Closed suction drainages in Lower Limb Joint Arthroplasty: A level I evidence based meta-analysis

Migliorini F, Maffulli N, Eschweiler J, Tingart M, Baroncini A, Betsch M (2022)

Publication Type: Journal article, Review article

Publication year: 2022

Journal

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland Elsevier

Book Volume: 20

Pages Range: e51-e60

Journal Issue: 3

DOI: 10.1016/j.surge.2021.02.014

Abstract

Introduction: The role of closed suction drainage during elective total joint arthroplasty is still unclear. The present study compared the use of closed suction drains to no drainage for elective total knee arthroplasty (TKA) and in total hip arthroplasty (THA) through a meta-analysis of randomized clinical trials (RCTs). Methods: Following the PRISMA guidelines, a meta-analysis of randomized controlled trials identified in December 2021. All randomized clinical trials comparing the use of closed suction drains to no drainage for elective THA or TKA were considered. Results: Twenty-five RCTs were included in the final analysis. 49% (1722 of 3505) of patients received no-drainage, and 51% (1783 of 3505) received closed suction drainage. There was no evidence of a statistically significant evidence between the two groups in occurrence of postoperative infections (P = 0.4), mean total postoperative hemoglobin (P = 0.2) or length of hospital stay (P = 0.1). The no-drainage group showed a lower rate of blood transfusion (P < 0.0001). Conclusion: There is no evidence to support the routine use of closed suction drainage in THA or TKA patients. Level of evidence: Level I, meta-analysis of randomized clinical trials.

Authors with CRIS profile

Marcel Betsch

Involved external institutions

Universitätsklinikum Aachen (UKA) DE Germany (DE) Università degli Studi di Salerno IT Italy (IT) University of Toronto CA Canada (CA)

How to cite

APA:

Migliorini, F., Maffulli, N., Eschweiler, J., Tingart, M., Baroncini, A., & Betsch, M. (2022). Closed suction drainages in Lower Limb Joint Arthroplasty: A level I evidence based meta-analysis. Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, 20(3), e51-e60. https://doi.org/10.1016/j.surge.2021.02.014

MLA:

Migliorini, Filippo, et al. "Closed suction drainages in Lower Limb Joint Arthroplasty: A level I evidence based meta-analysis." Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland 20.3 (2022): e51-e60.

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