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J R Soc Med. 1984 July; 77(7): 556–558.
PMCID: PMC1439930

Blood loss associated with Ring uncemented total knee replacement: comparison between continuous and intermittent suction drainage.


In a retrospective comparison of blood loss following uncemented total knee replacement, in which either continuous or intermittent suction drainage was used, measured blood loss was significantly greater with continuous drainage. However, a method of calculating actual blood loss demonstrated no significant difference. With intermittent drainage, more blood remains undetected around the knee joint; this technique should therefore be abandoned in favour of continuous suction drainage.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Erskine JG, Fraser C, Simpson R, Protheroe K, Walker ID. Blood loss with knee joint replacement. J R Coll Surg Edinb. 1981 Sep;26(5):295–297. [PubMed]
  • Klenerman L, Chakrabarti R, Mackie I, Brozovic M, Stirling Y. Changes in haemostatic system after application of a tourniquet. Lancet. 1977 May 7;1(8019):970–972. [PubMed]
  • Nakahara M, Sakahashi H. Effect of application of a tourniquet on bleeding factors in dogs. J Bone Joint Surg Am. 1967 Oct;49(7):1345–1351. [PubMed]
  • Newman JH, Jackson JP, Waugh W. Timing of tourniquet removal after knee replacement. J R Soc Med. 1979 Jul;72(7):492–494. [PMC free article] [PubMed]
  • Pattison E, Protheroe K, Pringle RM, Kennedy AC, Dick WC. Reduction in haemoglobin after knee joint surgery. Ann Rheum Dis. 1973 Nov;32(6):582–584. [PMC free article] [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press