JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2016, Vol. 54 ›› Issue (6): 43-49.doi: 10.6040/j.issn.1671-7554.0.2015.757

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Do we really need wound drainage in hip arthroplasty? A meta-analysis

XU Chuang1, QI Dachun1, LI Xianrang1, ZU Meng2, LI Jian1, LIU Mingting1   

  1. 1. Department of Bone and Joint Surgery;
    2. Department of Obstetrics and Gynecology, Affiliated Hospital of Binzhou Medical College, Binzhou 256600, Shandong, China
  • Received:2015-09-08 Online:2016-06-20 Published:2016-06-20

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Abstract: Objective To explore the efficacy and safety of wound drainage in hip arthroplasty by meta-analysis. Methods The criteria for inclusion and exclusion were formulated. The following databases were searched, including PubMed, EBSCO, Cochrane Library, WanFang Database and China National Knowledge Infrastructure(CNKI)for studies published during Jan. 2000 and Aug. 2015, and then the randomized trials on hip arthroplasty with wound drainage system and without drainage system were compared. Meta-analysis were conducted with Review Manager 5.2. Results A total of 20 studies involving 2 270 participants(1 134 drains and 1 136 without drains)were included in our meta-analysis. There was no significant difference in the incidence of wound infections (RR=0.75, 95%CI: 0.49-1.14, P=0.18), wound hematomas(RR=0.98, 95%CI: 0.25-3.91, P=0.98), deep vein thrombosis (RR=2.56, 95%CI: 0.86-7.68, P=0.09), pulmonary embolism(RR=2.37, 95%CI: 0.35-15.94, P=0.38)or pain between the two groups. Our results demonstrated blood transfusion(RR=1.36, 95%CI: 1.18-1.58, P<0.001), transfusion unit(WMD=0.64, 95%CI: 0.21-1.07, P<0.05)and blood loss(WMD=277.80, 95%CI: 118.88-436.73, P<0.05)were more frequent in those who received drains. Conclusion The routine use of wound drainage for hip arthroplasty has no obvious advantages. However, there is a moderate possibility of selection bias and publication bias in this review. More samples and high-quality randomized trials are needed to increase the reliability of evidences.

Key words: Drainage, Safety, Hip arthroplasty, Effectiveness, Meta-analysis

CLC Number: 

  • R681.6
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