Perspectives: Prolonged Wound Drainage (7 Days) After Hip Arthroplasty

2014 ◽  
pp. 315-325
Author(s):  
Lorenzo Castellani ◽  
Alberto Farese
Keyword(s):  
Hip Arthroplasty ◽  
Wound Drainage

scholarly journals Wound drainage after total hip arthroplasty

2020 ◽  
Vol 0 (4) ◽  
pp. 5-11
Author(s):  
Maxim Golovakha ◽  
Vadim Kirichenko ◽  
Alexandra Gritsenko ◽  
Evgeniy Belykh ◽  
Rostislav Titarchuk ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Wound Drainage ◽  
Total Hip

Surgical approach significantly affects the complication rates associated with total hip arthroplasty

2019 ◽  
Vol 101-B (6) ◽  
pp. 646-651 ◽  
Author(s):  
V. K. Aggarwal ◽  
A. Elbuluk ◽  
J. Dundon ◽  
C. Herrero ◽  
C. Hernandez ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Surgical Approach ◽  
Periprosthetic Fracture ◽  
Anterior Approach ◽  
Posterior Approach ◽  
Deep Infection ◽  
Surgical Approaches ◽  
Complication Rates ◽  
Wound Drainage

Aims A variety of surgical approaches are used for total hip arthroplasty (THA), all with reported advantages and disadvantages. A number of common complications can occur following THA regardless of the approach used. The purpose of this study was to compare five commonly used surgical approaches with respect to the incidence of surgery-related complications. Patients and Methods The electronic medical records of all patients who underwent primary elective THA at a single large-volume arthroplasty centre, between 2011 and 2016, with at least two years of follow-up, were reviewed. After exclusion, 3574 consecutive patients were included in the study. There were 1571 men (44.0%) and 2003 women (56.0%). Their mean age and body mass index (BMI) was 63.0 years (sd 11.8) and 29.1 kg/m2 (sd 6.1), respectively. Data gathered included the age of the patient, BMI, the American Society of Anesthesiologists (ASA) score, estimated blood loss (EBL), length of stay (LOS), operating time, the presence of intra- or postoperative complications, type of complication, and the surgical approach. The approaches used during the study were posterior, anterior, direct lateral, anterolateral, and the northern approach. The complications that were recorded included prolonged wound drainage without infection, superficial infection, deep infection, dislocation, aseptic loosening, and periprosthetic fracture. Finally, the need for re-operation was recorded. Means were compared using analysis of variance (ANOVA) and Student’s t-tests where appropriate and proportions were compared using the chi-squared test. Results A total of 248 patients had 263 complications related to the surgery, with an incidence of 6.94%. The anterior approach had the highest incidence of complications (8.5% (113/1329)) and the posterior approach had the lowest, at 5.85% (97/1657; p = 0.006). Most complications were due to deep infection (22.8%), periprosthetic fracture (22.4%), and prolonged wound drainage (21.3%). The rate of dislocation was 0.84% (14/1657) with the posterior approach and 1.28% (17/1329) with the anterior approach (p = 0.32). Conclusion Overall, THA has a relatively low complication rate. However, the surgical approach plays a role in the incidence of complications. We found that the posterior approach had a significantly lower overall complication rate compared with the anterior approach, with an equal dislocation rate. Periprosthetic fracture and surgical site infection contributed most to the early complication rates. Cite this article: Bone Joint J 2019;101-B:646–651

scholarly journals Effect of Postoperative Wound Drainage on the Frequency of Red Blood Cells Transfusion after Primary Hip Arthroplasty

2016 ◽  
pp. 12-16 ◽  
Author(s):  
N. D. Grechanyuk ◽  
A. V. Zver’Kov ◽  
A. V. Ovsyankin ◽  
E. B. Zhiburt
Keyword(s):  
Red Blood Cells ◽  
Hip Arthroplasty ◽  
Blood Cells ◽  
Hospital Treatment ◽  
Wound Drainage ◽  
Postoperative Wound ◽  
Duration Of Surgery ◽  
Postoperative Drainage ◽  
Primary Hip Arthroplasty ◽  
Group 2

The effect of postoperative wound drainage on the frequency of red blood cells transfusion after primary hip arthroplasty was assessed. Prospective comparative study included 632 patients. The patients were divided into 2 groups depending on whether the postoperative drainage was performed (1st group) or not (2nd group). Duration of surgery, volume of intraoperative blood loss, the level of hemoglobin before surgery and during the first postoperative day, frequency and volume of red blood cells transfusion during the whole period of hospital treatment was evaluated. In group 1 donor red blood cells transfusion was required in 1.3%, in group 2 - in 0.8% of cases (p>0.05). No data on the effect of postoperative wound drainage upon the frequency of red blood cells transfusion after primary hip arthroplasty was obtained.

scholarly journals Effect of Postoperative Wound Drainage on the Frequency of Red Blood Cells Transfusion after Primary Hip Arthroplasty

2016 ◽  
Vol 23 (4) ◽  
pp. 12-16
Author(s):  
N. D Grechanyuk ◽  
A. V Zver’kov ◽  
A. V Ovsyankin ◽  
E. B Zhiburt
Keyword(s):  
Red Blood Cells ◽  
Hip Arthroplasty ◽  
Blood Cells ◽  
Hospital Treatment ◽  
Wound Drainage ◽  
Postoperative Wound ◽  
Duration Of Surgery ◽  
Postoperative Drainage ◽  
Primary Hip Arthroplasty ◽  
Group 2

The effect of postoperative wound drainage on the frequency of red blood cells transfusion after primary hip arthroplasty was assessed. Prospective comparative study included 632 patients. The patients were divided into 2 groups depending on whether the postoperative drainage was performed (1st group) or not (2nd group). Duration of surgery, volume of intraoperative blood loss, the level of hemoglobin before surgery and during the first postoperative day, frequency and volume of red blood cells transfusion during the whole period of hospital treatment was evaluated. In group 1 donor red blood cells transfusion was required in 1.3%, in group 2 - in 0.8% of cases (p>0.05). No data on the effect of postoperative wound drainage upon the frequency of red blood cells transfusion after primary hip arthroplasty was obtained.

Total Hip Arthroplasty: Good News, Bad News

2011 ◽  
Vol 10 (5) ◽  
pp. 58
Author(s):  
MARY ANN MOON
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Bad News ◽  
Good News ◽  
Total Hip
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