Drainage does not Promote Post-operative Rehabilitation After Bilateral Total Knee Arthroplasties Compared With Nondrainage

Yu Fan; Yong Liu; Jin Lin; Xiao Chang; Wei Wang; Xi-sheng Weng; Gui-xing Qiu

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Drainage does not Promote Post-operative Rehabilitation After Bilateral Total Knee Arthroplasties Compared With Nondrainage

机译：与不引流相比，双侧全膝关节置换术后引流不会促进术后康复

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Objective To assess the effects of suction drainage versus nondrainage on the post-operative rehabilitation of patients receiving primary bilateral total knee arthroplasties (TKA). Methods A prospective study including 40 patients was conducted. These patients were diagnosed with osteoarthritis and underwent primary bilateral TKA between October 2007 and September 2009 with the same operation team. A suction drainage was placed by randomization in only one knee for each patient, while the other knee as self-control. Pain visual analogue scale score, extremity swelling, wound healing, range of motion and incidence of early post-operative complications between the drained and nondrained group were compared statistically. Results Each patient was followed up for 12 months. Placing drainage did not relieve the pain, extremity swelling, ecchymosis, or reduce the incidence of early complications (all P>0.05). Conclusions Suction drainage in TKA does not exhibit substantial advantages in promoting post-operative rehabilitation after unsophisticated TKA, compared with nondrainage. On the other hand, it might complicate the surgical operation, and increase the incidence of post-operative hemorrhage and retrograde infection.Thus we do not recommend suction drainage in unsophisticatedTKA.

机译：目的评估抽吸引流与不引流对原发性双侧全膝关节置换术（TKA）患者术后康复的影响。方法进行了一项包括40例患者的前瞻性研究。这些患者被诊断出患有骨关节炎，并于2007年10月至2009年9月在同一手术团队中接受了原发性双侧TKA。通过随机分配，对每位患者的一只膝盖进行引流，而另一只膝盖作为自我控制。对引流组和不引流组之间的疼痛视觉模拟量表评分，四肢肿胀，伤口愈合，运动范围和术后早期并发症的发生率进行统计学比较。结果每例患者均接受了12个月的随访。放置引流不能缓解疼痛，四肢肿胀，瘀斑或减少早期并发症的发生率（所有P> 0.05）。结论结论与不引流相比，单纯性TKA术后TKA抽吸引流在促进术后康复方面没有实质性优势。另一方面，它可能会使手术操作复杂化，并增加术后出血和逆行感染的发生率，因此我们不建议在不复杂的TKA中进行引流。

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来源
《中国医学科学杂志（英文版）》 |2013年第4期|206-210|共5页
作者
Yu Fan; Yong Liu; Jin Lin; Xiao Chang; Wei Wang; Xi-sheng Weng; Gui-xing Qiu;
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Department of 0rthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences&Peking Union Medical College, Beijing 100730, China;

Department of 0rthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences&Peking Union Medical College, Beijing 100730, China;

Department of 0rthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences&Peking Union Medical College, Beijing 100730, China;

Department of 0rthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences&Peking Union Medical College, Beijing 100730, China;

Department of 0rthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences&Peking Union Medical College, Beijing 100730, China;

Department of 0rthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences&Peking Union Medical College, Beijing 100730, China;

Department of 0rthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences&Peking Union Medical College, Beijing 100730, China;

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Drainage does not Promote Post-operative Rehabilitation After Bilateral Total Knee Arthroplasties Compared With Nondrainage

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