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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2015 | Research article

The use of clamped drainage to reduce blood loss in total hip arthroplasty

Authors: Jian-gang Cao, Lei Wang, Jun Liu

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2015

Abstract

Background

Drainage is a routine practice used to reduce hematoma and blood loss following total hip arthroplasty. The aim of this study was to assess the effect of clamped drainage on blood loss and wound healing after total hip arthroplasty.

Methods

A prospective cohort of 44 patients with hip osteoarthritis or femur head necrosis undergoing total hip arthroplasty was randomized equally into two groups: 6-h postoperative clamped or non-clamped suction tube drainage. Body mass index, gender distribution, preoperative hemoglobin, hip pathology, and affected side were comparable between the two groups. Blood loss, hemoglobin levels, and wound healing complications were recorded and compared between groups.

Results

The drainage blood loss and calculated blood loss volumes were higher for the non-clamped group. About 100 mL more blood loss was noticed in the non-clamped group. There was no significant difference in adverse events or need for transfusion.

Conclusions

The present study showed a statistically significant reduction in postoperative drainage amount between clamped and unclamped drainage groups, but this difference was not large enough to warrant increased blood transfusion requirements in patients with unclamped drainage. Further studies are essential to define the critical period of clamping that is compatible with the dual objectives of reduced blood loss and lack of wound complications from hematoma.

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Title: The use of clamped drainage to reduce blood loss in total hip arthroplasty
Authors: Jian-gang Cao
Lei Wang
Jun Liu
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2015
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-015-0259-8

At a glance: The STEP trials

Springer Medicine

The use of clamped drainage to reduce blood loss in total hip arthroplasty

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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