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Autologous blood transfusion drainage vs. no drainage or closed-suction drainage in THA

Arch Orthop Trauma Surg. 2014 Nov;134(11):1623-31

Meta-analysis Arthroplasty Lower Extremity Hip ABT Autologous Blood Blood Loss Blood Transfusion Closed Suction Drainage Focused Replacement THA - Hide

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Drainage versus no drainage following minimally invasive UKA

Arch Orthop Trauma Surg. 2015 May;135(5):709-13.

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Biomet Drainage Tube Minimally Invasive UKA - Hide

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Efficacy and safety of autotransfusion versus both suction drainage and no drainage in TKA

BMC Musculoskelet Disord. 2016 Aug 1;17:142

Meta-analysis Arthroplasty Lower Extremity Knee Allogenic Autologous Blood Autotransfusion Blood Cell Blood Salvage Blood Transfusion Closed Suction Drainage Operative Prosthesis Replacement TKA - Hide

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Insufficient evidence to support closed suction drainage after hip arthroplasty

Eur J Orthop Surg Traumatol. 2014 Aug;24(6):939-46.

Meta-analysis Arthroplasty Wound Lower Extremity Hip Closed Suction Drainage Non-Drainage Replacement Support Wound Drainage - Hide

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No advantage shown for drainage-clamping methods following TKA

J Arthroplasty. 2010 Dec;25(8):1240-5

Meta-analysis Arthroplasty Lower Extremity Knee Blood Loss Blood Transfusion Control Conventional Delayed Drainage Non-Clamping Primary TKA Reduction Replacement - Hide

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No benefit associated with the use of closed-suction drainage in revision THA

Int Orthop. 2016 Mar;40(3):453-7

RCT Arthroplasty Infection Lower Extremity Hip Closed Suction Drains Revision Suction Drainage THA - Hide

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No difference between wound drainage and non-drainage for femoral fractures

Injury. 2005 Jan;36(1):100-4

RCT Trauma Wound Lower Extremity Hip Bone Femur Fracture Non-Drainage Suction Drainage Wound Drainage - Hide

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Autologous blood transfusion drainage versus closed suction drainage following TKA

BMC Musculoskelet Disord. 2016 Nov 2;17(1):452

Meta-analysis Arthroplasty Lower Extremity Knee Allogeneic Autologous Blood Autotransfusion Blood Salvage Blood Transfusion Catheter Closed Suction Drainage Drainage Tube Operative Replacement TKA Wound Drainage - Hide

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Intra-articular or sub cutaneous vacuum drainage for Total Knee Arthroplasty?

Clin Orthop Relat Res. 2010 Aug;468(8):2168-76. Epub 2010 Feb 2

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Indwelling Suction Drainage Vacuum - Hide

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No difference in transfusion rate between direct anterior THA with and without drain

J Arthroplasty. 2016 Sep;31(9):1954-8

RCT Arthroplasty Lower Extremity Hip Closed Suction Drainage Transfusion - Hide

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THA: Postoperative autologous blood transfusion does not improve Hb levels

Int Orthop. 2012 Oct;36(10):2033-9. doi: 10.1007/s00264-012-1613-7. Epub 2012 Jul 13.

RCT Arthroplasty Lower Extremity Hip Autologous Blood Blood Transfusion Drainage - Hide

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Larger drop in Hb noted with closed suction drainage versus no drainage in total knee arthroplasty

J Knee Surg. 2018 Sep;31(8):804-810. doi: 10.1055/s-0037-1615297

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Closed Suction Drainage Tourniquet Release - Hide

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Closed suction drainage: Higher requirement for blood transfusion than nondrainage

J Arthroplasty. 2011 Dec;26(8):1265-72. doi: 10.1016/j.arth.2011.02.005. Epub 2011 Mar 2

Meta-analysis Arthroplasty Lower Extremity Knee Blood Transfusion Closed Suction Drainage Dressing TKA TKR - Hide

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Postoperative closed suction drainage and its effect on prolonged serous drainage

J Arthroplasty. 2010 Feb;25(2):244-8. Epub 2008 Dec 4.

RCT Arthroplasty Lower Extremity Hip Closed Suction Drainage - Hide

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THA: Blood loss, but not transfusion rates, lowered with combined intra- and post-op ABT

Bone Joint J. 2013 May;95-B(5):616-22. doi: 10.1302/0301-620X.95B5.30472

RCT Arthroplasty Lower Extremity Hip ABT Autologous Blood Blood Loss Blood Transfusion No-Drainage Post-Operative Retransfusion THA - Hide

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Closed Suction Drainage for Hip and Knee Arthoplasty

J Bone Joint Surg Am. 2004;86:1146-1152.

Meta-analysis Arthroplasty Infection TJA Lower Extremity Hip Knee Closed Suction Drainage Fixation Prosthesis - Hide

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Clamping drainage reduces blood loss and transfusions after TKA

Int Orthop. 2009 Oct;33(5):1275-8. Epub 2008 Oct 17.

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Clamped Drainage Clamping Conventional Suction Drainage TKA - Hide

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Cryotherapy reduces pain but has no effect on drainage and ROM after ACL reconstruction

J Knee Surg. 2005 Apr;18(2):123-9

Meta-analysis Trauma Joint Ligament Pain Anterior Cruciate Assisted Cold Therapy Control Cryotherapy Drainage Placebo Reconstruction ROM - Hide

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Drained vs. undrained wounds: No significant difference in outcomes following hip surgery

Int Orthop. 2008 Dec;32(6):723-7. Epub 2007 Aug 9

Meta-analysis General Orthopaedics Wound Lower Extremity Hip Fracture Closed Suction Drainage Wound Drainage - Hide

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Fibrin sealant can reduce bloody drainage and hemoglobin loss post-total knee arthroplasty

J Bone Joint Surg Am. 2001 Oct;83-A(10):1503-5

RCT Arthroplasty Osteoarthritis Wound Lower Extremity Knee Arthritis Omrix Drainage Fibrin Sealant Sprayed Tourniquet Deflation Wound Closure - Hide

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Autologous blood transfusion drainage vs. no drainage or closed-suction drainage in THA

Drainage versus no drainage following minimally invasive UKA

Efficacy and safety of autotransfusion versus both suction drainage and no drainage in TKA

Insufficient evidence to support closed suction drainage after hip arthroplasty

No advantage shown for drainage-clamping methods following TKA

No benefit associated with the use of closed-suction drainage in revision THA

No difference between wound drainage and non-drainage for femoral fractures

Autologous blood transfusion drainage versus closed suction drainage following TKA

Intra-articular or sub cutaneous vacuum drainage for Total Knee Arthroplasty?

No difference in transfusion rate between direct anterior THA with and without drain

THA: Postoperative autologous blood transfusion does not improve Hb levels

Larger drop in Hb noted with closed suction drainage versus no drainage in total knee arthroplasty

Closed suction drainage: Higher requirement for blood transfusion than nondrainage

Postoperative closed suction drainage and its effect on prolonged serous drainage

THA: Blood loss, but not transfusion rates, lowered with combined intra- and post-op ABT

Closed Suction Drainage for Hip and Knee Arthoplasty

Clamping drainage reduces blood loss and transfusions after TKA

Cryotherapy reduces pain but has no effect on drainage and ROM after ACL reconstruction

Drained vs. undrained wounds: No significant difference in outcomes following hip surgery

Fibrin sealant can reduce bloody drainage and hemoglobin loss post-total knee arthroplasty

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