The Journal of Arthroplasty
Volume 25, Issue 2 , Pages 244-248, February 2010

Comparison of Drainage Techniques on Prolonged Serous Drainage after Total Hip Arthroplasty

  • Andrej Strahovnik, MD

      Affiliations

    • Corresponding Author InformationReprint requests: Andrej Strahovnik, MD, Department for Orthopaedics and Sports Trauma, Celje Teaching Hospital, 5 Oblakova Street, 3000 Celje, Slovenia.
    • ,
  • Samo K. Fokter, PhD, MD
    • ,
  • Marko Kotnik, MD

Department for Orthopaedics and Sports Trauma, Celje Teaching Hospital, Celje, Slovenia

Received 20 July 2007; accepted 30 August 2008. published online 05 December 2008.

Abstract 

The aims of this study were to determine (1) whether the duration of closed suction drainage affects the occurrence and duration of prolonged serous drainage and (2) if closed suction drains could be omitted according to the wound and/or thigh appearance after unilateral primary total hip arthroplasty. One hundred thirty-nine patients undergoing total hip arthroplasty were randomized into 3 groups: 42 patients received no drainage, 46 patients received drainage for 24 hours, and 51 patients received drainage for 48 hours. No differences with respect to occurrence and duration of prolonged serous drainage were found between the 2 groups with drains. Although no prolonged serous drainage occurred, the swelling of the thigh was significantly greater (P < .001) and the occurrence of prolonged thigh pain was significantly higher (P = .01) in the group without drainage.

Keywords: hip arthroplasty, surgical wound, wound drainage, wound hematoma

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 No benefits or funds were received in support of the study.

 Ethical board review statement: The study was approved by the Slovenian national ethics committee on March 15, 2005; registration no. 74/03/05.

PII: S0883-5403(08)00804-8

doi:10.1016/j.arth.2008.08.014

The Journal of Arthroplasty
Volume 25, Issue 2 , Pages 244-248, February 2010

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