Acessibilidade / Reportar erro

Six month follow-up of patients submitted to total knee arthroplasty with and without placement of suction drainage devices

OBJECTIVE: Our aim is to prospectively evaluate the standard evolution and post-operative complications related to the use of suction drainage devices when compared to not using these devices in TKA. METHODS: Forty-two patients from a clinic referred to knee surgery were included. Fifteen patients did not receive suction drainage postoperatively and 27 received suction drainage. The parameters evaluated were the range of movement, hematometric indices, knee circumference, and complications for each group. Patients were observed for six months after the surgical procedure. RESULTS: There were no statistically significant differences in knee circumference, hemoglobin, hematocrit, transfusion rate, and infection index. The analysis of the range of movement did not reveal statistically significant differences between the groups preoperatively (p=0.126), during the first postoperative day (p=0.583), fifth to seventh postoperative day (p=0.076) and at six months follow-up (p=0.848). There was a statistically significant difference between groups in the comparison during the 14th and 28th postoperative days (p=0.025). CONCLUSION: In conclusion, there is no benefit to using closed suction drains beyond six months after TKA. However, the range of movement at the end of the first month is superior in patients that received suction drainage.

Arthroplasty; Arthroplasty; Flood-Bypass Channel; Hemorrhage; Range of Motion


Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br