The Use of Closed Incision Negative Pressure Therapy Immediately After Total Ankle Arthroplasty Surgeries

Curēus
Alexandra Sidorski, Gregory Lundeen

Abstract

Introduction Total ankle arthroplasty (TAA) has become a common procedure in the treatment of end-stage ankle arthritis. Most prostheses utilize an anterior ankle approach, which has been shown to have incisional complication rates of up to 28%, including dehiscence and infection. Wounds in this area can be catastrophic to patient outcomes. Preventing incisional wounds would significantly benefit the patient. The purpose of this study was to evaluate the effect of closed incision negative pressure therapy (ciNPT) in reducing incisional dehiscence and surgical site infection (SSI) after TAA. Materials and methods A retrospective chart review that was approved by the Institutional Review Board (IRB) was performed on patients undergoing TAA. Inclusion criteria were patients undergoing TAA with an anterior incision and ciNPT placed immediately in the operating room. Comorbidities associated with increased wound complications were recorded. Identification of any incisional dehiscence, infections, or deviations from normal postoperative recovery attributed to the former was also recorded. Results Twenty-eight patients met the inclusion criteria. The average age of the patients at the time of surgery was 68 years. Comorbidities associ...Continue Reading

References

Jul 21, 2009·Clinical Orthopaedics and Related Research·Nikolaos GougouliasNicola Maffulli
Sep 4, 2012·The Journal of the American Academy of Orthopaedic Surgeons·Philipp N StreubelWilliam T Obremskey
Jul 13, 2013·International Orthopaedics·Stephanie NoelleWolfgang Klauser
Oct 24, 2013·The Bone & Joint Journal·R ZaidiA Goldberg
Mar 5, 2015·Foot & Ankle International·Takumi Matsumoto, Selene G Parekh
Mar 15, 2015·Foot & Ankle International·Brian C WernerM Truitt Cooper
May 14, 2016·International Wound Journal·Christian WillyV Sreenath Reddy
Jan 22, 2017·Advances in Therapy·George Han, Roger Ceilley
May 16, 2017·Foot and Ankle Clinics·Yash J AvashiaSelene G Parekh
May 16, 2017·Foot and Ankle Clinics·Yousef AlrashidiVictor Valderrabano
Dec 21, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Julia A KatarincicRoss Feller

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Methods Mentioned

BETA
amputation
total ankle arthroplasty
require

Software Mentioned

PREVENA ciNPT
ciNPT
PREVENA
PREVENA Management System

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