KNEEtalk

The WAITING ROOM => GENERAL KNEE QUESTIONS and comments (good for new threads) => Topic started by: stevieg12 on April 12, 2011, 01:51:14 PM

Title: NEW.. Do all acl surgeries require drainage tubes?
Post by: stevieg12 on April 12, 2011, 01:51:14 PM
hey just what the title is. Do all require these tubes or is it just some?
Title: Re: NEW.. Do all acl surgeries require drainage tubes?
Post by: DaVinche14 on April 12, 2011, 02:29:24 PM
Just some as far as I am aware
Title: Re: NEW.. Do all acl surgeries require drainage tubes?
Post by: Kaputt_Knee on April 12, 2011, 03:08:32 PM
It is normal, even in day surgery here in mainland Europe. I have always had one per portal in the immediate post-operative period which is then reduced to one after the first 24 hours, as long as there is no excessive bleeding. I've had 9 surgeries her in mainland Europe (Germany, Austria and France) and have observed others who underwent some orthopaedic surgery. All of them had at least one drain post-operatively.

In the UK some surgeons do some don't. I have had them for some surgeries, not for others and the same goes for friends as well as reading here.

From what I have read here (not exactly a fair representation to be honest, but over many years as a lurker and member) it appears to be rarer in the USA.

A purely non-scientific observation, based on nothing other than what I have read here, the incidence of excessive post-operative scar tissue does seem to be more prevelent under regimes where no drains are used. Perhaps the drains do influence this? I know some people are predisposed to accumulate exessive scar tissue, the the incidence seems way higher than the actual genetic condition. That is really rare.
Title: Re: NEW.. Do all acl surgeries require drainage tubes?
Post by: APE on April 12, 2011, 05:16:25 PM
hey just what the title is. Do all require these tubes or is it just some?
Do all ACL surgeries require tubing? No. Just had ACL a few weeks ago and it ballooned to 2x normal size. Details:

http://www.kneeguru.co.uk/KNEEtalk/index.php?board=46.0
Title: Re: NEW.. Do all acl surgeries require drainage tubes?
Post by: Snowy on April 12, 2011, 05:42:08 PM
Here in Canada, they're not typically used for ACLr. I'm not sure if this is an accurate reflection of overall rates, but of the dozen or so folk I talk to regularly on this board who had the surgery (most of whom are UK based), only two - one in the UK and one in Australia - had tubes. Both stayed in hospital overnight, whereas here in Canada ACLr is a day surgery - this may be part of the reason they're used less often in North America. The two folk who had the tubes definitely had fewer issues with swelling post-op.
Title: Re: NEW.. Do all acl surgeries require drainage tubes?
Post by: mollyc on April 13, 2011, 03:59:01 AM
Of the 10 or so people I know here in the US who had ACLr, only one had drains. I'm not sure how a surgeon decides whether to do it or not, but my surgeon told me in advance that I would not have them and I did not.
Title: Re: NEW.. Do all acl surgeries require drainage tubes?
Post by: stevieg12 on April 13, 2011, 12:36:34 PM
thanks all for the reply
Title: Re: NEW.. Do all acl surgeries require drainage tubes?
Post by: emergRN on April 13, 2011, 12:42:56 PM
I think it just may be the surgeon's preference.