A prospective, randomized study was performed to assess the effectiveness of postoperative closed suction drainage.
One hundred and twelve consecutive procedures involving autologous iliac-crest bone graft were performed, from December 29,1992, to July 1,1993, following a traumatic injury of the spine in 108 patients.
Sixty of the sites from which the bone graft had been obtained were drained with a single large Hemovac device.
The drains were maintained for two to five days postoperatively.
The remaining fifty-two incisions were closed without a drainage device.
All patients were evaluated clinically for problems with wound-healing.
The incisions were considered to be healed when they had been asymptomatic for one year.
Of eleven patients who had problems with wound-healing, six had been managed with a drain and five had not.
The findings of this study do not support the routine use of drainage at the donor sites of iliac-crest bone grafts.
Mots-clés Pascal : Traumatisme, Rachis, Traitement, Autogreffe, Crête iliaque, Technique, Prélèvement, Drain, Postopératoire, Epidémiologie, Morbidité, Site donneur, Cicatrisation, Homme, Etude longitudinale, Os, Système ostéoarticulaire pathologie, Rachis pathologie, Greffe, Chirurgie orthopédique
Mots-clés Pascal anglais : Trauma, Spine, Treatment, Autograft, Iliac crest, Technique, Samplings, Drain, Postoperative, Epidemiology, Morbidity, Donor site, Cicatrization, Human, Follow up study, Bone, Diseases of the osteoarticular system, Spine disease, Graft, Orthopedic surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0286478
Code Inist : 002B25I. Création : 27/11/1998.