Use of Closed Suction Drain After Primary Total Knee Arthroplasty - an Overrated Practice

Overview

Journal SICOT J

Publisher EDP Sciences

Specialty Orthopedics

Date 2016 Nov 19

PMID 27855775

Citations 12

Authors

Gaurav M Sharma

Gauresh Palekar

Dilip D Tanna

Affiliations

Soon will be listed here.

Abstract

Purpose: The age-old practice of closed suction drain following orthopedic procedures has been challenged since past few decades. Our aim was to assess the effectiveness of closed suction drain after total knee arthroplasty.

Materials And Methods: One hundred twenty patients (135 knees) with primary Total Knee Arthroplasty were divided into a study group (no drain) and a control group (drain used). Inclusion criteria were grade 3 and grade 4 osteoarthritis of the knee. Revision cases and rheumatoid arthritis were excluded. Parameters assessed were pain, pre and post-op Hb, dressing change, early infection, ecchymosis and duration of stay. Results were calculated using Western Ontario and McMaster Universities Osteoarthritis Index and Oxford Knee scoring systems at two weeks, six months and one year.

Results: Mean age was 72.03 ± 6.68 in study group and 71.38 ± 7.02 in control group. Pre and post op Hb was 12.1678 ± 1.3220 (study group), 12.1803 ± 1.2717 (control group) and 9.8373 ± 1.5703 (study group), 9.7918 ± 1.4163 (control group). There was one case of early infection in both groups which was controlled by oral antibiotics. Change of dressing and ecchymosis were more in the study group. Duration of hospital stay was more in the control group p < 0.0006 (statistically significant).

Conclusion: There is no added advantage of closed suction drain over no drain usage and this practice can safely be brought to a halt.

Citing Articles

[Chinese expert consensus on clinical practice of daytime hip arthroplasty].

National Clinical Research Center For Geriatric Disorders Xiangya Hospital , Bone And Joint Specialty Committee Of The China Ambulatory Surgery Alliance , Joint Surgery Branch Of The Chinese Orthopedic Association , Osteoarthritis Study Group Of The Chinese Association Of Orthopedic Surgeons Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2024; 38(5):513-520.

PMID: 38752235 PMC: 11096873. DOI: 10.7507/1002-1892.202403115.

Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study.

Albasha A, Salman L, Elramadi A, Abudalou A, Mustafa A, Hejleh H Int Orthop. 2023; 47(12):2985-2989.

PMID: 37610463 PMC: 10673744. DOI: 10.1007/s00264-023-05946-z.

Closed Negative Suction Drain Entrapment in Total Knee Arthroplasty: A Report on the Implications of a Broken Drain Based on the ChatGPT Outlook.

Tomar L, Govil G, Dhawan P Cureus. 2023; 15(3):e36290.

PMID: 37073180 PMC: 10106098. DOI: 10.7759/cureus.36290.

Day case ankle arthroplasty: are they safe and cost effective? A single-centre case-control study.

Elbashir M, Uzoigwe C, Kurup H J Clin Orthop Trauma. 2022; 30:101919.

PMID: 35755933 PMC: 9214791. DOI: 10.1016/j.jcot.2022.101919.

Same-day discharge after early mobilisation and increased frequency of physiotherapy following hip and knee arthroplasty.

Prinsloo R, Keller M S Afr J Physiother. 2022; 78(1):1755.

PMID: 35747515 PMC: 9210171. DOI: 10.4102/sajp.v78i1.1755.

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