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Prospective, randomized trial. 40 patients who underwent revision hip arthroplasty, divided in to two groups with or without drainage. All patients was assessed with ultrasonography on 3rd day after surgery. Bleeding, need for blood transfusion and laboratory test was analyzed after surgery. Patients was assessed with Harris Hips Score and Visual Analog Scale after surgery.
Inclusion criteria: aseptic loosening, head or insert damage, girdlestone hip. Exclusion criteria: septic loosening, primary or secondary coagulopathy, renal or hepatic failure, thromboembolism in past history. At the end of operation information of drainage was get out from the envelope. On 3rd day all patient get ultrasonography with level of fluid in the joint and hematoma in soft tissue measurement. We analyzed hemoglobin, C-reactive protein, erythrocyte sedimentation rate on 1st and 3rd day after surgery. Visual analog scale was taken on 3rd day after surgery and Harris Hip Score 6 weeks after.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Drainage group | Active Comparator | Patients with drainage after hip revision arthroplasty |
|
| No-drainage group | Active Comparator | Patients without drainage after hip revision arthroplasty |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Drainage | Procedure | Use of the suction drainage after hip revision arthroplasty |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Hematoma size | Level of fluid at endoprosthesis neck in ultrasonography | 3 days after surgery |
| Hemoglobin level | Hemoglobin level after surgery on 1st and 3rd day after surgery | 3 days after surgery |
| Blood loss | Assessing blood loss with use of Gross formula | 1 day after surgery |
| Reinfection | Number of patients with infection after surgery performed in the study | 2 years after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Soft tissue hematoma | Note hematoma formation in soft tissue after surgery (ultrasonography) | 3 days after surgery |
| C-reactive protein level | Level of C-reactive protein after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pawel Bartosz | Gruca Teaching Hospital, Centre of Postgraduate Medical Education in Otwock | Principal Investigator |
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| ID | Term |
|---|---|
| D015207 | Osteoarthritis, Hip |
| D006470 | Hemorrhage |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D004322 | Drainage |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
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| No-drainage |
| Procedure |
Patients without drainage after surgery |
|
| 3 days after surgery |
| Blood transfusion | Number of patients who need blood transfusion after surgery | 5-14 days after surgery |
| Visual Analog Scale | Level of pain after surgery, 1- no pain; 10- "the worst pain you ever had" | 3 days after surgery |
| Harris Hip Score | Clinical outcome after surgery, 0-100 points; 100 points the best score | 6 weeks after surgery |
| D012216 |
| Rheumatic Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |