The Effect of Compressive Dressubg ib tge Amount of Postoperrative Bleeding after Total Hip Replacement Arthroplasty.
10.5371/jkhs.2006.18.1.56
- Author:
Nac Hoon SEONG
;
Tae Yoon KIM
;
Hyun Jung OH
;
Se Rae NOH
;
Kyung Hoi KOO
;
Seung Han SHIN
- Publication Type:Original Article
- Keywords:
Hip;
Arthroplasty;
Compressive dressing
- MeSH:
Arthroplasty*;
Arthroplasty, Replacement;
Arthroplasty, Replacement, Hip*;
Bandages;
Dislocations;
Hemorrhage*;
Hip;
Humans;
Incidence;
Ossification, Heterotopic;
Postoperative Complications;
Prospective Studies;
Suction;
Venous Thrombosis
- From:Journal of the Korean Hip Society
2006;18(1):56-60
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Purpose: Compressive hip dressings have been used to decrease the amount of postoperative bleeding after total hiparthroplasty. However, there is no data showing that a compressive dressing is effective. This study evaluated the effect of compressive dressings on the level of postoperative bleeding after total replacement arthroplasty. Materials and Methods: This prospective randomized clinical trail included 80 consecutive primary total hip arthroplasties in 72 patients. The 80 hips were randomly assigned to a compressive dressing group or a non-compressive dressing group using a table of random numbers. Forty-two hips in 37 patients were treated using the compressive dressing and the remaining 38 hips in 35 patients were treated using a non-compressive dressing. The patients were followed up for an average of 10.3 months. In all patients, a hemovac suction drain was inserted postoperatively. Results: The mean level of bleeding was 626.6 mL in the compressive group and 693.8 mL in the non-compressive group. There was no statistical difference between the two groups (P=0.416). Moreover, the incidence of postoperative complications including dislocation, nerve injury, symptomatic deep vein thrombosis and heterotopic ossification was similar in both groups. Conclusion: These results suggest that the compressive dressing has no significant effect on the amount of postoperative bleeding and clinical results after total hip arthroplasty.
