Research progress of combined application of negative pressure drainage after total knee replacement
DING Chuan1 TANG Hongjuan2 MA Xianming3 ZHOU Yi3 XIANG Bingyan3 DENG Jiang3▲
1.Department of Orthopedics, Kweichow Moutai Hospital, Guizhou Province, Renhuai 564500, China;
2.Department of Rehabilitation, Kweichow Moutai Hospital, Guizhou Province, Renhuai 564500, China;
3.Department of Joint Surgery, the Third Affiliated Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563000, China
Abstract：Total knee arthroplasty (TKA) is currently the gold standard for the treatment of end-stage knee osteoarthritis. And after decades of development and innovation of TKA, the combined application of closed negative pressure drainage（CSD） technology has been widely used as a conventional drainage solution after TKA. It is believed to significantly reduce the formation and relief of hematoma after TKA. Pain, accelerate wound healing, promote the rehabilitation of affected limbs, and promote the implementation of the concept of rapid postoperative recovery plans, but at the same time it may increase the blood loss after TKA, which will lead to an increase in the patient’s blood transfusion rate and longer hospital stays. There is still controversy about the combined application of CSD technology after TKA. This article will review the combined application methods and research progress of CSD technology after TKA. The main methods include CSD technology combined with clamp technology, normal pressure to negative pressure program, negative pressure wound therapy, controller pressure adjustment program, CSD technology combined with autologous blood transfusion and intra-articular tranexamic acid injection, etc., in order to provide reference for clinicians.
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