To evaluate efficacy and complications of suction drains in hemiarthroplasty cases
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 3
Abstract
Introduction Intracapsularfracture of neck femurusually present withsevere swelling difficulty in walking reduced length of affected limb The most common Risk factors areold age osteoporosis taking excessive medications alcohol smoking and cancer Diagnosis can be done by using Xrays CT scan and MRIMaterials and Methods It is a prospective study consists of all the patients admitted to JSS hospital with intracapsular fracture neck femur treated with unipolar or bipolar endoprosthesisResults The selected patients were randomized and divided into two groups Group one I and Group two II Patients were suction tube is used are categorized into Group I and in those were suction tube is not used are categorized into Group II These two groups were studied and observed for the following fall in haemoglobin and PCV at 48 hours postoperatively Complications are Persistent discharge serous discharge from the wound for more than 10 daysDiscussion When the doctors are in doubt then they need to insert a drain was countered by Halsted 1898 Now days in orthopedic cases closed suction drains are being commonly used to decrease the complications Blood accumulation in and around the tissue site will raise the tissue tension and thereby reduces tissue perfusion in and around the surgical wound siteConclusion We consider that there is ample evidence that closed suction drains is of no benefit in primary uncomplicated hemiarthroplasty The advantage of the drains in orthopaedic surgeries should be debated as non use of drains drastically reduces anemia and requirement of blood transfusion after surgery In a developing and underdeveloping countries the cost increases because of the blood transfusion needs and costs of drain device which will outweigh any advantages of putting a drainKeywords Persistent discharge Dressing reinforcements Superficial surgical site infections Blood transfusion
Authors and Affiliations
Vijay C, Ravikiran HG, Sumit Raj
Keywords
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- EP ID EP476647
- DOI 10.18231/2395-1362.2018.0056
- Views 103
- Downloads 0
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