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The effect of suction drains after total hip replacement
K M Willett1, C D Simmons, G Bentley
1Institute of Orthopaedics, Royal National Orthopaedic Hospital, Stanmore, Middlesex, England.
The Journal of Bone and Joint Surgery. British Volume
|August 1, 1988
Summary
Deep suction drains after total hip replacement are most effective in the first 24 hours. Prolonged use offers minimal benefit and may increase infection risk from skin organisms.
Area of Science:
- Orthopedic surgery
- Surgical drainage techniques
Background:
- Deep suction drains are commonly used post-total hip replacement.
- The optimal duration for drain use remains a subject of clinical debate.
Purpose of the Study:
- To evaluate the efficacy and potential complications of deep suction drains in total hip replacement surgery.
Main Methods:
- Prospective study involving 120 consecutive total hip replacement patients.
- Analysis of drainage volumes and complication rates associated with drain use.
Main Results:
- Maximal drainage volumes occurred within the initial 24 hours post-surgery.
- Continued drain use yielded minimal additional drainage.
- Drains did not significantly reduce haematoma formation.
- Potential for skin organism introduction into the wound was observed.
Conclusions:
- The utility of prolonged deep suction drainage in total hip replacement is questionable.
- Early drain removal may be considered to mitigate risks such as surgical site infections.