Is there a relevance of suction drainage in non-septic wrist surgery?
No rational argument leads to conclude to the benefit or the innocuousness of drainage in non-septic wrist surgery.



The goal of this study was to validate the hypothesis that for those indications drainage is unnecessary.



We reviewed 1001 consecutive cases, concerning 885 patients, 58 years old in average.



Out of 1001 procedures, 9 patients were operated on both sides, 145 were operated twice of which 130 for the implantation and then the removal of surgical material. None were reoperated for hematomas. Three patients were initially treated for an osteosynthesis using an anterior plate of distal radius and secondarily reoperated due to sepsis, one of them twice. The material was removed from two patients. The average time of tourniquet for those 3 osteosynthesis was significantly superior (84.33min) to the average time for the 595 other anterior distal radius plates (45.35min).



The results of our study show that suction drainage in non-septic wrist surgery is unnecessary.



III descriptive retrospective study.
Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67403 Illkirch-Graffenstaden, France.
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Prunières
Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67403 Illkirch-Graffenstaden, France.
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Hidalgo Diaz
Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67403 Illkirch-Graffenstaden, France.
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Vernet
Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67403 Illkirch-Graffenstaden, France.
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Salazar Botero
Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67403 Illkirch-Graffenstaden, France.
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Facca
Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67403 Illkirch-Graffenstaden, France. Electronic address: philippe.liverneaux@chru-strasbourg.fr.
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Liverneaux
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D002648:Child; D002675:Child, Preschool; D020878:Device Removal; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D011885:Radius Fractures / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D013396:Suction; D014953:Wrist / Q000601:surgery*; D014954:Wrist Injuries / Q000601:surgery*; D055815:Young Adult
Drainage; Fracture; Infection; Suction; Wrist