Efficacy of postoperative drainage in total knee arthroplasty: Review of the literature

  • Mattia Basilico | mattia.basilico1@gmail.com Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCSS, Rome; Università Cattolica del Sacro Cuore, Rome, Italy.
  • Raffaele Vitiello Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCSS, Rome; Università Cattolica del Sacro Cuore, Rome, Italy.
  • Francesco Liuzza Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCSS, Rome, Italy.
  • Felice Minutillo Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCSS, Rome, Italy.
  • Pasquale Ruberto Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCSS, Rome; Università Cattolica del Sacro Cuore, Rome, Italy.
  • Maria Rosaria Matrangolo Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCSS, Rome; Università Cattolica del Sacro Cuore, Rome, Italy.
  • Osvaldo Palmacci Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCSS, Rome, Italy.
  • Giulio Maccauro Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCSS, Rome; Università Cattolica del Sacro Cuore, Rome, Italy.
  • Giuseppe Malerba Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCSS, Rome, Italy.

Abstract

Postoperative drainage after total knee arthroplasty (TKA) is an established routine procedure for orthopedic surgeries, and is considered a useful practice in postoperative, but the use of drainage is controversial. Our study aims to clarify this aspect of knee prosthetic surgery. A systematic review of the literature was performed in the electronic databases to investigate the risks and the benefits of wound drainage in total knee arthroplasty: 30 articles were included in our review for eligibility. After the analysis of the literature performed, we found no significant advantages related with the use of wound drain following total knee replacement (TKR) in terms of pain, transfusion rate, blood loss, swelling, postoperative range of motion, wound complications, deep infection and hospital stay, while no drainage means a significant cost saving compared to drainage use. Thus, the use of drainage after TKA cannot be justified on the basis of the results of this study.

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Published
2020-06-25
Keywords:
Drain, drainage, total knee arthroplasty, total knee replacement.
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How to Cite
Basilico, M., Vitiello, R., Liuzza, F., Minutillo, F., Ruberto, P., Matrangolo, M. R., Palmacci, O., Maccauro, G., & Malerba, G. (2020). Efficacy of postoperative drainage in total knee arthroplasty: Review of the literature. Orthopedic Reviews, 12(1s). https://doi.org/10.4081/or.2020.8663