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Closed Suction Drainage May Not be Beneficial in Revision Total Hip Arthroplasty: A Propensity Score-Matched Cohort Study

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Abstract

Background

Many studies on closed suction drainage (CSD) in primary total hip arthroplasty (THA) have demonstrated that it has no definite benefit. However, evidence of the clinical benefits of CSD in revision THA has not yet been established. Therefore, this retrospective study aimed to investigate the benefits of CSD in revision THA.

Materials and Methods

We reviewed 107 hips of patients who underwent revision THA between June 2014 and May 2022, excluding cases of fracture and infection. We compared perioperative blood test results, calculated total blood loss (TBL), and postoperative complications, including allogenic blood transfusion (ABT), wound complications, and deep venous thrombosis (DVT), between the groups with and without CSD. Propensity score matching was conducted to balance patients’ demographics and surgical factors.

Results

ABT, wound complications, and DVT were observed in 10.3% (n = 11), 5.6% (six), and 5.6% (six) of patients, respectively. There were no significant differences in ABT, calculated TBL, wound complications, and DVT between all patients and propensity score-matched patients with or without CSD. The calculated TBL was approximately 1200 mL and showed no significant difference between the two groups in the matched cohort (p = 0.40) but tended to have a greater volume in the drain group than in the non-drain group.

Conclusion

The routine use of CSD in revision THA for aseptic loosening may not be useful in clinical practice.

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Data Availability

The datasets analyzed in this study are available from the corresponding author upon reasonable request.

Code Availability

Not applicable.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan

    Yaichiro Okuzu, Koji Goto, Yutaka Kuroda, Toshiyuki Kawai & Shuichi Matsuda

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  1. Yaichiro Okuzu
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  2. Koji Goto
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  3. Yutaka Kuroda
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  4. Toshiyuki Kawai
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  5. Shuichi Matsuda
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Contributions

YO collected and interpreted the patient data. YO was the major contributor in the writing of the manuscript. KG, YK, TK, and SM were involved in report design, critically revised the report, and commented on drafts of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Yaichiro Okuzu.

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Conflict of Interest

Shuichi Matsuda has received speaker and consultant honoraria from Kyocera. Other authors have no relevant financial or non-financial interests to disclose.

Ethical Approval

This retrospective study was approved by our local institutional review board.

Informed Consent

Written informed consent was obtained from all patients in retrospective studies in our institution.

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Okuzu, Y., Goto, K., Kuroda, Y. et al. Closed Suction Drainage May Not be Beneficial in Revision Total Hip Arthroplasty: A Propensity Score-Matched Cohort Study. JOIO 57, 1041–1048 (2023). https://doi.org/10.1007/s43465-023-00901-x

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