Yıl: 2020 Cilt: 42 Sayı: 1 Sayfa Aralığı: 93 - 97 Metin Dili: İngilizce DOI: 10.14744/etd.2019.24482 İndeks Tarihi: 26-11-2020

Comparison of the Aquacel Ag Surgical Dressing vs Standard Dressing in the Treatment of the Wound Site Infection and Patient Comfort in Total Knee Arthroplasty

Öz:
Objective: The present study aimed to evaluate the effects of the Aquacel Ag surgical dressing on wound site infections andpatient comfort in total knee arthroplasty (TKA).Materials and Methods: The study included a total of 274 patients diagnosed with primary gonarthrosis, who underwentTKA at our clinic during 2016 and 2017. The Aquacel Ag surgical dressing was applied in 139 patients (Group 1), and aconventional gauze sponge was used in 135 patients (Group 2). Patient outcomes including the frequency of changing thedressing, pain due to dressing change, patient satisfaction, wound site infections, and formation of blisters were comparedbetween the groups retrospectively.Results: The formation of blisters (p=0.770) and superficial infections (p=0.500) were similar in both groups. The durationof hospital stay (p<0.001) and the number of dressing changes (p<0.001) were significantly higher in the conventional gauzedressing group. Patient satisfaction was significantly higher, and pain scores during dressing change were significantly lower,in the Aquacel Ag group (p<0.001 for both). Also, the number of patients who could take a shower during the first 3 daysfollowing surgery was significantly higher in the Aquacel Ag group (p<0.001).Conclusion: The results of the present study showed that the Aquacel Ag surgical dressing significantly improved patientoutcomes after the TKA surgery by decreasing postoperative complications and enhancing patient satisfaction.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Zeni JA Jr, Axe MJ, Snyder-Mackler L. Clinical predictors of elective total joint replacement in persons with end-stage knee osteoarthritis. BMC Musculoskelet Disord 2010; 11: 86.
  • 2. Phruetthiphat OA, Gao Y, Vasta S, Zampogna B, Piperno A, Noiseux NO. Preoperative Risk Factors for, and Incidence of Delayed Surgery in Elective Primary Total Knee Arthroplasty After Hospital Admission: The ACS-NSQIP. J Arthroplasty 2016; 31(7): 1413–6.
  • 3. Patel VP, Walsh M, Sehgal B, Preston C, DeWal H, Di Cesare PE. Factors associated with prolonged wound drainage after primary total hip and knee arthroplasty. J Bone Joint Surg Am 2007; 89(1): 33–8.
  • 4. Langlois J, Zaoui A, Ozil C, Courpied JP, Anract P, Hamadouche M. Randomized controlled trial of conventional versus modern surgical dressings following primary total hip and knee replacement. Int Orthop 2015; 39(7): 1315–9.
  • 5. Ravenscroft MJ, Harker J, Buch KA. A prospective, randomised, controlled trial comparing wound dressings used in hip and knee surgery: Aquacel and Tegaderm versus Cutiplast. Ann R Coll Surg Engl 2006; 88(1): 18–22.
  • 6. Cai J, Karam JA, Parvizi J, Smith EB, Sharkey PF. Aquacel surgical dressing reduces the rate of acute PJI following total joint arthroplasty: a case-control study. J Arthroplasty 2014; 29(6): 1098–100.
  • 7. Hopper GP, Deakin AH, Crane EO, Clarke JV. Enhancing patient recovery following lower limb arthroplasty with a modern wound dressing: a prospective, comparative audit. J Wound Care 2012; 21(4): 200–3.
  • 8. Baranoski S, Ayello EA. Wound dressings: an evolving art and science. Adv Skin Wound Care 2012; 25(2): 87–92; quiz 92–4.
  • 9. Dobbelaere A, Schuermans N, Smet S, Van Der Straeten C, Victor J. Comparative study of innovative postoperative wound dressings after total knee arthroplasty. Acta Orthop Belg 2015; 81(3): 454–61.
  • 10. Cosker T, Elsayed S, Gupta S, Mendonca AD, Tayton KJ. Choice of dressing has a major impact on blistering and healing outcomes in orthopaedic patients. J Wound Care 2005; 14(1): 27–9.
  • 11. Williams C. An investigation of the benefits of Aquacel Hydrofibre wound dressing. Br J Nurs 1999; 8(10): 676–7, 680.
  • 12. Mertes SC, Raut S, Khanduja V. Integrated care pathways in lowerlimb arthroplasty: are they effective in reducing length of hospital stay? Int Orthop 2013; 37(6): 1157–63.
  • 13. Ibrahim MS, Khan MA, Nizam I, Haddad FS. Peri-operative interventions producing better functional outcomes and enhanced recovery following total hip and knee arthroplasty: an evidence-based review. BMC Med 2013; 11: 37.
  • 14. Grosso MJ, Berg A, LaRussa S, Murtaugh T, Trofa DP, Geller JA. Silver-Impregnated Occlusive Dressing Reduces Rates of Acute Periprosthetic Joint Infection After Total Joint Arthroplasty. J Arthroplasty 2017; 32(3): 929–32.
  • 15. Kuo FC, Chen B, Lee MS, Yen SH, Wang JW. AQUACEL® Ag Surgical Dressing Reduces Surgical Site Infection and Improves Patient Satisfaction in Minimally Invasive Total Knee Arthroplasty: A Prospective, Randomized, Controlled Study. Biomed Res Int 2017; 2017: 1262108.
  • 16. Springer BD, Beaver WB, Griffin WL, Mason JB, Odum SM. Role of Surgical Dressings in Total Joint Arthroplasty: A Randomized Controlled Trial. Am J Orthop (Belle Mead NJ) 2015; 44(9): 415–20.
  • 17. Paddock HN, Fabia R, Giles S, Hayes J, Lowell W, Besner GE. A silver impregnated antimicrobial dressing reduces hospital length of stay for pediatric patients with burns. J Burn Care Res 2007; 28(3): 409–11.
APA Akdogan M, atilla h (2020). Comparison of the Aquacel Ag Surgical Dressing vs Standard Dressing in the Treatment of the Wound Site Infection and Patient Comfort in Total Knee Arthroplasty. , 93 - 97. 10.14744/etd.2019.24482
Chicago Akdogan Mutlu,atilla halis Comparison of the Aquacel Ag Surgical Dressing vs Standard Dressing in the Treatment of the Wound Site Infection and Patient Comfort in Total Knee Arthroplasty. (2020): 93 - 97. 10.14744/etd.2019.24482
MLA Akdogan Mutlu,atilla halis Comparison of the Aquacel Ag Surgical Dressing vs Standard Dressing in the Treatment of the Wound Site Infection and Patient Comfort in Total Knee Arthroplasty. , 2020, ss.93 - 97. 10.14744/etd.2019.24482
AMA Akdogan M,atilla h Comparison of the Aquacel Ag Surgical Dressing vs Standard Dressing in the Treatment of the Wound Site Infection and Patient Comfort in Total Knee Arthroplasty. . 2020; 93 - 97. 10.14744/etd.2019.24482
Vancouver Akdogan M,atilla h Comparison of the Aquacel Ag Surgical Dressing vs Standard Dressing in the Treatment of the Wound Site Infection and Patient Comfort in Total Knee Arthroplasty. . 2020; 93 - 97. 10.14744/etd.2019.24482
IEEE Akdogan M,atilla h "Comparison of the Aquacel Ag Surgical Dressing vs Standard Dressing in the Treatment of the Wound Site Infection and Patient Comfort in Total Knee Arthroplasty." , ss.93 - 97, 2020. 10.14744/etd.2019.24482
ISNAD Akdogan, Mutlu - atilla, halis. "Comparison of the Aquacel Ag Surgical Dressing vs Standard Dressing in the Treatment of the Wound Site Infection and Patient Comfort in Total Knee Arthroplasty". (2020), 93-97. https://doi.org/10.14744/etd.2019.24482
APA Akdogan M, atilla h (2020). Comparison of the Aquacel Ag Surgical Dressing vs Standard Dressing in the Treatment of the Wound Site Infection and Patient Comfort in Total Knee Arthroplasty. Erciyes Medical Journal, 42(1), 93 - 97. 10.14744/etd.2019.24482
Chicago Akdogan Mutlu,atilla halis Comparison of the Aquacel Ag Surgical Dressing vs Standard Dressing in the Treatment of the Wound Site Infection and Patient Comfort in Total Knee Arthroplasty. Erciyes Medical Journal 42, no.1 (2020): 93 - 97. 10.14744/etd.2019.24482
MLA Akdogan Mutlu,atilla halis Comparison of the Aquacel Ag Surgical Dressing vs Standard Dressing in the Treatment of the Wound Site Infection and Patient Comfort in Total Knee Arthroplasty. Erciyes Medical Journal, vol.42, no.1, 2020, ss.93 - 97. 10.14744/etd.2019.24482
AMA Akdogan M,atilla h Comparison of the Aquacel Ag Surgical Dressing vs Standard Dressing in the Treatment of the Wound Site Infection and Patient Comfort in Total Knee Arthroplasty. Erciyes Medical Journal. 2020; 42(1): 93 - 97. 10.14744/etd.2019.24482
Vancouver Akdogan M,atilla h Comparison of the Aquacel Ag Surgical Dressing vs Standard Dressing in the Treatment of the Wound Site Infection and Patient Comfort in Total Knee Arthroplasty. Erciyes Medical Journal. 2020; 42(1): 93 - 97. 10.14744/etd.2019.24482
IEEE Akdogan M,atilla h "Comparison of the Aquacel Ag Surgical Dressing vs Standard Dressing in the Treatment of the Wound Site Infection and Patient Comfort in Total Knee Arthroplasty." Erciyes Medical Journal, 42, ss.93 - 97, 2020. 10.14744/etd.2019.24482
ISNAD Akdogan, Mutlu - atilla, halis. "Comparison of the Aquacel Ag Surgical Dressing vs Standard Dressing in the Treatment of the Wound Site Infection and Patient Comfort in Total Knee Arthroplasty". Erciyes Medical Journal 42/1 (2020), 93-97. https://doi.org/10.14744/etd.2019.24482