PURPOSE The aim of this study was to determine if the routine use of closed suction wound drainage is justified following open reduction and internal fixation (ORIF) of femoral shaft fractures. METHOD This was a prospective comparative study of two study groups: those with post-operative closed suction drainage (WCSD) and those not with closed suction drainage (NWCSD). RESULTS Fifty-six patients, twenty-eight each for the two cohorts, were recruited for this study. Five patients (17.9%) in the WCSD group and only one patient (3.6%) in NWCSD group had surgical site infection (p = 0.20). Four patients (14.3%) in the WCSD group and nine (32.1%) in NWCSD group had wound dressing reinforcements (p = 0.21). CONCLUSION There was generally no statistically significant difference in the incidence of wound infections, strike through bloodstain with wound dressing reinforcement and duration of hospital stay in patients with and without closed suction wound drainage after ORIF of femoral shaft fractures. The duration of the injury may however influence the decision to use or not use wound drain after surgery.

中文翻译：

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在闭合复位股骨干骨折内固定中使用和不使用闭合吸引伤口引流的比较。

目的本研究的目的是确定在股骨干骨折的切开复位内固定术（ORIF）后常规使用闭合抽吸伤口引流是否合理。方法这是对两个研究组的前瞻性比较研究：术后闭合闭式引流（WCSD）组和闭合闭式引流（NWCSD）组。结果本研究招募了56名患者，两个队列各28名。WCSD组有5名患者（17.9％），而NWCSD组中只有1名患者（3.6％）患有手术部位感染（p = 0.20）。WCSD组中有4例患者（14.3％），NWCSD组中有9例患者（32.1％）具有伤口敷料加固（p = 0.21）。结论伤口感染的发生率通常没有统计学上的显着差异，股骨干骨折ORIF后有无伤口抽吸引流和有伤口敷料加固的穿血渍罢工和住院时间。但是，受伤的持续时间可能会影响手术后是否使用伤口引流的决定。