No need for use of drainage after minimally invasive unicompartmental knee arthroplasty: a prospective randomized, controlled trial

Archives of Orthopaedic and Trauma Surgery
Qidong ZhangGuangduo Zhu

Abstract

Drainage is a common procedure in unicompartmental knee arthroplasty (UKA), but evidence regarding its effectiveness is lacking. The aim of this study was to investigate the benefits of drainage after minimally invasive UKA with effective blood loss management. This was a prospective, randomized, controlled trial to determine whether drainage after UKA provides benefits with respect to blood loss, drainage volume, complications, pain score, knee score, range of motion and cost. The 96 patients who underwent surgery between January 2012 and March 2013 were randomly divided into two groups: group A (n = 48) was treated without drainage, and group B (n = 48) with drainage. All UKA procedures were performed with the same minimally invasive surgical technique. Tranexamic acid and bone wax were used for the management of blood loss in all patients. The preoperative baseline parameters of the two groups did not differ significantly. The mean drainage volume in group B was 75.7 ± 51.2 mL when the drainage was present. Total blood loss in group A and group B was 240.3 ± 73.3 mL and 274.1 ± 99.5 mL, respectively. These amounts did not differ significantly but both were significantly lower than the data reported for total knee arthroplast...Continue Reading

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Citations

Jan 18, 2016·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Boonchana Pongcharoen, Chaivet Ruetiwarangkoon
Apr 12, 2016·The Journal of Arthroplasty·Juan C SuarezPreetesh D Patel
Oct 16, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Alberto VenturaEnrico Borgo
Mar 6, 2016·World Neurosurgery·Jia-Ming LiuShan-Hu Huang
Apr 2, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Andrea VolpinD E Meuffels
Apr 4, 2017·Anesthesia and Analgesia·A Lopez-PicadoBorja Barrachina
Nov 24, 2017·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Martin H Redish, Peter Fennema
Dec 22, 2019·Medicine·Alauddin Kochai, Ünal Erkorkmaz
Feb 6, 2021·The Journal of Knee Surgery·Hakan Aslan, Hüseyin Bilgehan Çevik

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