Outcomes of Prophylactic Negative Pressure Wound Therapy in Knee Arthroplasty.

MedStar author(s):
Citation: Orthopedics. 41(6):e837-e840, 2018 Nov 01.PMID: 30321445Institution: MedStar Washington Hospital CenterDepartment: MedStar Georgetown Orthopedic Institute, Washington Hospital Center H | Surgery/Orthopaedic SurgeryForm of publication: Journal ArticleMedline article type(s): Comparative Study | Journal ArticleSubject headings: *Arthroplasty, Replacement, Knee/ae [Adverse Effects] | *Bandages | *Negative-Pressure Wound Therapy | *Postoperative Complications/pc [Prevention & Control] | Adult | Aged | Aged, 80 and over | Humans | IN PROCESS -- NOT YET INDEXED | Middle Aged | Reoperation | Retrospective Studies | Surgical Wound Infection/pc [Prevention & Control]Year: 2018Local holdings: Available online through MWHC library: 2007 - 2009, Available in print through MWHC library: 1999 - 2006ISSN:
  • 0147-7447
Name of journal: OrthopedicsAbstract: Copyright 2018, SLACK Incorporated.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.].All authors: Argintar EH, Curley AJ, Terhune EB, Velott ATFiscal year: FY2019Digital Object Identifier: Date added to catalog: 2019-01-18
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 30321445 Available 30321445

Available online through MWHC library: 2007 - 2009, Available in print through MWHC library: 1999 - 2006

Copyright 2018, SLACK Incorporated.

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.].

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