Measurement of joint effusion and haematoma formation by ultrasound in assessing the effectiveness of drains after total knee replacement

D. Omonbude*, Masry MA El, PJ O’Connor, A. J. Grainger, V. L. Allgar, S. J. Calder

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

<jats:p> We prospectively randomised 78 patients into two groups, ‘drains’ or ‘no drains’ to assess the effectiveness of suction drains in reducing haematoma and effusion in the joint and its effect on wound healing after total knee replacement. Ultrasound was used to measure the formation of haematoma and effusion on the fourth post-operative day. This was a semi-quantitative assessment of volume estimation. There was no difference in the mean effusion between the groups (5.91 mm in the drain group versus 6.08 mm in the no-drain, p = 0.82). The mean amount of haematoma in the no-drain group was greater (11.07 mm versus 8.41 mm, p = 0.03). However, this was not clinically significant judged by the lack of difference in the mean reduction in the post-operative haemoglobin between the groups (drain group 3.4 g/dl; no-drain group 3.0 g/dl, p = 0.38). There were no cases of wound infection or problems with wound healing at six weeks in any patient. </jats:p><jats:p> Our findings indicate that drains do not reduce joint effusion but do reduce haematoma formation. They have no effect on wound healing. </jats:p>
Original languageEnglish
Pages (from-to)51-55
Number of pages0
JournalThe Journal of Bone and Joint Surgery. British volume
Volume0
Issue number1
DOIs
Publication statusPublished - Jan 2010

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