Closed suction surgical wound drainage after hip fracture surgery: a systematic review and meta-analysis of randomised controlled trials |
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| Authors: | R. Clifton S. Haleem A. McKee M. J. Parker |
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| Affiliation: | (1) Department of Orthopaedics and Trauma, Peterborough District Hospital, Trauma & Orthopaedic Surgery, Thorpe Road, Peterborough, Cambridgeshire, PE3 6DA, UK;(2) Department of Orthopaedics and Trauma, Peterborough District Hospital, Peterborough Hip Unit, Thorpe Road, Peterborough, Cambridgeshire, PE3 6DA, UK |
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| Abstract: | There is still debate over the use of drains following hip fracture surgery. We have performed a systematic review and meta-analysis of the literature for randomised trials that related to the use of closed suction drains following hip fracture surgery. Six studies involving 664 patients were identified. There was no statistically significant difference in the occurrence of wound healing complications, re-operations or requirement for blood transfusion between drained and un-drained wounds. All other outcomes reported failed to show any benefit from the use of drains. Further randomised trials are required and until they have been undertaken the efficacy of closed surgical drainage systems in hip fracture surgery is unknown.
Résumé Il existe toujours un débat sur l’utilisation de drains après traitement chirurgical d’une fracture de la hanche. Nous avons réalisé une méta analyse de la littérature à partir d’essais randomisés relatant l’usage de drains aspiratifs après fracture de la hanche opérée. Six études regroupant 664 patients ont été analysées. Il n’y a pas de différences significatives sur le taux de complications (hématome). Le nombre des réinterventions, ni la nécessité de transfusions entre les plaies drainées et non drainées. De nouveaux essais randomisés seront utiles pour déterminer l’efficacité du drainage chirurgical après fracture de la hanche. |
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