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Blood loss after total hip replacement: A prospective randomized study between wound compression and drainage
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Orthopaedics and Sports Medicine . Östergötlands Läns Landsting, Orthopaedic Centre, Department of Orthopaedics Linköping.
Department of Orthopaedic Surgery, Ryhov Central Hospital, Jönköping, Sweden.
Department of Orthopaedic Surgery, Kalmar Central Hospital, Kalmar, Sweden.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Health Sciences, Anesthesiology .
2005 (English)In: The Journal of Arthroplasty, ISSN 0883-5403, Vol. 20, no 8, 967-971 p.Article in journal (Refereed) Published
Abstract [en]

A randomized, controlled study compared the effects of wound compression with drainage after primary total hip arthroplasty. In 51 patients, an inflatable cuff was placed over the wound underneath a girdle (System Calmed, Calmed AB, Askim, Sweden). Control patients had wound drainage (n = 54). Preoperative and intraoperative variables did not differ between groups. Total blood loss was calculated using hemoglobin balance, with compression it was 1510 ± 656 mL (mean ± SD) and in controls 1695 ± 712 mL (P = .13). However, less blood was transfused in the compression group (P = .05). Wound infection was seen in 2 patients with compression and in 3 controls. Deep venous thrombosis occurred in 3 controls. Wound discharge was more frequent in controls (19/54 vs 8/51, P = .04). Thus, wound compression had no obvious negative effects and reduced wound discharge and need for transfusion. It may replace drainage after total hip arthroplasty. © 2005 Elsevier Inc. All rights reserved.

Place, publisher, year, edition, pages
2005. Vol. 20, no 8, 967-971 p.
Keyword [en]
Blood loss, Blood transfusion, Hip arthroplasty, Wound compression
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-50377DOI: 10.1016/j.arth.2005.02.004OAI: diva2:271273
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2011-01-12

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Johansson, TorstenLisander, Björn
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Faculty of Health SciencesOrthopaedics and Sports Medicine Department of Orthopaedics LinköpingAnesthesiology
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