Abstract:

BACKGROUND: There is controversy about whether put or not put the closed suction drainage after primary hip replacement.
OBJECTIVE: To investigate the safety and effectivity of the primary hip replacement without closed suction drainage.
METHODS: Ninety-two patients scheduled for primary hip replacement were assigned for the odd numbers group (with closed suction drainage and all of them were intravenous blood transfusion tube) and the even numbers group (without closed suction drainage). The effect of the primary hip replacement without closed suction drainage was evaluated through the comparison of the number of dressing changes, the swelling of thigh, pain scores, hospital stay, degree of hematocrit decreasing, number of blood transfusions and the rate of adverse reaction.
RESULTS AND CONCLUSION: There was no significant difference of the swelling of thigh, pain scores, hospital stay, degree of hematocrit decreasing, number of blood transfusions and the rate of adverse reaction between two groups; the number of dressing changes in the even numbers group was significantly larger than that in the odd numbers group and the difference was significant. Primary hip replacement without closed suction drainage has more advantages than those with closed suction drainage.