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J Arthroplasty. 2014 May;29(5):993-7. doi: 10.1016/j.arth.2013.10.022. Epub 2013 Oct 29.

Nondrainage decreases blood transfusion need and infection rate in bilateral total knee arthroplasty.

Author information

1
Departments of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ankara, Turkey.
2
Departments of Orthopaedics and Traumatology, Ataturk Education and Research Hospital, Ankara, Turkey.
3
Departments of Orthopaedics and Traumatology, Yildirim Beyazit University, School of Medicine, Ankara, Turkey.

Abstract

This retrospective study enrolled 526 patients undergoing bilateral total knee arthroplasties at our institution. In nondrainage group (Group 1) of 255 patients (510 knees), a disposable elastic sterile exsanguination tourniquet (HemaClear), wound closure in layers and Jones Bandage, without pre-tourniquet removal hemostasis or Hemovac drain were used. In drainage group (Group 2) of 227 patients (454 knees), pneumatic tourniquet, post-deflation hemostasis, a Hemovac drain and Jones bandage were used. The maximal drop in hemoglobin was significantly greater in Group 2 than Group 1 (P < 0.001). Also infection rate was significantly lower in Group 1 (P = 0.017). The use of sterile tourniquet removed after wound closure without Hemovac drain decreases blood transfusion need, infection rate, tourniquet related pain and postoperative complications.

KEYWORDS:

Hemovac drain; blood loss; infection rate

PMID:
24275263
DOI:
10.1016/j.arth.2013.10.022
[Indexed for MEDLINE]

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