Perioperative management strategy without drainage tube after total knee arthroplasty

doi:10.3969/j.issn.2095-4344.2889

Abstract

Abstract:

BACKGROUND: In recent years, with the improvement of total knee arthroplasty technology, the shortening of operation time, the application of hemostatic drugs during and after operation, the total loss of blood is decreasing, and the postoperative drainage flow is also decreasing. The theory of postoperative rapid rehabilitation emerges at the historic moment, and the placement of drainage tube is once again a hot issue for orthopedic doctors. More than a few doctors think that the placement of drainage can be cancelled routinely, and drainage seems to be nonexistent.

OBJECTIVE: To review the previous literature, to summarize the relevant problems of drainage placement after total knee arthroplasty and provide relevant experience of drainage management.

METHODS: Literature retrieval includes Chinese databases such as CNKI, Wanfang, VIP, China biomedical literature database, and English databases such as PubMed, the Cochrane Library, Web of Science, EMBASE, and Ovid. The Chinese key words were “drainage, knee arthroplasty”. The English key words were “total knee arthroplasty, drainage”. All the literature related to the theme from inception to February 2020. The factors that need to be considered comprehensively in all aspects of perioperative period without drainage tube after total knee replacement were summed up.

RESULTS AND CONCLUSION: (1) The placement of drainage tube is closely related to the final result of operation and the occurrence of postoperative complications such as hemorrhage, hematoma, thrombus and infection. (2) At present, conventional placement of drainage tube is not recommended after total knee arthroplasty, but it does not mean that there is no need for management. In fact, it puts forward higher requirements for the management of clinical doctors and nurses in all aspects of perioperative period, including but not limited to the selection of indications before surgery, surgical operation, tourniquet use, intraoperative and postoperative drug use, and physical therapy use.

Key words: bone, joint, drainage, knee, joint replacement, perioperative period, hemorrhage, review

CLC Number:

Hou Senrong, Yang Weiyi, Luo Minghui, Pan Jianke, Huang Hetao, Zeng Lingfeng, Liu Jun, Liang Guihong. Perioperative management strategy without drainage tube after total knee arthroplasty[J]. Chinese Journal of Tissue Engineering Research, 2020, 24(33): 5371-5378.

Figures/Tables 2

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