Short Duration and Low Suction Pressure Drain versus No Drain following Total Knee Replacement

Lee, Qunn Jid; Mak, W; Hau, Wai Sun; Yeung, Sze Tsun; Wong, Yiu Chung; Wai, Yuk Leung

doi:10.1177/230949901502300302

Cited by 5 publications

(2 citation statements)

References 19 publications

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“… 20 Furthermore, according with Lee et al , the use of a short duration, low suction pressure drain following TKR seems associated with an earlier return of quadriceps power. 21 …”

Section: Discussionmentioning

confidence: 99%

“…20 Furthermore, according with Lee et al, the use of a short duration, low suction pressure drain following TKR seems associated with an earlier return of quadriceps power. 21 However, most of the studies analyzed do not seem to demonstrate significant difference in ROM in patients undergoing TKA with or without drainage. [22][23][24][25]…”

Section: Postoperative Range Of Motionmentioning

confidence: 93%

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Efficacy of postoperative drainage in total knee arthroplasty: Review of the literature

et al. 2020

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Postoperative drainage after total knee arthroplasty (TKA) is an established routine procedure for orthopedic surgeries, and is considered a useful practice in postoperative, but the use of drainage is controversial. Our study aims to clarify this aspect of knee prosthetic surgery. A systematic review of the literature was performed in the electronic databases to investigate the risks and the benefits of wound drainage in total knee arthroplasty: 30 articles were included in our review for eligibility. After the analysis of the literature performed, we found no significant advantages related with the use of wound drain following total knee replacement (TKR) in terms of pain, transfusion rate, blood loss, swelling, postoperative range of motion, wound complications, deep infection and hospital stay, while no drainage means a significant cost saving compared to drainage use. Thus, the use of drainage after TKA cannot be justified on the basis of the results of this study.

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“… 20 Furthermore, according with Lee et al , the use of a short duration, low suction pressure drain following TKR seems associated with an earlier return of quadriceps power. 21 …”

Section: Discussionmentioning

confidence: 99%

Section: Postoperative Range Of Motionmentioning

confidence: 93%

Efficacy of postoperative drainage in total knee arthroplasty: Review of the literature

et al. 2020

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Blood-Sparing Efficacy of Oral Tranexamic Acid in Primary Total Hip Arthroplasty

Lee¹,

Chang²,

Wong³

2017

The Journal of Arthroplasty

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Efficiency and Safety of Tourniquet During Total Knee Arthroplasty: When to Perform Release?

Чугаев¹,

Корнилов²,

Kogan³

2017

Traumatology and Orthopedics of Russia

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Use of a pneumatic tourniquet during total knee arthroplasty is an effective option allowing reduction of the time of surgery and intraoperative blood loss. At the same time, there are a lot of researchers who advocate differing tactical approaches to the duration of the tourniquet application — the so-called “early” and “late” releases.Purpose of the study. To assess the effectiveness and safety of various methods of tourniquet use during primary total knee arthroplasty.Material and methods. 72 patients with end-stage knee osteoarthritis were randomly divided into two equal prospective groups: 1) keeping the tourniquet throughout the surgery, including wound closure (late release); 2) performing knee arthroplasty using the tourniquet until after implantation of the prosthesis component and implementation of hemostasis after the release of the tourniquet (early release). Such aspects as perioperative blood loss and changes in blood counts, blood transfusion volume, and severity of pain on the VAS scale, the rate of recovery of the knee joint function and number of postoperative complications were assessed during hospital stay of patients.Results. The duration of procedures was 70±15,4 min for the Group I with tourniquet throughout surgery (late release) and 95±27,5 for the Group II with early release (p = 0,001). On the 7th day after the arthroplasty the authors observed statistically significant differences (p0,05) in the dynamics of reducing the level of hemoglobin, red blood cells and hematocrit in patients of compared groups — in patients who underwent late release of the tourniquet, these indicators were higher. When assessing the rate of recovery of knee joint function according to the KSS -and the intensity of the pain syndrome no significant statistical differences were found in the patients of both groups.Conclusion. Application of the tourniquet throughout the surgery to release after closure of the surgical wound does not lead to a sharp increase in the number of ischemic and thromboembolic complications, while at the same time, the application of this methodology to a large extent maintains hemoglobin indicators, red blood cells and hematocrit at a high level without a critical decrease.

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Short Duration and Low Suction Pressure Drain versus No Drain following Total Knee Replacement

Cited by 5 publications

References 19 publications

Efficacy of postoperative drainage in total knee arthroplasty: Review of the literature

Efficacy of postoperative drainage in total knee arthroplasty: Review of the literature

Blood-Sparing Efficacy of Oral Tranexamic Acid in Primary Total Hip Arthroplasty

Efficiency and Safety of Tourniquet During Total Knee Arthroplasty: When to Perform Release?

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