Enhancing patient recovery following lower limb arthroplasty with a modern wound dressing: a prospective, comparative audit

Journal of Wound Care
G P HopperJ V Clarke

Abstract

To assess current wound care practice, implement a potentially improved regimen and re-evaluate practice. Two prospective clinical audits were performed over a 6-month period, involving 100 patients undergoing hip or knee arthroplasty. Fifty consecutive patients with traditional dressings (Mepore; Mölnlycke) were evaluated prior to a change in practice to a modern dressing (Aquacel Surgical; ConvaTec). Fifty consecutive patients were then evaluated with the new dressing to complete the audit cycle. Clinical outcome measures were wear time, number of changes, blister rate and length of hospital stay. Statistical comparisons were performed using Mann Whitney or Fisher's exact test (statistical significance p < 0.05). Wear time for the traditional dressing (2 days) was significantly shorter than for the modern dressing (7 days; p < 0.001), and required more changes (0 vs 3; p < 0.001). Twenty per cent of patients developed blisters with the traditional dressing compared with 4% with the modern dressing (p=0.028). Median length of stay was the same for the modern dressing (4 days) compared with the traditional dressing (4 days). In the modern dressing group, 75% of patients were discharged by day 4, whereas in the traditional group...Continue Reading

References

Jan 10, 2009·Journal of Wound Care·J V ClarkeA W G Kinninmonth
Apr 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Kristian LarsenKjeld Søballe
May 13, 2010·BMC Musculoskeletal Disorders·Joseph A ZeniLynn Snyder-Mackler

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Citations

Dec 18, 2013·The Journal of Arthroplasty·Elie GhanemAnna Stefansdottir
Jan 28, 2014·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Elie GhanemAnna Stefansdottir
Mar 15, 2016·International Journal of Orthopaedic and Trauma Nursing·Sara EastburnMark G Rippon
Apr 1, 2015·The Journal of Arthroplasty·Maryam Rezapoor, Javad Parvizi
Sep 18, 2016·The Orthopedic Clinics of North America·Megan WaltersKhaled J Saleh
Feb 2, 2017·The Open Orthopaedics Journal·Fatih Küçükdurmaz, Javad Parvizi
Feb 14, 2019·Der Orthopäde·U NöthL Rackwitz
Dec 3, 2013·The Bone & Joint Journal·M S IbrahimF S Haddad
Sep 13, 2013·Annals of the Royal College of Surgeons of England·M S IbrahimF S Haddad
Sep 14, 2018·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Ashley J TisoskyAyesha Abdeen
Apr 9, 2020·Frontiers in Bioengineering and Biotechnology·Chenyu ShiJincheng Wang
Nov 9, 2012·The Journal of Bone and Joint Surgery. British Volume·K G Vince
Oct 14, 2020·The Journal of Arthroplasty·Richard M MichelinMichael French
Feb 27, 2021·Der Orthopäde·F GreimelG Maderbacher
Jul 17, 2021·JBJS Reviews·Christopher A RothfuszNicolas S Piuzzi

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Methods Mentioned

BETA
total hip arthroplasty

Software Mentioned

SPSS

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