{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:03:34Z","timestamp":1782601414884,"version":"3.54.5"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,2,25]],"date-time":"2014-02-25T00:00:00Z","timestamp":1393286400000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the difference between drainage and non\u2010drainage after total hip arthroplasty (<jats:styled-content style=\"fixed-case\">THA<\/jats:styled-content>) in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hinese subjects by evaluating post\u2010operative complications and joint function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred and sixty\u2010eight patients undergoing <jats:styled-content style=\"fixed-case\">THA<\/jats:styled-content> were randomly allocated into drainage (83 patients) and non\u2010drainage groups (85 patients). All surgeries were performed by one surgical team using the same pre\u2010, intra\u2010, and postoperative techniques. Measured items included: hemoglobin (<jats:styled-content style=\"fixed-case\">Hb<\/jats:styled-content>), superficial and deep wound infection, volume of blood transfusion, wound hematoma thickness, range of motion (<jats:styled-content style=\"fixed-case\">ROM<\/jats:styled-content>) of the hip, wound healing time, ecchymosis and tension vesicles around the wound.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Early after <jats:styled-content style=\"fixed-case\">THA<\/jats:styled-content>, the <jats:styled-content style=\"fixed-case\">Hb<\/jats:styled-content> decreased significantly in the drainage group. There was no significant difference between non\u2010drainage and drainage groups in need for or volume of blood transfusions (9.6% vs 8.2%, <jats:italic>P<\/jats:italic> = 0.100; 3.8 units vs 2.9 units, <jats:italic>P<\/jats:italic> = 0.089, respectively). In the non\u2010drainage group, the incidence of superficial infection, ecchymosis and tension vesicles was significantly higher than in the drainage group (10.6% vs 2.4%, <jats:italic>P<\/jats:italic> = 0.031; 12.9% vs 3.6%, <jats:italic>P<\/jats:italic> = 0.026; 16.5% vs 4.8%, <jats:italic>P<\/jats:italic> = 0.013, respectively). In addition, the non\u2010drainage group had a greater volume of hematomas (<jats:italic>P<\/jats:italic> = 0.000). Patients in the non\u2010drainage group had smaller <jats:styled-content style=\"fixed-case\">ROM<\/jats:styled-content>s early after surgery but the final <jats:styled-content style=\"fixed-case\">ROM<\/jats:styled-content>s did not differ significantly between groups. No deep infection occurred in either group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Non\u2010drainage may reduce postoperative blood loss but has no benefits regarding blood transfusion or deep infection. It may cause more post\u2010operative complications because of restriction of early postoperative exercise by pain and swelling. Therefore we suggest routine use of drainage after <jats:styled-content style=\"fixed-case\">THA<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12092","type":"journal-article","created":{"date-parts":[[2014,2,26]],"date-time":"2014-02-26T04:22:48Z","timestamp":1393388568000},"page":"28-32","source":"Crossref","is-referenced-by-count":37,"title":["Comparison between Drainage and Non\u2010drainage after Total Hip Arthroplasty in <scp>C<\/scp>hinese Subjects"],"prefix":"10.1111","volume":"6","author":[{"given":"Wei\u2010nan","family":"Zeng","sequence":"first","affiliation":[{"name":"Department of Orthopaedics West China Hospital Sichuan University  Chengdu China"},{"name":"Centre for Joint Surgery Southwest Hospital Third Military Medical University  Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zong\u2010ke","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng\u2010de","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fu\u2010xing","family":"Pei","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,2,25]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196143070-00002"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(76)90291-9"},{"key":"e_1_2_5_4_1","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 JP","year":"1993","journal-title":"J R Soc Med"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.70B4.3403607"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-006-0245-1"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(08)80021-6"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(05)80125-1"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200401000-00020"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(97)90029-2"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00265746"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200406000-00005"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-6576.1999.431006.x"},{"key":"e_1_2_5_14_1","first-page":"1005","article-title":"Is suction drainage necessary after total joint arthroplasty? 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