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Author Topic: NEW.. Do all acl surgeries require drainage tubes?  (Read 1423 times)

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Offline stevieg12

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NEW.. Do all acl surgeries require drainage tubes?
« on: April 12, 2011, 01:51:14 PM »
hey just what the title is. Do all require these tubes or is it just some?

Offline DaVinche14

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    • My post op diary
Re: NEW.. Do all acl surgeries require drainage tubes?
« Reply #1 on: April 12, 2011, 02:29:24 PM »
Just some as far as I am aware
My Post-op Diary: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=55672.0

Sep 2003: Major trauma to right knee; ruptured ACL, LCL, biceps femoris.
Sep 2003: LCL repair
Mar 2004: Lateral meniscus trim
Mar 2011: ACL + LCL/PLC recon w/L+R hamstring autograft

Offline Kaputt_Knee

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Re: NEW.. Do all acl surgeries require drainage tubes?
« Reply #2 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.
1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

Offline APE

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Re: NEW.. Do all acl surgeries require drainage tubes?
« Reply #3 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

Offline Snowy

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Re: NEW.. Do all acl surgeries require drainage tubes?
« Reply #4 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.
Mar 11: R Biceps femoris tear (skiing)
Jul 10: ACLr (hamstring autograft)
Mar 10: L ACL rupture (skiing)
Feb 06: L partial ACL tear (kickboxing)
Dec 03: R bone edema (motorbike)
Jan 01: R patellar chip (motorbike)
May 93: R ACL sprain (hockey)
Ongoing: bilateral PFS and OA

Offline mollyc

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Re: NEW.. Do all acl surgeries require drainage tubes?
« Reply #5 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.
Ski accident 2/14/09
Ruptured ACL, MCL sprain, bone bruise
ACLr allograft 5/27/09
Knee now 100% fine...skiing and playing tennis regularly

Offline stevieg12

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Re: NEW.. Do all acl surgeries require drainage tubes?
« Reply #6 on: April 13, 2011, 12:36:34 PM »
thanks all for the reply

Offline emergRN

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Re: NEW.. Do all acl surgeries require drainage tubes?
« Reply #7 on: April 13, 2011, 12:42:56 PM »
I think it just may be the surgeon's preference. 
Rt.knee scope-1990-91Dx with Partial ACL tear
Rt. ACLr with hamstring graft-2010
Rt. knee scope- partial lateral menisectomy and plica excision 2010
ACL revision quad tendon graft- 2011 
Rt. Knee partial lateral menisectomy, debridement 2012
Rt. knee partial lateral menisectiomy, debridement 2014















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