Should one drain a post-surgical haemarthrosis?

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Dr Frank R Noyes

Retired knee surgeon

DR NOYES HAS RETIRED.Previously based at the Cincinnati Sportsmedicine and Orthopaedic Center in the USA, Dr Frank Noyes was one of the world's most prominent figures when it comes to knee surgery. A prolific researcher and writer, he has published hundreds of studies and articles in the world's to…

August 19, 2006

Short note by Dr Frank Noyes regarding draining a haemarthrosis.

There are two types of haemarthrosis – one is a mild one that follows surgery that has approximately 25cc in the joint - that does not need draining.

The moderate haemarthrosis where you have 50cc in the joint definitely needs draining because it will shut down your quadriceps and your hamstrings – they will lose 30-40% of their strength. Those are the haemarthroses that are not mild or not severe. The severe one needs draining because it is very tense and the patient is painful. The moderate one is about 50cc and that does need draining.