1. Outcomes of Prophylactic Negative Pressure Wound Therapy in Knee Arthroplasty
- Author
-
Andrew J. Curley, Evan H. Argintar, Elizabeth B Terhune, and Anthony T Velott
- Subjects
Adult ,Reoperation ,medicine.medical_specialty ,Joint arthroplasty ,medicine.medical_treatment ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Negative-pressure wound therapy ,Humans ,Surgical Wound Infection ,Medicine ,Orthopedics and Sports Medicine ,Arthroplasty, Replacement, Knee ,Prospective cohort study ,Aged ,Retrospective Studies ,Aged, 80 and over ,030222 orthopedics ,integumentary system ,business.industry ,Retrospective cohort study ,Middle Aged ,Bandages ,Arthroplasty ,Surgery ,Cohort ,Orthopedic surgery ,030211 gastroenterology & hepatology ,business ,Complication ,Negative-Pressure Wound Therapy - Abstract
Negative pressure wound therapy is becoming more commonly used to prevent wound complications in joint arthroplasty, although few studies have assessed its outcomes compared with those of a traditional dry sterile dressing. This retrospective study assessed complications that required return to the operating room in a cohort of patients who received a dry sterile dressing (n=159) vs negative pressure wound therapy (n=32). There were significantly more overall complications ( P =.0293) in the dry sterile dressing group (23.3%) compared with the negative pressure wound therapy group (6.3%); however, these findings were not statistically significant when each individual complication was compared separately. The infection rate in the dry sterile dressing group and the negative pressure wound therapy group was 5.7% and 0%, respectively ( P =.3607). A larger, prospective study is needed to confirm the lower infection rate and before any definitive conclusions can be reached. [ Orthopedics . 2018; 41(6):e837–e840.]
- Published
- 2018
- Full Text
- View/download PDF