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

Rose Galvin; Mark Quinn; Andrea Bowe; Peter Dawson; John O’Byrne

doi:10.1007/s00264-014-2455-2

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

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

School of Allied Health

Research output: Contribution to journal › Article › peer-review

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.

Original language	English (Ireland)
Pages (from-to)	653-658
Number of pages	6
Journal	International Orthopaedics
Volume	39
Issue number	4
DOIs	https://doi.org/10.1007/s00264-014-2455-2
Publication status	Published - Apr 2015

Keywords

Drainage
Drains
Knee arthroplasty
Knee replacement
Suction

Access to Document

10.1007/s00264-014-2455-2

Cite this

@article{78df13c26b334356b3d6751fe4cd2ce9,

title = "The use of postoperative suction drainage in total knee arthroplasty: a systematic review: a systematic review",

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.",

keywords = "Drainage, Drains, Knee arthroplasty, Knee replacement, Suction",

author = "Rose Galvin and Mark Quinn and Andrea Bowe and Peter Dawson and John O{\textquoteright}Byrne",

note = "Publisher Copyright: {\textcopyright} 2014, SICOT aisbl.",

year = "2015",

month = apr,

doi = "10.1007/s00264-014-2455-2",

language = "English (Ireland)",

volume = "39",

pages = "653--658",

journal = "International Orthopaedics",

issn = "0341-2695",

number = "4",

}

TY - JOUR

T1 - The use of postoperative suction drainage in total knee arthroplasty: a systematic review

T2 - a systematic review

AU - Galvin, Rose

AU - Quinn, Mark

AU - Bowe, Andrea

AU - Dawson, Peter

AU - O’Byrne, John

PY - 2015/4

Y1 - 2015/4

N2 - 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.

AB - 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.

KW - Drainage

KW - Drains

KW - Knee arthroplasty

KW - Knee replacement

KW - Suction

UR - http://www.scopus.com/inward/record.url?scp=84939887516&partnerID=8YFLogxK

U2 - 10.1007/s00264-014-2455-2

DO - 10.1007/s00264-014-2455-2

M3 - Article

C2 - 25027980

AN - SCOPUS:84939887516

SN - 0341-2695

VL - 39

SP - 653

EP - 658

JO - International Orthopaedics

JF - International Orthopaedics

IS - 4

ER -

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

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this