HAC (Russian)
RSCI (Russian)
EBSCO
DOI (USA)
Ulrichsweb (Ulrich’s Periodicals Directory)
Scientific Indexing Services

Knee joint drainage after total arthroplasty

DOI: https://doi.org/10.29296/25877305-2020-12-12
Issue: 
12
Year: 
2020

Professor G. Kavalersky, MD; S. Smetanin, MD I.M. Sechenov First Moscow State Medical
University (Sechenov University)

The paper analyzes the results of different treatment approaches to active knee joint drainage after arthroplasty in 65 patients. The patients were divided into 4 groups: drainage tubes of different diameters were used in 3 groups, no drainage was performed in one group. There is evidence for the expediency of using active drainage with one thick tube and bellows. There was no significant difference between 250- and 500-ml bellows. In the absence of drainage (the differences were statistically significant), there was a smaller decrease in hemoglobin levels on days 3 and 5 postsurgery with an increase in the time of wound adhesion and knee joint swelling.

Keywords: 
surgery
drainage
total knee arthroplasty



References: 
  1. Bojarintsev V.V., Gritsjuk A.A., Sereda A.P. i dr. Stimuljatsija osteogeneza pri operatsijah na fone postinfektsionnyh defektov kosti v travmatologii i ortopedii. Infektsii v hirurgii. 2009; 7 (4): 52–4 [Boyarintsev V.V., Gritsyuk A.A., Sereda A.P. et al. Stimulyatsiya osteogeneza pri operatsiyakh na fone postinfektsionnykh defektov kosti v travmatologii i ortopedii. Infektsii v khirurgii. 2009; 7 (4): 52–4 (in Russ.)].
  2. Efimenko N.A., Sereda A.P., Zelenskij A.A. Antibiotikoprofilaktika v hirurgii. Infektsii v hirurgii. 2007; 5 (4): 14 [Efimenko N.A., Sereda A.P., Zelenskii A.A. Antibiotikoprofilaktika v khirurgii. Infektsii v khirurgii. 2007; 5 (4): 14 (in Russ.)].
  3. Efimenko N.A., Gitsjuk A.A., Sereda A.P. Antibiotikoprofilaktika v travmatologii i ortopedii. Infektsii v hirurgii. 2008; 6 (2): 9 [Efimenko N.A., Gitsyuk A.A., Sereda A.P. Antibiotikoprofilaktika v travmatologii i ortopedii. Infektsii v khirurgii. 2008; 6 (2): 9 (in Russ.)].
  4. Kavalerskij G.M., Sereda A.P., Lychagin A.V. i dr. Endoprotezirovanie sustavnoj poverhnosti nadkolennika pri total'noj artroplastike kolennogo sustava: analiticheskij obzor literatury. Travmatologija i ortopedija Rossii. 2014; 3: 128–41 [Kavalersky G.M., Sereda A.P., Lychagin A.V. et al. Patellar resurfacing of total knee arthroplasty: analytical review. Traumatology and Orthopedics of Russia. 2014; 3: 128–41 (in Russ.)]. https://doi.org/10.21823/2311-2905-2014-0-3-128-141
  5. Kavalerskij G.M., Smetanin S.M. Klinicheskoe nabljudenie primenenija artroskopicheskoj hirurgii posle artroplastiki kolennogo sustava. Vrach-aspirant. 2016; 79 (6): 10–4 [Kavalerskiy G.M., Smetanin S.M. Clinical observation of the application of arthroscopic surgery after knee arthroplasty. Vrach-aspirant. 2016; 79 (6): 10–4 (in Russ.)].
  6. Sereda A.P., Gritsjuk A.A., Zelenjak K.B. i dr. Faktory riska infektsionnyh oslozhnenij posle endoprotezirovanija kolennogo sustava. Infektsii v hirurgii. 2010; 8 (4): 67–76 [Sereda A.P., Gritsyuk A.A., Zelenyak K.B. et al. Faktory riska infektsionnykh oslozhnenii posle endoprotezirovaniya kolennogo sustava. Infektsii v khirurgii. 2010; 8 (4): 67–76 (in Russ.)].
  7. Abuzakuk T., Senthil Kumar V., Shenava Y. et al. Autotransfusion drains in total knee replacement. Are they alternatives to homologous transfusion? Int Orthop. 2007; 31: 235–9. DOI: 10.1007/s00264-006-0159-y
  8. Adalberth G., Byström S., Kolstad K. et al. Postoperative drainage of knee arthroplasty is not necessary: a randomized study of 90 patients. Acta Orthop Scand. 1998; 69: 475–8. DOI: 10.3109/17453679808997781
  9. Al-Zahid S., Davies A. Closed suction drains, reinfusion drains or no drains in primary total knee replacement? Ann Royal Coll Surg Engl. 2012; 94 (5): 347–50. DOI: 10.1308/003588412X13171221590098
  10. Jones A., Harrison M., Hui A. Comparison of autologous transfusion drains versus no drain in total knee arthroplasty. Acta Orthop Belg. 2007; 73: 377–85.
  11. Jones H., Savage L., White C. et al. Postoperative autologous blood salvage drains – are they useful in primary uncemented hip and knee arthroplasty? A prospective study of 186 cases. Acta Orthop Belg. 2004; 70: 466–73.
  12. Kirkos J., Krystallis C., Konstantinidis P. et al. Postoperative re-perfusion of drained blood in patients undergoing total knee arthroplasty: is it effective and cost-efficient? Acta Orthop Belg. 2006; 72: 18–23.
  13. Kumar S., Penematsa S., Parekh S. Are drains required following a routine primary total joint arthroplasty? Int Orthop. 2007; 31: 593–6. DOI: 10.1007/s00264-006-0245-1
  14. Lakshmanan P., Purushothaman B., Sharma A. How beneficial are re-infusion drains in total knee arthroplasty. Transfus Med. 2008; 18: 74–5. DOI: 10.1111/j.1365-3148.2007.00814.x
  15. Pornrattanamaneewong C., Narkbunnam R., Siriwattanasakul P. et al. Three-hour interval drain clamping reduces postoperative bleeding in total knee arthroplasty: a prospective randomized controlled trial. Arch Orthop Trauma Surg. 2012; 132 (7): 1059–63.
  16. Sundaram R., Parkinson R. Closed suction drains do not increase the blood transfusion rates in patients undergoing total knee arthroplasty. Int Orthop. 2007; 31: 613–6. DOI: 10.1007/s00264-006-0232-6
  17. Tai T., Yang C., Jou I. et al. Temporary drainage clamping after total knee arthroplasty: a meta-analysis of randomized controlled trials. J Arthroplasty. 2010; 25 (8): 1240–5. DOI: 10.1016/j.arth.2009.08.013
  18. Xie H., Pan J.-K., Hong K.-H. et al. Postoperative autotransfusion drain after total hip arthroplasty: a meta-analysis of randomized controlled trials. Scientific Reports. 2016; Article number: 27461.