Do surgical site complications after ankle fracture surgery reduce with Aquacel Extra Ag ® ?

Autor: Luque-Valenzuela M; Hospital Universitario Virgen de las Nieves, Granada, España. Electronic address: marialuquevalenzuela@gmail.com., Sánchez-Aguilera AJ; Hospital Universitario Virgen de las Nieves, Granada, España., Martín-Vivaldi-Jiménez A; Hospital Universitario Virgen de las Nieves, Granada, España., Jódar-Graus R; Hospital Universitario Virgen de las Nieves, Granada, España., Prados-Olleta N; Facultad de Medicina, Hospital Universitario Virgen de las Nieves, Granada, España.
Jazyk: English; Spanish; Castilian
Zdroj: Revista espanola de cirugia ortopedica y traumatologia (English ed.) [Rev Esp Cir Ortop Traumatol (Engl Ed)] 2019 Sep - Oct; Vol. 63 (5), pp. 342-345. Date of Electronic Publication: 2019 Jun 22.
DOI: 10.1016/j.recot.2019.04.003
Abstrakt: Introduction: Ankle fractures account for up to 10% of total fractures. Most of them require surgical fixation, which involves an important risk of wound complications. The aim of this study was to determine whether a silver-impregnated occlusive surgical dressing (Aquacel Ag Extra ® ) was effective in reducing the rates of wound complications after ankle fracture open reduction and internal fixation compared to standard sterile dressing.
Methods: We prospectively reviewed 233 patients who underwent ankle fracture open reduction and internal fixation. Surgeons switched from using a standard dressing to an Aquacel Ag Extra ® from July 2017 to February 2018, without other major changes in perioperative management. We compared skin complications between both groups after 3 months' follow-up.
Results: The statistical analysis showed that there is no difference in the prevalence of skin complications between both groups.
Conclusions: The theoretical advantages of silver impregnated dressings need further prospective randomized controlled studies to assess the appropriate indications for their use in orthopaedic surgery.
(Copyright © 2019 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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