AI Article Synopsis
- The study investigates if closed suction drains used after total ankle arthroplasty (TAA) lead to fewer wound complications in the first year post-surgery compared to no drains.
- A total of 324 TAA cases were analyzed, comparing outcomes in 144 patients without drains to 180 patients with drains over various follow-up periods.
- Results indicated that while drains were associated with a higher rate of complications in the first 2 weeks, no significant differences were observed in complications or reoperations in the following months, leading to a cautious recommendation regarding drain use.
Article Abstract
Background: The purpose of this study is to determine whether the use of closed suction drains after total ankle arthroplasty (TAA) is associated with lower wound complications in the first postoperative year as compared to no drain usage.
Methods: A total of 324 TAA were reviewed and included for analysis. One hundred forty-four did not have a postoperative drain placed, whereas 180 did have a postoperative drain. Demographic data, including age, sex, tobacco or alcohol use, and various medical comorbidities, were obtained. Follow-up data were collected and reviewed at 2, 6, and 12 weeks; 6 months; and 1 year postoperatively for minor and major wound complications, as well as wound-related reoperations.
Results: At the 2-week mark, the use of a drain demonstrated a significant increase in wound complications. No significant difference in wound complications was found at each subsequent follow-up visit. Within the first postoperative year, a total of 46 patients (31.9%) without drains and 69 patients (38.3%) with drains had a wound complication. This was not statistically significant. Most wound complications were minor, and no significant difference in reoperation rates occurred between the 2 groups.
Conclusion: A postoperative closed suction drain may increase wound complications in the first 2 weeks after TAA and should therefore be used with caution.
Level Of Evidence: Level III, retrospective comparative study.
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| http://dx.doi.org/10.1177/10711007221099197 | DOI Listing |
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