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Optimal release timing of temporary drain clamping after total knee arthroplasty

Overview of attention for article published in Journal of Orthopaedic Surgery and Research, March 2017
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Title
Optimal release timing of temporary drain clamping after total knee arthroplasty
Published in
Journal of Orthopaedic Surgery and Research, March 2017
DOI 10.1186/s13018-017-0550-y
Pubmed ID
Authors

Yoon Sang Jeon, Jun Sung Park, Myung Ku Kim

Abstract

Bleeding control is critical after total knee arthroplasty (TKA). The purpose of this study was to evaluate the optimal time to release the clamped drain after TKA. We performed unilateral TKA in 120 patients using three methods of drainage. Group A (N = 40) had a 3-hour clamp applied, and group B (N = 40) had a 4-hour clamp applied. Group C (N = 40) underwent conventional negative drainage. We evaluated the drainage volume, as well as the hemodynamic markers, transfusion volume, visual analog scale (VAS) scores, and range of motion (ROM). The drained blood volume in groups A and B was significantly less than that in group C. No significant difference was found between groups A and B. The level of hemoglobin in group A was significantly higher than that in group C at 2 days after surgery. The ROM of groups A and C was larger than that of group B at 5 days after surgery. Furthermore, the VAS scores of groups A and C were significantly lower than those of group B at both 2 and 5 days after surgery. The temporary drain clamping method after TKA significantly reduced the volume of bleeding and blood transfusion. The 3-h clamping method reduced the drained volume as effectively as the 4-hour clamping method and resulted in less acute phase pain and more rapid recovery of ROM than the 4-hour clamping method. In conclusion, we recommend 3-h clamping after TKA as the optimal release time to reduce blood loss and acute phase pain.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 55 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 55 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 6 11%
Student > Postgraduate 5 9%
Student > Doctoral Student 5 9%
Other 4 7%
Researcher 4 7%
Other 7 13%
Unknown 24 44%
Readers by discipline Count As %
Medicine and Dentistry 26 47%
Nursing and Health Professions 5 9%
Pharmacology, Toxicology and Pharmaceutical Science 1 2%
Engineering 1 2%
Unknown 22 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 March 2017.
All research outputs
#18,539,663
of 22,961,203 outputs
Outputs from Journal of Orthopaedic Surgery and Research
#961
of 1,393 outputs
Outputs of similar age
#235,447
of 309,329 outputs
Outputs of similar age from Journal of Orthopaedic Surgery and Research
#22
of 45 outputs
Altmetric has tracked 22,961,203 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,393 research outputs from this source. They receive a mean Attention Score of 3.6. This one is in the 15th percentile – i.e., 15% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 309,329 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 12th percentile – i.e., 12% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 45 others from the same source and published within six weeks on either side of this one. This one is in the 2nd percentile – i.e., 2% of its contemporaries scored the same or lower than it.