Zusammenfassung
Insgesamt fehlt bei Eingriffen an den Extremitäten die Evidenz, die den Einsatz von Drainagen rechtfertigen würde. Dementsprechend werden diese nicht empfohlen, und es soll soweit wie möglich auf das Einlegen von Drainagen verzichtet werden. Vergleichbares gilt für intraoperative Tourniquets sowie die CPM.
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Literatur
Harvey LA, Brosseau L, Herbert RD (2014) Continuous passive motion following total knee arthroplasty in people with arthritis. Cochrane Database Syst Rev 2:CD004260
Hazarika S, Bhattacharya R, Bhavikatti M, Dawson M (2010) A comparison of post-op haemoglobin levels and allogeneic blood transfusion rates following total knee arthroplasty without drainage or with reinfusion drains. Acta Orthop Belg 76(1):74–78
Husted H, Gromov K, Malchau H, Freiberg A, Gebuhr P, Troelsen A (2014) Traditions and myths in hip and knee arthroplasty. Acta Orthop 85(6):548–555
Jones AP, Harrison M, Hui A (2007) Comparison of autologous transfusion drains versus no drain in total knee arthroplasty. Acta Orthop Belg 73(3):377–385
Kelly EG, Cashman JP, Imran FH, Conroy R, O’Byrne J (2014) Systematic review and meta-analysis of closed suction drainage versus non-drainage in primary hip arthroplasty. Surg Technol Int 24:295–301
Ledin H, Aspenberg P, Good L (2012) Tourniquet use in total knee replacement does not improve fixation, but appears to reduce final range of motion. Acta Orthop 83(5):499–503
Li B, Wen Y, Wu H, Qian Q, Lin X, Zhao H (2009) The effect of tourniquet use on hidden blood loss in total knee arthroplasty. Int Orthop 33(5):1263–1268
Parker MJ, Livingstone V, Clifton R, McKee A (2007) Closed suction surgical wound drainage after orthopaedic surgery. Cochrane Database Syst Rev 3:CD001825
Thomassen BJ, den Hollander PH, Kaptijn HH, Nelissen RG, Pilot P (2014) Autologous wound drains have no effect on allogeneic blood transfusions in primary total hip and knee replacement: a three-arm randomised trial. Bone Joint J 96-B(6):765–771
Zhang W, Li N, Chen S, Tan Y, Al-Aidaros M, Chen L (2014) The effects of a tourniquet used in total knee arthroplasty: a meta-analysis. J Orthop Surg Res 9(1):13
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Jerosch, J. (2016). Anwendung von Drainagen, Tourniquets und CPM. In: Jerosch, J., Linke, C. (eds) Patientenzentrierte Medizin in Orthopädie und Unfallchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48081-6_23
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DOI: https://doi.org/10.1007/978-3-662-48081-6_23
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