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The Safety and Efficacy of Using Drainage in Arthroscopic Rotator Cuff Repair

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Abstract

Purpose

This study aimed to evaluate the effects of not using a drain or placing a drain in the glenohumeral (GH) or subacromial (SA) joint spaces on fluid retention and pain in the early postoperative period and late clinical outcomes.

Methods

Patients who underwent arthroscopic rotator cuff repair between 2018 and 2020 were included in the study. Before the operation, demographic data, range of motion (ROM), visual analog scale (VAS) scores, Constant–Murley scores has documented. Deltoid muscle diameter (DMD) were measured. The total amount of irrigation used during the surgery and the operation duration were recorded, and the active amount of fluid coming from the drain in patients with a drain was recorded. The first postoperative DMD measure was made in the operating room and accepted as day 0. DMD measurements repeated postoperative first and second day. VAS assessments were performed on the postoperative first and second days. At the outpatient clinic, these measurements were repeated on the first and second weeks after discharge. Functional evaluations were made with ROM and Constant–Murley scores at the final follow-up examination.

Results

There was no difference in the amount of drainage between the two groups in which a drain was used. When the three groups were compared among themselves regarding preoperative and postoperative VAS scores, Constant–Murley scores, and DMD, no significant difference was found.

Conclusions

We do not recommend the routine use of drains after arthroscopic rotator cuff surgery in terms of cost-effectiveness.

Level of evidence

Level II: Prospective Cohort Study.

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, Gaziosmanpasa University School of Medicine, Kaleardı District Muhittin Fisunoglu Street, 60100, Tokat, Turkey

    Tahir Öztürk, Mehmet Burtaç Eren, Çağatay Zengin, Orhan Balta & Mete Gedikbaş

  2. Çeşme State Hospital, İzmir, Turkey

    Fırat Erpala

Authors
  1. Tahir Öztürk
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  2. Mehmet Burtaç Eren
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  3. Çağatay Zengin
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  4. Orhan Balta
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  5. Mete Gedikbaş
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  6. Fırat Erpala
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Correspondence to Mehmet Burtaç Eren.

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Conflict of interest

The authors whose names are listed immediately below certify that they have NO affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, afliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

Ethical standard statement

This article does not contain any studies involving animals performed by any of the authors. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was carried out after the approval of the local ethics committee (Tokat Gaziosmanpaşa University Clinical Research Ethics Committee).

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Informed consent was obtained from all individual participants involved in the study.

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Öztürk, T., Eren, M.B., Zengin, Ç. et al. The Safety and Efficacy of Using Drainage in Arthroscopic Rotator Cuff Repair. JOIO 55, 471–477 (2021). https://doi.org/10.1007/s43465-021-00372-y

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  • DOI: https://doi.org/10.1007/s43465-021-00372-y

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