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Effect of TXA, reinfusion drains, and standard drains on blood loss and transfusion in TJA

J Arthroplasty. 2016 Jan;31(1):76-80

RCT Arthroplasty TJA Lower Extremity Hip Knee Tranexamic Acid Drains Reinfusion Standard Hemovac Drain Transfusion TXA - Hide

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No surgical or clinical efficacy of a deep IA suction drain for revision TKA procedures

J Arthroplasty. 2016 Jul;31(7):1544-8

RCT Arthroplasty Lower Extremity Knee Zimmer NexGen Revision TKA Suction Drain - Hide

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COA 2015: Prolonged postop antibiotics reduces posterior spine op superficial infection

RCT Spine Infection Axial Skeleton Antibiotics Hemovac Drain - Hide

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Autotransfusion drain reduces blood transfusion compared to closed suction drain in THA

Sci Rep. 2016 Jul 1;6:27461

Meta-analysis Arthroplasty Lower Extremity Hip Allogeneic Autologous Blood Autotransfusion Blood Loss Blood Salvage Blood Transfusions Closed Suction Drain Operative Replacement Retransfusion Suction Drains THA - Hide

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OTA 2016: Preliminary results of NPWT following operative treatment of calcaneus fractures

RCT Foot & Ankle Wound Lower Extremity Bone Calcaneus Fracture Bacitracin/ Dressing Hemovac Wound Drain Negative Pressure Wound Therapy NPWT - Hide

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No difference in outcome noted with closed suction drain in shoulder arthroplasty

J Shoulder Elbow Surg. 2019 Feb;28(2):205-211

RCT Shoulder & Elbow Wound Upper Extremity Shoulder Tranexamic Acid Arthroplasty Suction Drain - Hide

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THA: No advantage of minimally invasive technique over the standard technique

J Arthroplasty. 2006 Dec;21(8):1092-8

RCT Arthroplasty Osteoarthritis Lower Extremity Hip Arthritis Spondylitis Minimally Invasive Technique Standard Technique THA - Hide

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AAOS 2015: TXA compared to standard and reinfusion drains in knee and hip arthroplasty

RCT Arthroplasty Lower Extremity Hip Knee Tranexamic Acid Drains Reinfusion Standard Drain TXA - Hide

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No benefit to patient outcome observed with the use of suction drain in TKA

Int Orthop. 2015 Apr;39(4):653-8

Meta-analysis Arthroplasty Lower Extremity Knee Closed Suction Drains Control Primary TKA Prosthesis Replacement Suction Drainage - Hide

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Four-hour postoperative drain clamping does not reduce blood loss following TKA

Knee Surg Sports Traumatol Arthrosc. 2013 Dec;21(12):2831-6. doi: 10.1007/s00167-012-2253-6. Epub 2012 Oct 23

RCT Arthroplasty Wound Lower Extremity Knee 3M Howmedica Stryker Epinephrine Injection Blood Loss Clamped Drain Clamping - Hide

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Postoperative cell salvage reduces allogenic transfusion in total hip/knee replacement

Int J Surg. 2015 Sep;21:135-44

Meta-analysis Arthroplasty Lower Extremity Hip Knee Allogenic Autologous Blood Blood Transfusion Replacement Suction Drain - 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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Decreased hemarthrosis and pain with TXA + drain vs drain alone post ACLR

Am J Sports Med. 2015 Nov;43(11):2720-6.

RCT Sports Medicine Joint Ligament Pain Rupture Hemarthrosis Anterior Cruciate Drain Intravenous Tranexamic Acid Placebo Reconstruction TXA - Hide

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Tranexamic acid reduces post-operative blood loss following total shoulder arthroplasty

J Shoulder Elbow Surg. 2015 Nov;24(11):1679-84

RCT Shoulder & Elbow Upper Extremity Shoulder Tranexamic Acid Arthroplasty Blood Loss Control Drain Post-Operative Saline Solution TXA - Hide

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AAOS 2015: Surgical drain does not benefit patients undergoing revision TKA

RCT Arthroplasty Lower Extremity Knee Zimmer Drain Revision TKA - Hide

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Use of wound drain after unilateral total knee arthroplasty

The Journal of Arthroplasty Vol. 26 No. 4 2011

RCT Arthroplasty Wound Lower Extremity Knee Wound Drain - Hide

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Benefits seen with no drains used in total hip arthroplasty

Acta Orthop Belg. 2010 Oct;76(5):619-27

RCT Arthroplasty Lower Extremity Hip Autologous Blood Transfusion Drain Autologous Transfusion Suction Drain - Hide

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Barbed sutures reduce cost and closing time compared to standard sutures in TKA

J Arthroplasty. 2014 Sep;29(9 Suppl):135-8

RCT Arthroplasty Lower Extremity Knee Barbed Running Barbed Sutures TKA - Hide

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TKA: Drain-clamping with tranexamic acid decreased drained blood volume/ transfusions

BMC Musculoskelet Disord. 2012 Jul 20;13:124. doi: 10.1186/1471-2474-13-124

RCT Arthroplasty Lower Extremity Knee Arthritis Tranexamic Acid Blood Drain Non-Clamping Placebo TKA - Hide

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Reduced morphine consumption 6hr post-TKA, no 1yr function difference with vs. without suction drain

Clin Orthop Surg. 2019 Mar;11(1):73-81.

RCT Arthroplasty Lower Extremity Knee Sigma Tranexamic Acid Morphine Suction Drain - Hide

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Effect of TXA, reinfusion drains, and standard drains on blood loss and transfusion in TJA

No surgical or clinical efficacy of a deep IA suction drain for revision TKA procedures

COA 2015: Prolonged postop antibiotics reduces posterior spine op superficial infection

Autotransfusion drain reduces blood transfusion compared to closed suction drain in THA

OTA 2016: Preliminary results of NPWT following operative treatment of calcaneus fractures

No difference in outcome noted with closed suction drain in shoulder arthroplasty

THA: No advantage of minimally invasive technique over the standard technique

AAOS 2015: TXA compared to standard and reinfusion drains in knee and hip arthroplasty

No benefit to patient outcome observed with the use of suction drain in TKA

Four-hour postoperative drain clamping does not reduce blood loss following TKA

Postoperative cell salvage reduces allogenic transfusion in total hip/knee replacement

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

Decreased hemarthrosis and pain with TXA + drain vs drain alone post ACLR

Tranexamic acid reduces post-operative blood loss following total shoulder arthroplasty

AAOS 2015: Surgical drain does not benefit patients undergoing revision TKA

Use of wound drain after unilateral total knee arthroplasty

Benefits seen with no drains used in total hip arthroplasty

Barbed sutures reduce cost and closing time compared to standard sutures in TKA

TKA: Drain-clamping with tranexamic acid decreased drained blood volume/ transfusions

Reduced morphine consumption 6hr post-TKA, no 1yr function difference with vs. without suction drain

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