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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-02-2013 | Knee

Knee arthroplasty and bleeding: when to remove drainages

Authors: Oscar Ares, Roberto Seijas, Alberto Hernandez, Enric Castellet, Andrea Sallent

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2013

Abstract

Purpose

The aim of this study is an attempt to clarify the productive time of drainages as we find that the use of drains in knee arthroplasty is controversial, and there is no consensus regarding their length–time maintenance. We analysed the survival curve of bleeding within three surgical techniques for knee arthroplasty and the effect of two variables on survival curve.

Methods

One hundred and eighty-eight out of 234 knees were included in the study, and patients were divided into three groups according to the surgical technique: conventional total knee arthroplasty (TKA), subvastus TKA and unicompartmental knee arthroplasty. Variables of study were type of surgery, number and placement of drains.

Results

Mean of survival curve for postoperative bleeding time was 16 h (95 % CI: 15.4; 16.6). The risk for longer bleeding increased 1.38-fold with each additional drain used (95 % CI 1.1; 1.8).

Conclusions

According to the present study, drains can be safely removed at around 17 h postoperative. Bleeding time reduces as less drains are applied.

Level of evidence

Therapeutic study, Level III

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Title: Knee arthroplasty and bleeding: when to remove drainages
Authors: Oscar Ares
Roberto Seijas
Alberto Hernandez
Enric Castellet
Andrea Sallent
Publication date: 01-02-2013
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-012-1966-x

At a glance: The STEP trials

Springer Medicine

Knee arthroplasty and bleeding: when to remove drainages

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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