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The Journal of Bone and Joint Surgery, Vol 76, Issue 1 35-38, Copyright © 1994 by Journal of Bone and Joint Surgery, Inc
Closed wound drainage in total hip or total knee replacement. A prospective, randomized study
MA Ritter, EM Keating and PM Faris
Center for Hip and Knee Surgery, Mooresville, Indiana 46158.
We prospectively randomized 415 total joint replacements for either a
closed wound-drainage system or no postoperative drainage. Drainage was not
used in 200 total joint replacements, of which 138 were total knee
replacements and sixty-two, total hip replacements. Drainage was used in
215 total joint replacements, of which 137 were total knee replacements and
seventy-eight, total hip replacements. All patients were evaluated for the
presence of excessive postoperative drainage that necessitated cessation of
the range-of-motion exercises, the amount of transfused blood (homologous
and autologous), and the preoperative and postoperative hemoglobin levels.
The range of motion was assessed daily in the patients who had a total knee
replacement. No statistical difference was found in the number of patients
who had excessive postoperative drainage from a drained or non-drained
wound. There was also no statistical difference with respect to the amount
of transfused blood and the preoperative and postoperative hemoglobin
levels. Furthermore, in the patients who had a total knee replacement,
there were no statistical differences between drained and non-drained
wounds with respect to the daily range of motion during the first seven
days postoperatively. The mean amount of blood transfused was 157
milliliters in the total knee replacements with drains, 160 milliliters in
the total knee replacements without drains, 188 milliliters in the total
hip replacements with drains, and ninety-three milliliters in the total hip
replacements without drains.(ABSTRACT TRUNCATED AT 250 WORDS)
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