Closed suction surgical wound drainage after anterior cruciate ligament reconstruction: a systematic review of randomised controlled trials.
There is still debate over the use of drains following anterior cruciate ligament reconstruction surgery. We have performed a systematic review of the literature for randomised trials that related to the use of closed suction drains following anterior cruciate ligament reconstruction surgery. Five studies involving 349 patients were identified. There was no significant difference in the occurrence of wound healing complications, infections or the number of aspirations for haemarthrosis. There was also no difference in post-operative range of movement, functional score or incidence of limb swelling. The difference in pain scores varied between authors with some reporting increased pain in the drained group. All other outcomes reported failed to show any benefit for the use of drains. The authors recommend not using a drain following anterior cruciate ligament reconstruction with either Bone-Patellar Tendon-Bone or Quadrupled Hamstring graft.
Department of Orthopaedics and Trauma, Peterborough District Hospital, Thorpe Road, Peterborough, Cambridgeshire PE3 6DA, England, UK. rupert@doctors.net.uk
R
R
Clifton
S
S
Haleem
A
A
McKee
M J
MJ
Parker
D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy; D050376:Bone-Patellar Tendon-Bone Grafting; D004322:Drainage; D006801:Humans; D010147:Pain Measurement; D011182:Postoperative Care; D011183:Postoperative Complications / Q000517:prevention & control; D016032:Randomized Controlled Trials as Topic; D013396:Suction; D013710:Tendons / Q000637:transplantation