Trial reportClinics in orthopedic surgery2019
Role of Suction Drain after Knee Arthroplasty in the Tranexamic Acid Era: A Randomized Controlled Study.
Trial report in Clinics in orthopedic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
11 citing papers in PubMed, 31 citations in OpenAlex.
- Topical tranexamic acid in cemented primary total knee arthroplasty without tourniquet: a prospective randomized study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Trial
- The Efficacy of Tranexamic Acid in Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis.Advances in orthopedics · 2026Review
- 3D Computed Tomography-Guided Management of Retained Surgical Drain in Total Knee Arthroplasty: A Case Report and Technical Note.Journal of orthopaedic case reports · 2025Article
- The emerging role of tranexamic acid and its principal target, plasminogen, in skeletal health.Acta pharmaceutica Sinica. B · 2024Review
- Non-use of intra-articular drain after anterior cruciate ligament reconstruction does not affect postoperative knee pain and muscle strength on early period.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2023Article
- Is Routine Use of Drain Really Necessary for Posterior Lumbar Interbody Fusion Surgery? A Retrospective Case Series with a Historical Control Group.Global spine journal · 2023Article
- Suction drainage in total knee replacement does not influence early functional outcomes or blood loss: a randomized control trial.Arthroplasty (London, England) · 2023Article
- Comparison of Combined Intraarticular and Intravenous Administration of Tranexamic Acid with Intraarticular and Intravenous Alone in Patients Undergoing Total Knee Arthroplasty without Drainage Catheter: A Clinical Trial Study.The archives of bone and joint surgery · 2023Article
- Perioperative management of elderly patients with osteoarthritis requiring total knee arthroplasty.Journal of perioperative practice · 2021Review
- Predictors for blood loss and transfusion frequency to guide blood saving programs in primary knee- and hip-arthroplasty.Scientific reports · 2021Article
- Effects of disusing closed suction drainage in simultaneous bilateral total hip arthroplasty: A retrospective cohort study.PloS one · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostoperative suction drains are used after total knee arthroplasty to avoid intra-articular hematoma formation although they can increase blood loss due to a negative suction effect. The use of tranexamic acid to reduce blood loss may nullify this. The aim of this study was to compare outcomes in patients undergoing total knee arthroplasty with or without drains and to analyze whether the drain's diameter also has an impact.
methodsThis is a prospective randomized study of patients undergoing unilateral total knee arthroplasty performed by a single surgeon. The study population was divided into three groups (A, 10G drain; B, 12G drain; and C, no drain). Pain, blood loss, swelling, wound-related complications, functional outcomes and questionnaire-based outcomes were assessed postoperatively.
resultsEach group had 35 patients comparable in most demographic and pre- and intraoperative characteristics. During the first 6 hours postoperatively, opioid consumption was significantly higher when the drain was not used (
conclusionsPresence of a suction drain significantly reduces opioid consumption during the first 6 hours after total knee arthroplasty. Use of a drain made no difference to the functional outcome at 1 year postoperatively. With the use of tranexamic acid in total knee arthroplasty, the total blood loss and the requirement of blood transfusion were unaffected by the presence or absence of closed suction drainage or by the bore of the drain used. The clinical parameters such as swelling, range of motion, infection and deep vein thrombosis also remained the same.
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