Wound Dressings for Hip and Knee Total Joint Arthroplasty: A Narrative Review.
| Autor: | Rothfusz CA; Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio., Emara AK, McLaughlin JP, Molloy RM, Krebs VE, Piuzzi NS |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | JBJS reviews [JBJS Rev] 2021 Jul 16; Vol. 9 (7). Date of Electronic Publication: 2021 Jul 16. |
| DOI: | e20.00301 |
| Abstrakt: | »: Dressing choice following lower-extremity total joint arthroplasty has substantial ramifications for postoperative outcomes and should be carefully made to prevent complications such as periprosthetic joint infection. »: Patient risk factors are essential components in the selection of wound dressings in total joint arthroplasty. »: Traditional dressings are inexpensive per unit; nevertheless, the associated higher complication profile in patients at a high risk for poor wound healing and sequelae-associated costs may outweigh the up-front savings. »: Modern dressings have the potential to yield better safety outcomes and increased patient satisfaction; however, there is a paucity of evidence regarding the ideal interactive dressing. »: Active dressings, such as silver-ion dressings and closed-incisional negative-pressure wound therapy, have shown promising results to reduce surgical site and periprosthetic joint infection, especially in patients at a high risk for poor wound healing following hip and knee total joint arthroplasty. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A721). (Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|