Efficacy of Peroperative Suction Drain Usage in Arthroscopic Knee Surgery

The study was designed to investigate efficacy of suction drains in arthroscopic knee surgery, rather than anterior cruciate ligament (ACL) reconstruction. two groups were randomised, and suction drain was applied to one group, and the other group as the control group without a suction drain.

Study Overview

• Status: Completed
• Conditions: Chondropathy; Knee Effusion; Knee Hemarthrosis
• Intervention / Treatment: Device: Suction drain; Device: No suction drain

Detailed Description

The groups were compared in terms of patellar shock, knee effusion, knee scoring systems, range of motion, loss of labour, hospitalization time. Also different arthroscopic procedures such as meniscectomy, meniscus repair, synovectomy and microfracture were evaluated in terms of need for a suction drain. The controls was at 1st and 15th day, 6th week and 3rd month.

• Study Type: Interventional
• Enrollment (Actual): 110
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 16 years to 70 years (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Patients with knee derangement and accepted to enroll to the study

Exclusion Criteria:

• intraarticular fracture, ACL surgery, arthrotomy, bleeding disorder,

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Single Group Assignment
• Masking: Triple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: Drain Group; Suction drain was applied to these patients after arthroscopic knee surgery.	Device: Suction drain; A suction drain is used to remove excess fluid from tissues after surgery.; Other Names: Hemovac drain
Other: Control Group; No suction drain was applied to this group, therefore used as a control group.	Device: No suction drain; A suction drain is used to remove excess fluid from tissues after surgery.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Activity Pain	Severity of pain was evaluated with Visual Analogue Scale (VAS). VAS is a horizontal line divided into ten equal intervals in which zero represents no pain and 10 represents the worst pain ever felt.	3 months
Rest Pain	Severity of pain was evaluated with Visual Analogue Scale (VAS). VAS is a horizontal line divided into ten equal intervals in which zero represents no pain and 10 represents the worst pain ever felt.	3 months
Range of Motion	Range of motion is measures in terms of angular degrees.	3 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Lysholm	Lysholm is a scoring system from zero to one hundred. It measures subjective complaints of the patients.	3 months
International Knee Documentation Committee Score	is a scoring system from zero to one hundred. It measures subjective complaints of the patients.	3 months
hospitalization time	It is measured in days. It shows the period of hospitalization time, from surgery to discharge.	1 month
loss of labour time	It is measured in days. It shows the time from discharge to beginning of work.	1 month

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Amount of drainage	The amount of fluid in suction drain. It is measured with cubic centimetre (cc).	1 day
patellar shock	Patellar shock was graded in four scales: Grade 1, some notable fluid, Grade 2, minimally elevated patella, Grade 3, patellar ballottement, and Grade 4, tense knee capsule, unable to compress patella.	1.5 months

Collaborators and Investigators

• Sponsor: Mert Özcan

Publications and helpful links

General Publications

• Browett JP, Gibbs AN, Copeland SA, Deliss LJ. The use of suction drainage in the operation of meniscectomy. J Bone Joint Surg Br. 1978 Nov;60-B(4):516-9. doi: 10.1302/0301-620X.60B4.711799.
• Alkan K, Unay K, Berkem L, Guven M, Poyanli O. Suction drainage influence on knee effusion following partial meniscectomy with partial fat pad or synovium resection. Acta Orthop Traumatol Turc. 2011;45(4):221-4. doi: 10.3944/AOTT.2011.2545.
• Tatari H, Dervisbey M, Muratli K, Ergor A. Report of experience in 190 patients with the use of closed suction drainage in arthroscopic knee procedures. Knee Surg Sports Traumatol Arthrosc. 2005 Sep;13(6):458-62. doi: 10.1007/s00167-004-0537-1. Epub 2004 Nov 13.

Study record dates

Study Major Dates

• Study Start: January 1, 2009
• Primary Completion (Actual): December 1, 2012
• Study Completion (Actual): April 1, 2013

Study Registration Dates

• First Submitted: April 19, 2016
• First Submitted That Met QC Criteria: April 26, 2016
• First Posted (Estimate): April 27, 2016

Study Record Updates

• Last Update Posted (Estimate): April 27, 2016
• Last Update Submitted That Met QC Criteria: April 26, 2016
• Last Verified: April 1, 2016

More Information

Terms related to this study

• Keywords: knee pain; knee arthroscopy; suction drain
• Additional Relevant MeSH Terms: Pathologic Processes; Hemorrhage; Joint Diseases; Musculoskeletal Diseases; Hemarthrosis
• Other Study ID Numbers: TÜTFEK 2008/201

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO