Comparative study of primary total hip replacement (THR) with or without close negative suction drain

Abstract

Closed suction drainage after joint arthroplasty is common practice in many institutions. The theoretical advantages for the use of drains is a reduction in the occurrence of wound hematomas and infection. literature shows conflicting reports on the use of drains. This prospective, randomized study comprised 80 patients who underwent primary Total Hip Arthroplasty at Era’s Lucknow Medical College between December 2016 to June 2018. 10 patients having pre-existing medical/cardiac co morbidity were excluded from the study. We observed that using drain in Total Hip replacement Arthoplasty did not show any statistically significant advantage. When all wound complications and fall in Hemoglobin were considered, we found a statistically significant difference between the two groups, suggesting that the course of healing of the wound was more uneventful in patients with non drain group.