Impact of closed suction drainage after surgical fixation of acetabular fractures
- 58 Downloads
The purpose of the present study was to evaluate the prevalence of closed suction drainage after a Kocher–Langenbeck (K–L) approach for surgical fixation of acetabular fractures and to determine the impact of closed suction drainage on patient outcomes.
This retrospective study reports on 171 consecutive patients that presented to a single level I trauma center for surgical fixation of an acetabular fracture. Medical records were reviewed to evaluate the use of closed suction drains. The primary outcomes measures were rate of packed red blood cell (PRBC) transfusion and length of hospital stay (LOS). Secondary outcome measures were 30-day post-operative wound complication and 1-year deep infection rates.
Of the 171 patients included in this study, 140 (82%) patients were treated with drains. There was a significant association between the use of closed suction drainage and post-operative blood transfusion rate (p = 0.002). Thirty-five patients (25%) treated with drains required a post-operative blood transfusion compared to 0% in the no drain cohort. Regarding the total number of drains used, for every additional closed suction drain that was placed beyond a single drain, the odds of receiving a blood transfusion doubled (p = 0.002). Use of closed suction drainage was associated with a significantly longer LOS (p = 0.015), and no difference in wound complication or deep infection rates.
The use of closed suction drains for treatment of acetabular fractures using a K–L approach is associated with increased rates of blood transfusion and increased length of hospital stay, with no impact on surgical site infection rates. The results of this study suggest against routine drain usage in acetabular surgery.
KeywordsKocher–Langenbeck Acetabular fracture Closed suction drainage Blood transfusion
There is no funding source.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
This article does not contain any studies with human participants performed by any of the authors.
For this type of study formal consent is not required.
- 1.Letournel E (1980) Acetabulum fractures: classification and management. Clin Orthop Relat Res. 151:81–106Google Scholar
- 7.Matta JM, Merritt PO (1988) Displaced acetabular fractures. Clin Orthop Relat Res 230:83–97Google Scholar
- 10.Parker MJ, Livingstone V, Clifton R et al (2007) Closed suction surgical wound drainage after orthopaedic surgery. Cochrane Database Syst Rev 3:CD001825Google Scholar
- 20.Tjeenk RM, Peeters MP, van den Ende E et al (2005) Wound drainage versus non-drainage for proximal femoral fractures. A prospective randomised study. Injury 36(1):100–104Google Scholar
- 25.Dunne JR1, Riddle MS, Danko J et al (2006 Jul) Blood transfusion is associated with infection and increased resource utilization in combat casualties. Am Surg 72(7):619–625 (discussion 625–6) Google Scholar