Skip to main content
Erschienen in: International Orthopaedics 6/2020

14.03.2020 | Original Paper

Drainage relieves pain without increasing post-operative blood loss in high tibial osteotomy: a prospective randomized controlled study

verfasst von: Songlin Li, Jianling Yang, Christiaan Watson, Qunshan Lu, Meng Zhang, Zhuang Miao, Desu Luo, Peilai Liu

Erschienen in: International Orthopaedics | Ausgabe 6/2020

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Drainage is a common procedure in high tibial osteotomy (HTO), but the benefits of drainage during HTO remain poorly investigated. This study was designed to investigate the effect of drainage on blood loss and early functional recovery in HTO.

Methods

Altogether, 80 patients undergoing HTO were analyzed from August 2018 to September 2019. Patients were randomized into two groups: group A (drainage, n = 40) and group B (no drainage, n = 40). There were no intergroup differences in baseline parameters between the two groups, and the same surgical techniques and haemostatic methods were used. The mean follow-up time was 3.2 months. Blood loss and early functional recovery of the knee were examined post-operatively in both groups.

Results

The total post-operative blood loss was 253.34 ± 104.18 ml in group A and 222.51 ± 106.89 ml in group B. This difference was non-significant (p > 0.05). The post-operative haemoglobin and haematocrit differences between groups were also non-significant (p > 0.05). Post-operative visual analogue scale (VAS) pain scores and lower leg swelling were lower in group A than those in group B (p < 0.05), and the early range of motion of the knee joint was higher in group A than that in group B (p < 0.05). Group A had lower incidence rates of dressing seepage and incision complications than group B (p < 0.05). The differences in three month post-operative VAS and knee function scores were non-significant (p > 0.05).

Conclusion

Drainage in HTO does not increase patients’ total blood loss, but it can promote early knee function recovery by reducing post-operative pain, lower leg swelling, and the incidence of incision complications.

Trial registration

NCT-03954860
Literatur
1.
Zurück zum Zitat Schuster P, Gesslein M, Schlumberger M, Mayer P, Mayr R, Oremek D, Frank S, Schulz-Jahrsdorfer M, Richter J (2018) Ten-year results of medial open-wedge high tibial osteotomy and chondral resurfacing in severe medial osteoarthritis and varus malalignment. Am J Sports Med 46:1362–1370. https://doi.org/10.1177/0363546518758016 CrossRefPubMed Schuster P, Gesslein M, Schlumberger M, Mayer P, Mayr R, Oremek D, Frank S, Schulz-Jahrsdorfer M, Richter J (2018) Ten-year results of medial open-wedge high tibial osteotomy and chondral resurfacing in severe medial osteoarthritis and varus malalignment. Am J Sports Med 46:1362–1370. https://​doi.​org/​10.​1177/​0363546518758016​ CrossRefPubMed
3.
Zurück zum Zitat Coventry MB (1965) Osteotomy of the upper portion of the tibia for degenerative arthritis of the knee. A preliminary report. J Bone Joint Surg Am 47:984–990CrossRefPubMed Coventry MB (1965) Osteotomy of the upper portion of the tibia for degenerative arthritis of the knee. A preliminary report. J Bone Joint Surg Am 47:984–990CrossRefPubMed
19.
Zurück zum Zitat Lin J, Fan Y, Chang X, Wang W, Weng XS, Qiu GX (2009) Comparative study of one stage bilateral total knee arthroplasty with or without drainage. Zhonghua Yi Xue Za Zhi 89:1480–1483PubMed Lin J, Fan Y, Chang X, Wang W, Weng XS, Qiu GX (2009) Comparative study of one stage bilateral total knee arthroplasty with or without drainage. Zhonghua Yi Xue Za Zhi 89:1480–1483PubMed
Metadaten
Titel
Drainage relieves pain without increasing post-operative blood loss in high tibial osteotomy: a prospective randomized controlled study
verfasst von
Songlin Li
Jianling Yang
Christiaan Watson
Qunshan Lu
Meng Zhang
Zhuang Miao
Desu Luo
Peilai Liu
Publikationsdatum
14.03.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 6/2020
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-020-04530-z

Weitere Artikel der Ausgabe 6/2020

International Orthopaedics 6/2020 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.