Closed Suction Drainage in Shoulder Arthroplasty
| Status: | Completed |
|---|---|
| Conditions: | Arthritis, Osteoarthritis (OA) |
| Therapuetic Areas: | Rheumatology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 3/29/2019 |
| Start Date: | January 2015 |
| End Date: | January 24, 2019 |
The Utility of Closed Suction Drainage in Total Shoulder Arthroplasty: A Prospective Analysis.
The purpose of this study is to determine the limited effectiveness of drains during Total
Shoulder Arthroplasty. Drains are used during joint arthroplasty procedures to decrease
infection rates, swelling,and the number of dressing changes required during a hospital stay.
The use of drains has been heavily investigated in the hip and knee replacement literature,
but there have been no investigations regarding their use in shoulder replacements, despite
frequent use.
Clinical benefit has not been consistently documented regarding drain usage in hip and knee
arthroplasty and the investigators hypothesize that they are of limited utility in total
shoulder arthroplasty as well. The investigators will perform a prospective investigation of
total shoulder arthroplasty patients- dividing them into two groups- half will receive a
drain at the time of surgery and the other half will not be receiving a drain.
Shoulder Arthroplasty. Drains are used during joint arthroplasty procedures to decrease
infection rates, swelling,and the number of dressing changes required during a hospital stay.
The use of drains has been heavily investigated in the hip and knee replacement literature,
but there have been no investigations regarding their use in shoulder replacements, despite
frequent use.
Clinical benefit has not been consistently documented regarding drain usage in hip and knee
arthroplasty and the investigators hypothesize that they are of limited utility in total
shoulder arthroplasty as well. The investigators will perform a prospective investigation of
total shoulder arthroplasty patients- dividing them into two groups- half will receive a
drain at the time of surgery and the other half will not be receiving a drain.
The use of closed-suction draining has been well studied in the hip and knee arthroplasty
literature. Drains have been used with the intention of decreasing infection, ecchymoses, and
frequency of dressing changes. Some have reported a corresponding decrease in hematocrit for
patients receiving post-op drainage leading to increased transfusion needs. Given that no
clinical benefit has been consistently documented regarding drain usage in knee and hip
arthroplasty, they are no longer routinely used in those operations. The use of such drainage
systems in shoulder arthroplasty, however, has not been studied and the benefit of drain use
in regards to patient outcomes is questionable. As such, the study is a prospective
investigation comparing outcomes in two groups of total shoulder arthroplasty patients, those
receiving a drain at the time of surgery and those without a drain. The short-term outcome
measurements include peri-operative hematocrit and hemoglobin, infection rate, hematoma
development, transfusion requirement, ecchymosis and wound complication. Long-term outcomes
include shoulder functional scores as measured by post-operative visits and any need for
revision shoulder surgery.
literature. Drains have been used with the intention of decreasing infection, ecchymoses, and
frequency of dressing changes. Some have reported a corresponding decrease in hematocrit for
patients receiving post-op drainage leading to increased transfusion needs. Given that no
clinical benefit has been consistently documented regarding drain usage in knee and hip
arthroplasty, they are no longer routinely used in those operations. The use of such drainage
systems in shoulder arthroplasty, however, has not been studied and the benefit of drain use
in regards to patient outcomes is questionable. As such, the study is a prospective
investigation comparing outcomes in two groups of total shoulder arthroplasty patients, those
receiving a drain at the time of surgery and those without a drain. The short-term outcome
measurements include peri-operative hematocrit and hemoglobin, infection rate, hematoma
development, transfusion requirement, ecchymosis and wound complication. Long-term outcomes
include shoulder functional scores as measured by post-operative visits and any need for
revision shoulder surgery.
Inclusion Criteria:
- Patients diagnosed with Glenohumeral Osteoarthritis undergoing total shoulder
arthroplasty
Exclusion Criteria:
- Patients undergoing total shoulder arthroplasty following trauma, failed prior
surgery/revision or infection
We found this trial at
1
site
Columbia University Medical Center Situated on a 20-acre campus in Northern Manhattan and accounting for...
Click here to add this to my saved trials
