Open AccessOutcome in primary cemented total knee arthroplasty with or without drain
Author(s) -
Rafał Kęska,
Przemysław T. Paradowski,
Dariusz Witoński
Publication year - 2014
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.136285
Subject(s) - medicine , surgery , blood loss , orthopedic surgery , osteoarthritis , hematoma , arthroplasty , range of motion , total knee arthroplasty , blood transfusion , anesthesia , pathology , alternative medicine
Suction drain insertion is a common practice in orthopedic surgery, especially after joint arthroplasty to prevent the formation of a hematoma. Theoretically the use of a drain should diminish the volume of hematoma; however the literature has conflicting data. Some authors state that drainage evacuates fluid from a limited area only and can be a cause of infection due to retrograde migration of bacteria. It can also impair the early postoperative rehabilitation. The aim of this study was to evaluate the clinical outcome (especially postoperative pain) and intake of analgesics in patients who had undergone primary cemented total knee arthroplasty (TKA) with or without a postoperative drain.