TY - JOUR
T1 - Comparison between 4-hour clamping drainage and nonclamping drainage after total knee arthroplasty
AU - Shen, Po Chuan
AU - Jou, I. Ming
AU - Lin, Yung Tai
AU - Lai, Kuo-An
AU - Yang, Chyun-Yu
AU - Chern, Tai Chung
PY - 2005/10/1
Y1 - 2005/10/1
N2 - A prospective randomized trial of postoperative drainage-clamping practice was performed in 89 knees undergoing total knee arthroplasty. In group 1 (43 knees), drainage was clamped for the first 4 postoperative hours. In group 2 (46 knees), drainage was not clamped. The average bloody drainage was significantly less in group 1 than group 2 (514.85 ± 378.0 vs 843.4 ± 366.4 mL). The decrease of hemoglobin and hematocrit after surgery was also significantly less in group 1. Group differences between postoperative range of motion and narcotics requirements, length of stay, immediate wound problems, and deep vein thrombosis were nonsignificant. These results suggested that clamping the drainage in the first 4 postoperative hours reduces postoperative blood loss without causing excess morbidity after total knee arthroplasty.
AB - A prospective randomized trial of postoperative drainage-clamping practice was performed in 89 knees undergoing total knee arthroplasty. In group 1 (43 knees), drainage was clamped for the first 4 postoperative hours. In group 2 (46 knees), drainage was not clamped. The average bloody drainage was significantly less in group 1 than group 2 (514.85 ± 378.0 vs 843.4 ± 366.4 mL). The decrease of hemoglobin and hematocrit after surgery was also significantly less in group 1. Group differences between postoperative range of motion and narcotics requirements, length of stay, immediate wound problems, and deep vein thrombosis were nonsignificant. These results suggested that clamping the drainage in the first 4 postoperative hours reduces postoperative blood loss without causing excess morbidity after total knee arthroplasty.
UR - http://www.scopus.com/inward/record.url?scp=26844529995&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=26844529995&partnerID=8YFLogxK
U2 - 10.1016/j.arth.2005.01.017
DO - 10.1016/j.arth.2005.01.017
M3 - Article
C2 - 16230244
AN - SCOPUS:26844529995
VL - 20
SP - 909
EP - 913
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
SN - 0883-5403
IS - 7
ER -