Temporary 16-Hour Drain Clamping Versus 4-Hour Drain Clamping in Total Knee Arthroplasty: A Randomized Control Trial in Bang Mun Nak Hospital, Pichit Province
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Abstract
Background: Drainage catheter after total knee arthroplasty (TKA) is a procedure to reduce blood congestion, wound rupture, infection, and pain.
Objective: To compare the temporary 16-hour drain clamping and 4-hour drain clamping after total knee arthroplasty (TKA) at Bang Mun Nak Hospital, Phichit Province.
Methods: This randomized control trial research aimed to compare the effects of temporary drain clamping for 16-hour and 4-hour osteoarthritis (OA) patients who underwent total knee arthroplasty at Bang Mun Nak Hospital, Phichit Province consisting of 70 people total. Compare pain, range of motion of the knee joint, hematocrit, hemoglobin, blood transfusion rate, and blood volume in the drainage between temporarily closing the drain for 16 hours and 4 hours. The sample group was selected by multi-stage sampling. Quantitative data were analyzed using descriptive and inferential statistics, including Paired t-test and Independent t-test.
Results: The study found that the blood transfusion rate and mean blood loss volume after surgery of the temporary 16-hour drain clamping group were significantly less than those of the temporary 4-hour drain clamping group (p < 0.01). However, there was no significant difference in pain, knee joint range of motion, hematocrit, and hemoglobin levels between the temporary 16-hour and 4-hour drain clamping groups after surgery (p < 0.01).
Conclusions: Temporary 16-hour drain clamping had a lower blood transfusion rate and mean blood loss volume than temporary 4-hour drain clamping.
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