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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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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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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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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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Unipolar and bipolar haemostasis effective in reducing blood loss following TKA

J Arthroplasty. 2012 Jun;27(6):1133-7.e1. Epub 2011 Nov 4

RCT Arthroplasty Elderly Lower Extremity Knee Salient Surgical Technologies Bipolar Hemostasis Unipolar - 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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Effect of antibiotic prophylaxis duration on infection after spinal surgery with drains

J Bone Joint Surg Am. 2015 Jun 17;97(12):979-86

RCT Spine Deformity Infection Axial Skeleton Lumbar Thoracic Antibiotic Prophylaxis Antibiotics Drain - Hide

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Intravenous, intraarticular irrigation, and drain administration of TXA in TKA

J Arthroplasty. 2014 Aug;29(8):1521-4

RCT Arthroplasty Lower Extremity Knee Intravenously TKA TXA - Hide

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Closed suction drains do not increase blood loss in simultaneous bilateral TKA

Knee Surg Relat Res. 2016 Sep;28(3):201-6. doi: 10.5792/ksrr.2016.28.3.201. Epub 2016 Aug 25.

RCT Arthroplasty Lower Extremity Knee Arthritis Bilateral Blood Loss Closed Suction Drains Transfusion - 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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ISASS 2016: Thoracolumbar spine surgery wound infections analyzed with CDC criteria

RCT Spine Infection Wound Axial Skeleton Antibiotics 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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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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Local Injection of Tranexamic Acid vs Drain Clamping in Total Knee Arthroplasty

BMC Musculoskelet Disord. 2022 01-Feb;():. 10.1186/s12891-022-05058-6

RCT Arthroplasty Osteoarthritis Appendicular Lower Extremity Knee Clamped Drainage Surgical Drain Normal Saline Tranexamic Acid (TXA) Antifibrinolytic agent Antifibrinolytic agent Surgical drain - 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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Iodine-based preoperative preparation allows for superior surgical site identifcation

J Bone Joint Surg Am. 2012 Jan 18;94(2):97-102

RCT General Orthopaedics Lower Extremity Hip Chlorhexidine Iodine Preparation - Hide

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Retransfusion drain does not provide additional benefits during TKA

Knee. 2012 Jun;19(3):190-2. Epub 2011 Mar 25

RCT Arthroplasty Elderly Lower Extremity Knee Blood Retransfusion Drain - 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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Reduced blood loss during TKA with drain clamping and injection of saline with adrenaline

J Bone Joint Surg Br. 2006 Jan;88(1):49-53

RCT Arthroplasty Lower Extremity Knee Stryker Adrenaline Blood Loss Drain Clamping Injection Of Saline Post-Operative Blood Salvage Re-Infusion TKA - 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

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

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

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

Unipolar and bipolar haemostasis effective in reducing blood loss following TKA

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

Effect of antibiotic prophylaxis duration on infection after spinal surgery with drains

Intravenous, intraarticular irrigation, and drain administration of TXA in TKA

Closed suction drains do not increase blood loss in simultaneous bilateral TKA

Use of wound drain after unilateral total knee arthroplasty

ISASS 2016: Thoracolumbar spine surgery wound infections analyzed with CDC criteria

Benefits seen with no drains used in total hip arthroplasty

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

Local Injection of Tranexamic Acid vs Drain Clamping in Total Knee Arthroplasty

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

Iodine-based preoperative preparation allows for superior surgical site identifcation

Retransfusion drain does not provide additional benefits during TKA

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

Reduced blood loss during TKA with drain clamping and injection of saline with adrenaline

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

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Date Range

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