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International Orthopaedics
Published in: International Orthopaedics 4/2015

01-04-2015 | Review Article

The use of postoperative suction drainage in total knee arthroplasty: a systematic review

Authors: Mark Quinn, Andrea Bowe, Rose Galvin, Peter Dawson, John O’Byrne

Published in: International Orthopaedics | Issue 4/2015

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Abstract

Purpose

The purpose of this systematic review and meta-analysis of randomised controlled trials is to assess the effectiveness of no drainage when compared to drainage in total knee arthroplasty, in terms of recovery of knee flexion, reduction in swelling, length of hospital stay and haemoglobin levels following TKA.

Methods

Six randomised controlled trials were included.

Results

There is no significant difference between the individuals who receive a drain and those who do not across any of the measures examined (p < 0.05). This analysis demonstrates no statistical difference in ROM [mean difference 0.03° (95 %CI −1.51 to 1.45, p = 0.64, I2 = 0 %)].
, nor in knee circumference [mean difference 1.63 cm (95 % CI −1.07 – 4.34 cm, p = 0.34), [I2 = 0.12].

Conclusion

The finding raises the possibility that drains are not required to assist in recovery following TKA.
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Metadata
Title
The use of postoperative suction drainage in total knee arthroplasty: a systematic review
Authors
Mark Quinn
Andrea Bowe
Rose Galvin
Peter Dawson
John O’Byrne
Publication date
01-04-2015
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 4/2015
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-014-2455-2

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