Tkr Study

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Background: Drainage is a common procedure in total knee replacement (TKR), but its effectiveness is controversial. Some studies have claimed that drainage decreases the risk of articular effusion and hematoma formation. However, some studies have demonstrated that drainage increases postoperative blood loss and does not improve the surgical result. Several studies have examined the use of drainage, but they have not involved early functional outcomes after TKR.

Objectives: The aim of this study was to compare the early functional outcomes of the using drainage vs. non-drainage after TKR.

Study Design & Methods: The study group consisted of 61 patients, who underwent primary TKR because of arthrosis were consecutively allocated to a drainage group (n=25, with median age; 65±8.61 years), and were allocated to a
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It was determined that; the drainage group had better results in terms of reduction of pain severity (p 0.05).

Conclusions: The use of drains might be an effective method to decrease pain severity, improve the HSS knee score. However, the use of drains has no effect on early patient outcome after TKR, in terms of improvements in knee range of motion, knee circumference, length of hospital stay, the day of knee flexion angle achieved 70 degrees, quality of life, functional activities and walking speed. According to our results, it is suggested that using drainage decreases pain severity and improves the HSS knee score. But, the use of drainage after TKR did not improve the other early patient outcomes.
Further research should examine these relations in detail with sufficient number of patients. Furthermore, all outcome measures assessed in this study are short-term measures. Therefore, long-term follow up of individuals is also required to assess the long-term effect on post-discharge

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