DOI: https://doi.org/10.22263/2312-4156.2017.4.73
Khadzkou Y.K., Balaboshka K.B.
The role of vacuum drainage in total knee replacement
Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
Vestnik VGMU. 2017;16(4):73-80.
Abstract.
Objectives. To assess the expediency and soundness of postoperative wound drain in total knee replacement.
Material and methods. Randomized prospective study included 75 patients with gonarthrosis of grade III and IV, who had undergone total knee replacement. Vacuum suction drain was implemented in the control group patients, in the studied group no closed suction drain systems were set. The following parameters were considered in both groups: hemoglobin concentration, red blood cells count, their hematokrit in the pre- and postoperative period (the 5th day), pain syndrome expression extent, lower extremity circumference length in the knee joint area, the presence of hyperemia, active straight-leg rising. Functional results of the treatment were estimated by means of Western Ontario and McMaster Universities Osteoarthritis Index questionnaire (WOMAC).
Results. The significant difference in hemoglobin concentration in the postoperative period was revealed between the studied (before the operation: 140; 131-146 g/l, after it: 118; 109-125 g/l) and the control (before the operation: 141; 134-145 g/l; after it: 110; 105-117 g/l) groups. The patients from the studied group commonly could perform active straight - leg rising on the day of surgical intervention. No differences in pain syndrome expression extent, edema or hyperemia in the knee joint area were revealed. Furthermore, there were no differences in the functional treatment results, estimated according to WOMAC in 6 months after the operation.
Conclusions. The refusal of drainage systems usage in total knee replacement is not associated with the increase of postoperative complications risk and appears to be one of the blood loss reduction factors, it is safe and economically feasible.
Key words: knee replacement, blood loss, blood transfusion, drainage, complications, rehabilitation.
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Information about authors:
Khadzkou Y.K. – teacher-trainee of the Chair of Traumatology, Orthopedics & Military Surgery, Vitebsk State Order of Peoples’ Friendship Medical University;
Boloboshko K.B. – Candidate of Medical Sciences, associate professor, head of the Chair of Traumatology, Orthopedics & Military Surgery, Vitebsk State Order of Peoples’ Friendship Medical University.
Correspondence address: Republic of Belarus, 210023, Vitebsk, 27 Frunze ave., Vitebsk State Order of Peoples’ Friendship Medical University, Chair of Traumatology, Orthopedics & Military Surgery. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Yauheni K. Khadzkou.
