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Problem Suction drains during TKA present certain costs to the health system and requires additional nursing care. There is no clear evidence that supports their use, and no studies so far have compared blood loss in patients with or without drains when TA is administered during TKA.
Hypothesis During total knee arthroplasty, the postoperative blood loss, measured by hemoglobin level, will be lower when no drains are used.
Method
During total knee arthroplasty, the postoperative blood loss, measured by hemoglobin level, will be lower when no drains are used.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Usage of suction drains | Experimental | Usage of suction drains |
|
| No usage of suction drains | No Intervention | No usage of suction drains |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| drainage | Device | Administration of IV tranexamic acid at the moment of anesthetic induction (1g) and at tourniquet release (1g), installing a suction drain |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hb variation | Difference between Hb levels measured in pre-op and on postoperatively day 3. | 3 days after surgey |
| Measure | Description | Time Frame |
|---|---|---|
| Number of blood transfusions | Number of blood transfusions | from admission till 2 months after surgery |
| Cost of blood transfusions | Cost of blood transfusions |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Frédéric Lavoie, MD MSc FRCSC | CHUM | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier de l'Université de Montréal (CHUM) | Montreal | Quebec | H2L 4M1 | Canada |
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| ID | Term |
|---|---|
| D004322 | Drainage |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
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| from admission till 2 months after surgery |
| Cost of suction drains | Cost of suction drains | from admission till 2 months after surgery |
| Range of motion of knee | Range of motion of knee | preoperative visit , at the end of surgery, and on post-op day 3 |
| Length of hospital stay | Length of hospital stay | from admission till 2 months after surgery |
| additional surgery | possible causes for reoperation: hematoma drainage, infection, knee mobilization | from admission till 2 months after surgery |
| Clinical results | Major complications | from admission till 2 months after surgery |
| KOOS score | Knee Injury and Osteoarthritis Outcome Score (KOOS); Scores are transformed to a 0-100 scale, 0: extreme knee problems, 100: no knee problems | At preoperative visit and post-operative visit of six weeks after surgery |
| SF-12 score | SF-12® Health Survey (SF-12); Physical and Mental Health Composite Scores (PCS & MCS) ; Minimum value: 0 (lowest level of health), Maximum value: 100 (highest level of health) | At preoperative visit and post-operative visit of six weeks after surgery |