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Related Experiment Videos

Persistent wound drainage after primary total knee arthroplasty

A P Weiss1, K A Krackow

  • 1Department of Orthopaedics, Brown University School of Medicine, Rhode Island Hospital, Providence 02903.

The Journal of Arthroplasty
|June 1, 1993
PubMed
Summary

Persistent wound drainage after total knee arthroplasty (TKA) is uncommon but may signal infection. Early irrigation and debridement are recommended to prevent complications.

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Area of Science:

  • Orthopedic Surgery
  • Infectious Disease

Background:

  • Persistent wound drainage following total knee arthroplasty (TKA) is a concerning complication.
  • The incidence and management of this drainage, particularly its link to joint sepsis, require further definition.

Purpose of the Study:

  • To investigate the incidence and outcomes of persistent wound drainage after TKA.
  • To determine the effectiveness of irrigation and debridement in managing these cases and preventing subsequent joint infections.

Main Methods:

  • Retrospective review of 597 TKAs, identifying 8 cases with persistent wound drainage.
  • Analysis of follow-up data (average 4.3 years) and management strategies, including irrigation and debridement.

Main Results:

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  • Persistent drainage occurred in 1.3% of all TKAs and 0.5% of primary TKAs.
  • Twenty-five percent of patients undergoing irrigation and debridement had positive joint cultures, yet all were successfully treated with antibiotics.
  • Early irrigation and debridement showed no associated morbidity.

    • Conclusions:

    • Persistent wound drainage after TKA is rare but warrants prompt evaluation.
    • Early irrigation and debridement is a safe and effective management strategy that may prevent established joint infections.