergoing TKA when a postoperative drain was used. This contrasts with the pooled results from a meta-analysis on the use of closed suction drainage in total joint arthroplasty, which reported no major difference in the deep infection rate with or without the use of closed suction drainage [18]. The difference in findings may be attributable to the cohort size for the individual studies pooled in this meta-analysis.…”

Section: Discussioncontrasting

confidence: 93%

Obese Diabetic Patients are at Substantial Risk for Deep Infection after Primary TKA

Dowsey

Choong

2008

Clin Orthop Relat Res

220

138

View full text Add to dashboard Cite

We conducted a prospective study of 1214 consecutive primary TKAs to compare the deep prosthetic infection rate between obese and nonobese patients during the first 12 months after surgery. We also sought to determine whether patient or surgical variables such as comorbidities, age, gender, blood transfusion, use of surgical drains, and antibiotic-impregnated cement were predictors of subsequent prosthetic infection after primary TKA. The overall prosthetic infection rate was 1.5% (n = 18). The odds for a deep prosthetic infection were greater in patients with morbid obesity (odds ratio [OR], 8.96; 95% confidence interval, 1.59-50.63) and diabetes (OR, 6.87; 95% confidence interval, 2.42-19.56). Men were more likely to have a prosthetic infection develop than women (OR, 5.93; 95% confidence interval, 1.95-18.04) and the prosthetic infection rate was lower (OR, 0.24; 95% confidence interval, 0.06-0.95) in patients when a surgical drain was used. There were no prosthetic infections in patients with diabetes who were not obese.This compares with 11 prosthetic infections in patients who were obese and diabetic and four prosthetic infections in patients who were obese but not diabetic. Morbid obesity and obesity combined with diabetes are risk factors for periprosthetic infection after TKA.

show abstract

Section: Discussioncontrasting

confidence: 93%

Obese Diabetic Patients are at Substantial Risk for Deep Infection after Primary TKA

Dowsey

Choong

2008

Clin Orthop Relat Res

220

138

View full text Add to dashboard Cite

show abstract

“…In addition, excessive bleeding may lead to intraarticular or subcutaneous hematoma formation, which can impair wound healing, restrict mobilization, and increase the risk of deep infection [18,22,31]. Vacuum drainage is commonly used after TKA with the intent of preventing intraarticular or subcutaneous hematoma formation and thus decreasing the likelihood of delayed recovery of motion arc, prolonged drainage, and wound infection [7,18,22,29,30,44].…”

Section: Introductionmentioning

confidence: 99%

“…There are two schools of thought regarding the use of vacuum drainage after TKA: to use indwelling vacuum drainage in the intraarticular space [18,22,29,44] or to not use any form of vacuum drainage [1,3,10,15,20,23,28,30,35,36]. Intraarticular placement of a vacuum drain can reduce undesirable blood accumulation and thus prevent intraarticular or subcutaneous hematoma formation [18,22,29,30].…”

Section: Introductionmentioning

confidence: 99%

“…Intraarticular placement of a vacuum drain can reduce undesirable blood accumulation and thus prevent intraarticular or subcutaneous hematoma formation [18,22,29,30]. However, it can increase blood loss and induce circulatory instability owing to acute blood drainage through the drainage system, which increases the likelihood of postoperative blood transfusion [15,20,[28][29][30]35]. However, the nonuse of an indwelling vacuum drain, owing to a tamponade effect, can reduce total blood loss but also can increase bleeding into dressings and cause wound complications [18,22,29,30].…”

Section: Introductionmentioning

confidence: 99%

“…However, it can increase blood loss and induce circulatory instability owing to acute blood drainage through the drainage system, which increases the likelihood of postoperative blood transfusion [15,20,[28][29][30]35]. However, the nonuse of an indwelling vacuum drain, owing to a tamponade effect, can reduce total blood loss but also can increase bleeding into dressings and cause wound complications [18,22,29,30]. Therefore, both approaches have limitations, and the issue of vacuum drainage after TKA remains a matter of debate.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Subcutaneous versus Intraarticular Indwelling Closed Suction Drainage after TKA: A Randomized Controlled Trial

Seo

Yoon

Koh

et al. 2010

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background TKA can involve substantial bleeding, and the issue regarding whether vacuum drainage should be used during TKA continues to be debated as both methods have disadvantages. Questions/purposes We therefore asked whether subcutaneous indwelling vacuum drainage is advantageous over intraarticular indwelling vacuum drainage in terms of blood drainage, bleeding-related complications, and functional outcomes in primary TKA. Patients and methods We randomized 111 patients undergoing TKAs to have either a subcutaneous indwelling or an intraarticular indwelling catheter and compared the two groups for blood loss (hemoglobin decrease, transfusion requirements, hypotension episode), incidence of wound problems (requirements for dressing reinforcement,

show abstract

The Physics of Hemostasis

Seeber¹,

Shander

2007

Basics of Blood Management

View full text Add to dashboard Cite

Closed Suction Drainage for Hip and Knee Arthroplasty

Cited by 271 publications

References 24 publications

Obese Diabetic Patients are at Substantial Risk for Deep Infection after Primary TKA

Obese Diabetic Patients are at Substantial Risk for Deep Infection after Primary TKA

Subcutaneous versus Intraarticular Indwelling Closed Suction Drainage after TKA: A Randomized Controlled Trial

The Physics of Hemostasis

Contact Info

Product

Resources

About