Straw Robert, Colclough Karen, Geutjens Guido G
Department of Orthopaedic Surgery, Derbyshire Royal Infirmary, Derby, UK.
Knee. 2003 Sep;10(3):283-5. doi: 10.1016/s0968-0160(02)00150-3.
We report on the results of a prospective randomised controlled trial to evaluate the use of an intra-articular drain following arthroscopically assisted ACL reconstruction using patellar tendon autograft. Forty-nine patients were recruited for the trial and randomised into receiving or not receiving a drain following surgery. An independent observer who was blinded for the use of the drain assessed the knees for swelling, range of movement (ROM) and pain at 2, 4 and 6 weeks postoperatively. Muscle strength was assessed at 12 weeks following surgery using the KIN COM III isometric dynamometer. We found that the knees that were drained following surgery initially had less swelling and a better ROM. However, at 4 weeks this difference had disappeared. At 3 and 6 months, there was no functional difference between the two groups. We recommend that no drain be used following ACL reconstruction as removal of the drain is uncomfortable and carries theoretical and avoidable risks.
我们报告了一项前瞻性随机对照试验的结果，该试验旨在评估在使用髌腱自体移植进行关节镜辅助下前交叉韧带重建术后使用关节内引流管的情况。49名患者被纳入该试验，并随机分为术后接受或不接受引流管的两组。一名对引流管使用情况不知情的独立观察者在术后2周、4周和6周对膝关节的肿胀情况、活动范围（ROM）和疼痛程度进行评估。术后12周使用KIN COM III等长测力计评估肌肉力量。我们发现，术后进行引流的膝关节最初肿胀较轻，活动范围更好。然而，在4周时，这种差异消失了。在3个月和6个月时，两组之间没有功能差异。我们建议在进行前交叉韧带重建术后不使用引流管，因为拔除引流管会带来不适，且存在理论上可避免的风险。
