{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T06:15:02Z","timestamp":1768889702532,"version":"3.49.0"},"reference-count":17,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"3","license":[{"start":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T00:00:00Z","timestamp":1581033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,2,14]],"date-time":"2017-02-14T00:00:00Z","timestamp":1487030400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective\nThe purpose of this study was to evaluate the effect of late applied negative pressure on postoperative drain output after primary total hip arthroplasty (THA).\nPatients and methods\n100 patients (100 hips) were treated by closed suction drainage applying negative pressure immediately after THA (group I). The remaining 100 patients (100 hips) were treated by the same drainage system, but the negative pressure was not applied in the first 24 h after THA and then negative pressure was applied (group II).\nResults\nThe mean total drain output was different between the two groups (group I: 597 \u00b1 200.1 mL, group II: 403 \u00b1 204.1 mL; p &lt; 0.05). Reported drain output from immediate postoperative to postoperative day one was 369 \u00b1 125.5 ml in group I and 221 \u00b1 141.3 ml in group II (p &lt; 0.05). The change of hemoglobin from immediate postoperative to 24 h after THA was lower in group II (group I: 1.5 \u00b1 0.62 g\/dL, group II: 1.1 \u00b1 0.73 g\/dL; p = 0.004). The mean unit number of blood transfusions was 1.0 (range, 0.0\u20135.0) in group I and 0.3 (range, 0.0\u20132.0) in group II (p &lt; 0.05). There was no difference in Harris hip score between the two groups at postoperative 1 year or last follow-up (p = 0.073).\nConclusion\nThe minor change in drain system management can reduce postoperative blood loss after primary THA and the need for transfusion.\nLevel of evidence: Level III, Therapeutic study\nER -\n\nKeywords\n\n\n\tClosed suction\n\tDrainage\n\tTotal hip arthroplasty\n\tBlood loss\n\tTransfusion<\/jats:p>","DOI":"10.1016\/j.aott.2017.02.010","type":"journal-article","created":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T22:31:43Z","timestamp":1490049103000},"page":"223-226","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["New strategy of closed suction drainage after primary total hip arthroplasty"],"prefix":"10.5152","volume":"51","author":[{"given":"Gun-woo","family":"LEE","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyung-soon","family":"PARK","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Do-youn","family":"K\u0130M","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Young-rok","family":"SH\u0130N","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taek-rim","family":"YOON","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"key":"10.1016\/j.aott.2017.02.010_bib1","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1111\/os.12092","article-title":"Comparison between drainage and non-drainage after total hip arthroplasty in Chinese subjects","volume":"6","author":"Zeng","year":"2014","journal-title":"Orthop Surg"},{"key":"10.1016\/j.aott.2017.02.010_bib2","doi-asserted-by":"crossref","first-page":"939","DOI":"10.2106\/00004623-196143070-00002","article-title":"Suction drainage of orthopaedic wounds","volume":"43","author":"Waugh","year":"1961","journal-title":"J\u00a0Bone Jt Surg Am"},{"key":"10.1016\/j.aott.2017.02.010_bib3","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1177\/014107689308600706","article-title":"The effectiveness of suction drainage in total hip arthroplasty","volume":"86","author":"Murphy","year":"1993","journal-title":"J\u00a0R Soc Med"},{"key":"10.1016\/j.aott.2017.02.010_bib4","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1302\/0301-620X.70B4.3403607","article-title":"The effect of suction drains after total hip replacement","volume":"70","author":"Willett","year":"1988","journal-title":"J\u00a0Bone Jt Surg Br"},{"key":"10.1016\/j.aott.2017.02.010_bib5","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/S0883-5403(98)90093-6","article-title":"Drainage versus nondrainage in simultaneous bilateral total hip arthroplasties","volume":"13","author":"Kim","year":"1998","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.aott.2017.02.010_bib6","first-page":"10","article-title":"The use of clamped drainage to reduce blood loss in total hip arthroplasty","volume":"25","author":"Cao","year":"2015","journal-title":"J\u00a0Orthop Surg Res"},{"issue":"Suppl 4","key":"10.1016\/j.aott.2017.02.010_bib7","doi-asserted-by":"crossref","first-page":"28","DOI":"10.5301\/HIP.2008.2463","article-title":"A\u00a0modified two-incision minimally invasive total hip arthroplasty: technique and short-term results","volume":"16","author":"Yoon","year":"2006","journal-title":"Hip Int"},{"key":"10.1016\/j.aott.2017.02.010_bib8","doi-asserted-by":"crossref","first-page":"737","DOI":"10.2106\/00004623-196951040-00012","article-title":"Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation","volume":"51","author":"Harris","year":"1969","journal-title":"J\u00a0Bone Jt Surg Am"},{"key":"10.1016\/j.aott.2017.02.010_bib9","doi-asserted-by":"crossref","first-page":"2109","DOI":"10.1007\/s00264-013-2053-8","article-title":"Do we really need closed-suction drainage in total hip arthroplasty? 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