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No clear benefit or drawback to the use of closed drainage after primary total knee arthroplasty: a systematic review and meta-analysis

BACKGROUND: Closed drainage after primary total knee arthroplasty (TKA) has been used routinely for many decades, but controversies have arisen in recent years. The purposes of this study were to compare the clinical outcomes of closed drainage with nondrainage after primary TKA; and to assess the b...

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Autores principales: Si, Hai-bo, Yang, Ti-min, Zeng, Yi, Shen, Bin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4845483/
https://www.ncbi.nlm.nih.gov/pubmed/27118129
http://dx.doi.org/10.1186/s12891-016-1039-2
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author Si, Hai-bo
Yang, Ti-min
Zeng, Yi
Shen, Bin
author_facet Si, Hai-bo
Yang, Ti-min
Zeng, Yi
Shen, Bin
author_sort Si, Hai-bo
collection PubMed
description BACKGROUND: Closed drainage after primary total knee arthroplasty (TKA) has been used routinely for many decades, but controversies have arisen in recent years. The purposes of this study were to compare the clinical outcomes of closed drainage with nondrainage after primary TKA; and to assess the benefit and drawback of closed drainage. METHODS: Electronic databases (PubMed/Medline, CENTRAL, Embase and Web of Science) were systematically searched for randomised controlled trials (RCTs) that investigated the efficacy and risks of closed drainage after primary TKA. Two investigators independently reviewed studies for eligibility, assessed the risk of bias and extracted the data. A meta-analysis was then performed using Review Manager Software. RESULTS: Twelve RCTs totalling 889 TKAs were identified. No significant differences in infection rate or blood loss were found between the closed drainage and nondrainage TKAs, and there was also no significant difference in haematoma formation, deep venous thrombosis, postoperative VAS score or range of motion between the two groups. CONCLUSIONS: There appears to be no clear benefit or drawback to the use of closed drainage after primary TKA. Improving the use of closed drainage might provide better outcomes.
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spelling pubmed-48454832016-04-27 No clear benefit or drawback to the use of closed drainage after primary total knee arthroplasty: a systematic review and meta-analysis Si, Hai-bo Yang, Ti-min Zeng, Yi Shen, Bin BMC Musculoskelet Disord Research Article BACKGROUND: Closed drainage after primary total knee arthroplasty (TKA) has been used routinely for many decades, but controversies have arisen in recent years. The purposes of this study were to compare the clinical outcomes of closed drainage with nondrainage after primary TKA; and to assess the benefit and drawback of closed drainage. METHODS: Electronic databases (PubMed/Medline, CENTRAL, Embase and Web of Science) were systematically searched for randomised controlled trials (RCTs) that investigated the efficacy and risks of closed drainage after primary TKA. Two investigators independently reviewed studies for eligibility, assessed the risk of bias and extracted the data. A meta-analysis was then performed using Review Manager Software. RESULTS: Twelve RCTs totalling 889 TKAs were identified. No significant differences in infection rate or blood loss were found between the closed drainage and nondrainage TKAs, and there was also no significant difference in haematoma formation, deep venous thrombosis, postoperative VAS score or range of motion between the two groups. CONCLUSIONS: There appears to be no clear benefit or drawback to the use of closed drainage after primary TKA. Improving the use of closed drainage might provide better outcomes. BioMed Central 2016-04-26 /pmc/articles/PMC4845483/ /pubmed/27118129 http://dx.doi.org/10.1186/s12891-016-1039-2 Text en © Si et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Si, Hai-bo
Yang, Ti-min
Zeng, Yi
Shen, Bin
No clear benefit or drawback to the use of closed drainage after primary total knee arthroplasty: a systematic review and meta-analysis
title No clear benefit or drawback to the use of closed drainage after primary total knee arthroplasty: a systematic review and meta-analysis
title_full No clear benefit or drawback to the use of closed drainage after primary total knee arthroplasty: a systematic review and meta-analysis
title_fullStr No clear benefit or drawback to the use of closed drainage after primary total knee arthroplasty: a systematic review and meta-analysis
title_full_unstemmed No clear benefit or drawback to the use of closed drainage after primary total knee arthroplasty: a systematic review and meta-analysis
title_short No clear benefit or drawback to the use of closed drainage after primary total knee arthroplasty: a systematic review and meta-analysis
title_sort no clear benefit or drawback to the use of closed drainage after primary total knee arthroplasty: a systematic review and meta-analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4845483/
https://www.ncbi.nlm.nih.gov/pubmed/27118129
http://dx.doi.org/10.1186/s12891-016-1039-2
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