Dissertation > Medicine, health > Surgery > Orthopaedic Surgery ( movement system diseases,orthopedic surgery ) > Orthopedic surgery and surgery > Joint Surgery

The Clinical Research of the Need for Drainage Tube in Total Hip Replacement

Author YangYuanXun
Tutor ZhangWei
School Shandong University
Course Surgery
Keywords Total hip arthroplasty Drainage tube Hematocrit Transfusion of blood
CLC R687.4
Type Master's thesis
Year 2009
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Objective: This study through the drainage tube compare primary total hip arthroplasty effect observed drainage whether will bring significant benefits , or will lead to the increase in the amount of bleeding and blood transfusion rate or cause a wound -related complications surgical treatment generated. To provide a scientific basis for the need for drainage pipe applications in total hip arthroplasty . Methods: The study was a prospective , randomized, parallel-group trial design methods , and screening to meet the standard first - line patients with total hip arthroplasty 80 cases from September 2007 to February 2009 , were randomly divided into the drainage group and non drainage group. By observing the preoperative and postoperative hematocrit hematocrit decline in value , thigh circumference change in caseload , hospital stay and postoperative Harris hip score of 3, 6, and 12 - month follow - up indicators , which is an objective evaluation of the drainage tube in total hip arthroplasty . RESULTS: Comparison of postoperative drainage group hematocrit values ??than non - drainage group , the decline in hematocrit value and blood transfusion in drainage group number of cases is higher than the non- drainage group were statistically significant (P <0.05). Drainage postoperative complications such as hematoma , infection , drainage port exudate than the number of cases occurred slightly more non - drainage group , but no significant difference . The postoperative thigh circumference values ??and no significant difference in the duration of hospitalization . The two groups after Harris score gradually improved in both groups after 12 months , there was a significant difference ( P <0.01 ) compared with before surgery . But Harris score similar postoperative group of 3 , 6 , and 12 months , no significant difference. Conclusion : In primary total hip arthroplasty , the drainage did not give surgical treatment brought about significant benefits , but it will also lead to the increase in the amount of bleeding and blood transfusion rate , and also lead to the generation of wound -related complications ; drainage pipe does not hold will affect a total hip replacement surgery patients rehabilitation exercises and functional recovery . Therefore , we recommend that for the first time to accept patients with total hip arthroplasty postoperative drainage tube can hold .

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