Blood loss after total hip replacement: A prospective randomized study between wound compression and drainage
2005 (English)In: The Journal of Arthroplasty, ISSN 0883-5403, Vol. 20, no 8, 967-971 p.Article in journal (Refereed) Published
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.
Blood loss, Blood transfusion, Hip arthroplasty, Wound compression
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-50377DOI: 10.1016/j.arth.2005.02.004OAI: oai:DiVA.org:liu-50377DiVA: diva2:271273