Skip to main content

Advertisement

Log in

Closed suction surgical wound drainage after hip fracture surgery: a systematic review and meta-analysis of randomised controlled trials

  • Review
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

There is still debate over the use of drains following hip fracture surgery. We have performed a systematic review and meta-analysis of the literature for randomised trials that related to the use of closed suction drains following hip fracture surgery. Six studies involving 664 patients were identified. There was no statistically significant difference in the occurrence of wound healing complications, re-operations or requirement for blood transfusion between drained and un-drained wounds. All other outcomes reported failed to show any benefit from the use of drains. Further randomised trials are required and until they have been undertaken the efficacy of closed surgical drainage systems in hip fracture surgery is unknown.

Résumé

Il existe toujours un débat sur l’utilisation de drains après traitement chirurgical d’une fracture de la hanche. Nous avons réalisé une méta analyse de la littérature à partir d’essais randomisés relatant l’usage de drains aspiratifs après fracture de la hanche opérée. Six études regroupant 664 patients ont été analysées. Il n’y a pas de différences significatives sur le taux de complications (hématome). Le nombre des réinterventions, ni la nécessité de transfusions entre les plaies drainées et non drainées. De nouveaux essais randomisés seront utiles pour déterminer l’efficacité du drainage chirurgical après fracture de la hanche.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Cobb JP (1990) Why use drains? J Bone Jt Surg-British Volume 72:993–995

    CAS  Google Scholar 

  2. Detsky AS, Naylor CD, O’Rouke K, McGeer AJ, L’Abbe K (1992) Incorporating variations in the quality of individual randomized trials into meta-analysis. J Clin Epidemiol 45:225–265

    Article  Google Scholar 

  3. Duranthon LD, Grimberg J, Vandenbussche E, Mondoloni B, Augereau P (2000) L’efficacite du drainage postoperatoire apres arthroplastie par prothese intermediaire scellee pour fracture du col du femur; resultats d’une etude prospective randomisee de 86 cas [Effectiveness of postoperative drainage after bipolar sealed endoprosthetic arthroplasty for femur neck fracture. Results of a prospective randomized study of 86 cases]. [French]. Rev Chir Orthop Repar Appar Mot 86(4):370–372

    CAS  Google Scholar 

  4. Higgins JPT, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. BMJ 327:556–560

    Article  Google Scholar 

  5. Lautenbach EEG, Tiemessen CH, Cunningham S (2000) How effective is suction drainage? South African Bone and Joint Surgery 10(3):14–17

    Google Scholar 

  6. Nicolajsen K, Kramhoft M, Hansen D (1996) The use of closed suction drains in femoral neck and intertrochanteric fractures [abstract]. Acta Orthop Scand., Suppl 267:30

    Google Scholar 

  7. Parker MJ, Roberts C, Handoll HH, Griffiths R (2006) Closed suction surgical wound drainage after orthopaedic surgery (Cochrane review). Cochrane Database Syst Rev 1:Cd001825

    Google Scholar 

  8. Tjeenk RM, Vrancken Peeters MP, van den Ende E, Kastelein GW, Breslau PJ (2005) Wound drainage versus non-drainage for proximal femoral fractures; a prospective randomised study. Injury 36:100–104

    PubMed  CAS  Google Scholar 

  9. Varley GW, Milner S, Turner GM, Crisp AJ, Szypryt EP (1994) Ultrasound assessment of the efficacy of wound drains. J R Coll Surg Edinb 39(2):97–99

    PubMed  CAS  Google Scholar 

  10. Varley GW, Milner SA (1995) Wound drains in proximal femoral fracture surgery: a randomized prospective trial of 177 patients. J R Coll Surg Edinb 40:416–418

    PubMed  CAS  Google Scholar 

Download references

Conflict of interest statement

No authors had any financial or personal relationships with any other people or organisation that could have influenced this piece of work inappropriately.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R. Clifton.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Clifton, R., Haleem, S., McKee, A. et al. Closed suction surgical wound drainage after hip fracture surgery: a systematic review and meta-analysis of randomised controlled trials. International Orthopaedics (SICO 32, 723–727 (2008). https://doi.org/10.1007/s00264-007-0420-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-007-0420-z

Keywords

Navigation