naa a22 4500 510818730 CHVBK 20180411083520.0 cr unu---uuuuu 180411e20130801xx s 000 0 eng 10.1007/s12306-013-0270-3 doi (NATIONALLICENCE)springer-10.1007/s12306-013-0270-3 Wound drainages in total hip arthroplasty: to use or not to use? Review of the literature on current practice [Elektronische Daten] [M. Nanni, F. Perna, C. Calamelli, D. Donati, O. Ferrara, A. Parlato, M. D'Arienzo, C. Faldini] Aim of this study is to analyze data reported in literature concerning the efficacy of using wound low-vacuum suction drainages in orthopedic surgery after total hip arthroplasty. We analyzed studies concerning the use of drainages in prosthetic hip replacement surgery, performing our research through Pubmed, Cochrane database and Google Scholar, and selecting the ones evaluating the following parameters: bleeding, the need for blood transfusions, number or reinforcement of post-operative medications, length of hospitalization, functional results, periprosthetic and surgical wound infection, post-operative hematoma. Our review did not show any demonstrated advantage from the use of wound drainages in total hip arthroplasty. Moreover, some studies enlighted a possible complication related to their employment, represented by the greater need for blood transfusions. Despite the absence of a statistically demonstrated positive influence on wound outcome using suction drains after total hip replacement, many orthopedic surgeons still recommend using drainages, just because there is no certified proof of a negative effect. Istituto Ortopedico Rizzoli, 2013 Hip arthroplasty nationallicence Wound drain nationallicence Surgical drainage nationallicence Low-vacuum suction drainage nationallicence Review nationallicence Nanni M. Dipartimento Rizzoli Sicilia, Istituto Ortopedico Rizzoli, University of Bologna, Bagheria, Bologna, Italy aut Perna F. Dipartimento Rizzoli Sicilia, Istituto Ortopedico Rizzoli, University of Bologna, Bagheria, Bologna, Italy aut Calamelli C. Dipartimento Rizzoli Sicilia, Istituto Ortopedico Rizzoli, University of Bologna, Bagheria, Bologna, Italy aut Donati D. Dipartimento Rizzoli Sicilia, Istituto Ortopedico Rizzoli, University of Bologna, Bagheria, Bologna, Italy aut Ferrara O. Dipartimento Rizzoli Sicilia, Istituto Ortopedico Rizzoli, University of Bologna, Bagheria, Bologna, Italy aut Parlato A. Dipartimento Rizzoli Sicilia, Istituto Ortopedico Rizzoli, University of Bologna, Bagheria, Bologna, Italy aut D'Arienzo M. Orthopaedic Department, University of Palermo, Palermo, Italy aut Faldini C. Dipartimento Rizzoli Sicilia, Istituto Ortopedico Rizzoli, University of Bologna, Bagheria, Bologna, Italy aut MUSCULOSKELETAL SURGERY Springer Milan 97/2(2013-08-01), 101-107 2035-5106 97:2<101 2013 97 12306 https://doi.org/10.1007/s12306-013-0270-3 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12306-013-0270-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nanni M. Dipartimento Rizzoli Sicilia, Istituto Ortopedico Rizzoli, University of Bologna, Bagheria, Bologna, Italy aut NATIONALLICENCE 700 1- Perna F. Dipartimento Rizzoli Sicilia, Istituto Ortopedico Rizzoli, University of Bologna, Bagheria, Bologna, Italy aut NATIONALLICENCE 700 1- Calamelli C. Dipartimento Rizzoli Sicilia, Istituto Ortopedico Rizzoli, University of Bologna, Bagheria, Bologna, Italy aut NATIONALLICENCE 700 1- Donati D. Dipartimento Rizzoli Sicilia, Istituto Ortopedico Rizzoli, University of Bologna, Bagheria, Bologna, Italy aut NATIONALLICENCE 700 1- Ferrara O. Dipartimento Rizzoli Sicilia, Istituto Ortopedico Rizzoli, University of Bologna, Bagheria, Bologna, Italy aut NATIONALLICENCE 700 1- Parlato A. Dipartimento Rizzoli Sicilia, Istituto Ortopedico Rizzoli, University of Bologna, Bagheria, Bologna, Italy aut NATIONALLICENCE 700 1- D'Arienzo M. Orthopaedic Department, University of Palermo, Palermo, Italy aut NATIONALLICENCE 700 1- Faldini C. Dipartimento Rizzoli Sicilia, Istituto Ortopedico Rizzoli, University of Bologna, Bagheria, Bologna, Italy aut NATIONALLICENCE 773 0- MUSCULOSKELETAL SURGERY Springer Milan 97/2(2013-08-01), 101-107 2035-5106 97:2<101 2013 97 12306 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer