Bleeding, Hip Osteoarthritis
Conditions
Keywords
Hip, Revision, Arthroplasty, Drainage
Brief summary
Prospective, randomized trial. 40 patients who underwent revision hip arthroplasty, divided in to two groups with or without drainage. All patients was assessed with ultrasonography on 3rd day after surgery. Bleeding, need for blood transfusion and laboratory test was analyzed after surgery. Patients was assessed with Harris Hips Score and Visual Analog Scale after surgery.
Detailed description
Inclusion criteria: aseptic loosening, head or insert damage, girdlestone hip. Exclusion criteria: septic loosening, primary or secondary coagulopathy, renal or hepatic failure, thromboembolism in past history. At the end of operation information of drainage was get out from the envelope. On 3rd day all patient get ultrasonography with level of fluid in the joint and hematoma in soft tissue measurement. We analyzed hemoglobin, C-reactive protein, erythrocyte sedimentation rate on 1st and 3rd day after surgery. Visual analog scale was taken on 3rd day after surgery and Harris Hip Score 6 weeks after.
Interventions
PROCEDUREDrainage
Use of the suction drainage after hip revision arthroplasty
PROCEDURENo-drainage
Patients without drainage after surgery
Sponsors
Prof A Gruca Teaching Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* aseptic loosening, * head or insert damage, * girdlestone hip
Exclusion criteria
* septic loosening, * primary or secondary coagulopathy, * renal or hepatic failure, * thromboembolism in past history
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hematoma size | 3 days after surgery | Level of fluid at endoprosthesis neck in ultrasonography |
| Hemoglobin level | 3 days after surgery | Hemoglobin level after surgery on 1st and 3rd day after surgery |
| Blood loss | 1 day after surgery | Assessing blood loss with use of Gross formula |
| Reinfection | 2 years after surgery | Number of patients with infection after surgery performed in the study |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Soft tissue hematoma | 3 days after surgery | Note hematoma formation in soft tissue after surgery (ultrasonography) |
| Harris Hip Score | 6 weeks after surgery | Clinical outcome after surgery, 0-100 points; 100 points the best score |
| C-reactive protein level | 3 days after surgery | Level of C-reactive protein after surgery |
| Blood transfusion | 5-14 days after surgery | Number of patients who need blood transfusion after surgery |
| Visual Analog Scale | 3 days after surgery | Level of pain after surgery, 1- no pain; 10- the worst pain you ever had |
Outcome results
None listed