Routine Use of Suction Drain not Required in Primary Total Knee Replacement Surgery

Abstract

Introduction: Historically, total knee replacement has been performed under a tourniquet since its inception. However, there are several complications associated with the use of a tourniquet, such as ischemic limbs, calcified blood vessels, and nerve palsy, as well as an increase in postoperative drainage. To prevent hematoma formation in the knee joint and excess fluid accumulation, suction drains were placed in situ. Nevertheless, the primary complication associated with the use of drains is an increased risk of infection.

Materials & Methods: Our report features 100 cases of total knee replacement that were performed without using a tourniquet or drain. For single knee replacement, the average blood loss is approximately 300 ml, and there is no need for blood transfusions or drain placement since a crepe bandage was applied for a tamponade effect. The post-operative rehabilitation was excellent, and intra-operative antibiotics prophylaxis was effective.

Results: Immediately following surgery, patients were instructed to move about on day one based on their individual pain thresholds. Early mobilisation resulted in lesser accumulation of fluid and hence hematoma formation is lesser . They reported experiencing less pain and improved function. The majority of patients reported manageable postoperative discomfort and enhanced joint flexibility. Moreover, all of the patients in the study recovered without any issues or complications.

Conclusions: In primary Total knee replacement surgery does not necessitate the utilization of a romovac suction drain.