title: Use of Redon drains in primary total hip arthroplasty has no clinically relevant benefits.
abstract: Although no proven evidence exists for the use of drainage in primary total hip arthroplasty, such drainage is routinely used. This prospective, randomized study comprised 80 patients who underwent a non-cemented total hip arthroplasty using a minimally invasive anterolateral approach. Patients were divided into 2 groups of 40: group 1 underwent drainage treatment and group 2 underwent no drainage treatment. No selection of patients occurred by age, sex, or body mass index. Blood loss was not significantly different between groups 1 (mean blood loss, 0.9 L [range, 0.3-2.1 L]) and 2 (mean blood loss, 0.9 L [range, 0.3-2.4 L]) (P=.7). On postoperative day 1, patients who underwent drainage treatment reported significantly more pain at rest (P=.01) and under stress (P=.03). The same finding was observed on postoperative day 4 (at rest, P=.04; under stress, P=.02). The nonuse of drainage significantly reduced operative time by 72 seconds (P=.01). Patients without drainage treatment had significantly larger hematomas than patients with drainage (mean, 43.7 cm(2) [range, 0-343 cm(2)] vs mean, 40.1 cm(2) [range, 0-514 cm(2)], respectively) (P=.03). No clinically relevant benefits associated with the use of drainage were identified. The increased size of the hematoma was not reflected in patient comfort. The authors consider the use of drainage in primary total hip arthroplasty unnecessary.
authors.affiliation: Chirurgie und Berlin- Brandenburg Centrum für Regenerative Therapien, Charité–University Medicine Berlin, Berlin, Germany.
authors.forename: Philipp
authors.initials: P
authors.lastname: von Roth
authors.forename: Carsten
authors.initials: C
authors.lastname: Perka
authors.forename: Katharina
authors.initials: K
authors.lastname: Dirschedl
authors.forename: Hermann O
authors.initials: HO
authors.lastname: Mayr
authors.forename: Ludwig
authors.initials: L
authors.lastname: Ensthaler
authors.forename: Bernd
authors.initials: B
authors.lastname: Preininger
authors.forename: Robert
authors.initials: R
authors.lastname: Hube
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D004322:Drainage / Q000295:instrumentation* / Q000379:methods*; D004867:Equipment Design; D004868:Equipment Failure; D005260:Female; D006406:Hematoma / Q000209:etiology* / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome