AI Article Synopsis
- The use of postoperative drains in total joint arthroplasty traditionally aims to reduce wound complications like infections but can incur costs and potential health risks.
- A study reviewing 227 total knee arthroplasties showed no significant increase in wound complications when drains were not used, suggesting drains may not be necessary.
- Cementless total knee arthroplasties exhibited even lower complication rates compared to those with cemented or drained procedures, indicating a potential shift in surgical practice.
Article Abstract
The standard practice in total joint arthroplasty has included the use of postsurgical drains to minimize perioperative wound complications, particularly infection. This practice is not without cost and potential morbidity. Our recent cemented and cementless total knee arthroplasties (TKAs) have been done without the use of postoperative surgical drains and without any appreciable increase in wound complications. To confirm this, we retrospectively reviewed 227 consecutive TKAs, specifically evaluating perioperative wound complications. No statistical increase in perioperative complications in TKAs without drains was found. A lower percentage of complications was seen in the cementless population when compared with cemented or drained knees. We suggest that surgical drainage is not required in TKA, even when cementless fixation is used.
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