Comparative study of innovative postoperative wound dressings after total knee arthroplasty.
Acta Orthop Belg
; 81(3): 454-61, 2015 Sep.
Article
em En
| MEDLINE
| ID: mdl-26435241
ABSTRACT
PURPOSE:
Postoperative wound complications, especially surgical site infections, influence the outcome after total knee arthroplasty. The purpose of our study was to compare four different wound dressings. Following research questions were askedâ (1) Which dressing is associated with least wound complications? (2) Which dressing application is the cheapest? (3)âWhich dressing is most comfortable for the patient?METHODS:
111 patients undergoing a total knee arthroplasty were randomized in 4 groups. Each group received a different dressing with its specific wound management protocolâ (1) Zetuvit® with Cosmopor E®, (2) Zetuvit® with Opsite Post-Op Visible®, (3) Aquacel Surgical® and (4) Mepilex Border®. Follow-up evaluations were performed on the fifth postoperative day and included assessment of the wound, status of the wound dressing and the patient's own judgment. Cumulative costs were calculated.RESULTS:
Clinically Mepilex Border®, a silicone dressing, scored the best. No wound complications were seen in this group. The mean number of dressing renewals was 1.9 for the standard dressing which was significantly higher (p<.0001) compared to the other dressings. Opsite Post-op Visible® was the cheapest dressing. Mepilex Border® had the best scores for pain, freedom of movement and general comfort.CONCLUSIONS:
Mepilex Border® is the most skin-friendly dressing. The number of dressing renewals is a defining factor to calculate the costs. Mepilex Border® appeared to be the best dressing to use after a total knee arthroplasty.
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Bases de dados:
MEDLINE
Assunto principal:
Cuidados Pós-Operatórios
/
Infecção da Ferida Cirúrgica
/
Cicatrização
/
Curativos Biológicos
/
Artroplastia do Joelho
Tipo de estudo:
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Acta Orthop Belg
Ano de publicação:
2015
Tipo de documento:
Article