Closed Suction Drainage in Hip Arthroplasty – An Observational Study

Abstract

Objective: To compare the clinical and functional results of using closed suction drainage (CSD) vs not using suction drainage in hip arthroplasty. It will evaluate how well patients recover both physically and in their daily activities. Materials and Methods: This study included 72 patients who had a total hip replacement surgery at the Himalayan Hospital fromember 2020 toch 5, 2022. The patients were put into two different groups. In Group A, there were 33 patients with CSD, and in Group B, there were 39 patients without CSD. Results: The data from the patients' medical records and tests show that Group B had more dressings needed compared to the other group. This difference was statistically significant (p=0. 033). However, there was no difference between the two groups in terms ofrease in hemoglobin or hematocrit levels, need for a blood transfusion, delay in removing sutures, length of surgery, hip score, pain score, or infection at the surgery site. Visual Analog Score (VAS), Modified Harris Hip Score (HHS), surgical site infection, as well as the clinical and laboratory data in this study statistically show more dressing reinforcement in Group B (p=0.033). There were two cases of infection in Group B, where the wounds were treated with antibiotics. Conclusion: The observed benefit of this study shows that using Closed suction drainage (CSD) after hip surgery reduces the need for extra dressing.