The application of close incisional negative pressure wound therapy in revision arthroplasty among asian patients: a comparative study

Abstract Introduction Peri-prosthetic joint infection (PJI) was one of the main causes of revision of arthroplasty. In order to reduce wound complications and surgical site infections, close incisional negative pressure wound therapy (ciNPWT) has been introduced into arthroplasty. This study was des...

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Autores principales:	Ping Keung Chan, Wing Chiu Fung, Kar Hei Lam, Winnie Chan, Vincent Wai Kwan Chan, Henry Fu, Amy Cheung, Man Hong Cheung, Chun Hoi Yan, Kwong Yuen Chiu
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Closed-incisional negative pressure wound therapy Surgical site infection Periprosthetic joint infection Arthroplasty Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/3531f451aab7464599c9dfbaf929e54f
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spelling	oai:doaj.org-article:3531f451aab7464599c9dfbaf929e54f2021-11-08T11:19:17ZThe application of close incisional negative pressure wound therapy in revision arthroplasty among asian patients: a comparative study10.1186/s42836-021-00094-42524-7948https://doaj.org/article/3531f451aab7464599c9dfbaf929e54f2021-11-01T00:00:00Zhttps://doi.org/10.1186/s42836-021-00094-4https://doaj.org/toc/2524-7948Abstract Introduction Peri-prosthetic joint infection (PJI) was one of the main causes of revision of arthroplasty. In order to reduce wound complications and surgical site infections, close incisional negative pressure wound therapy (ciNPWT) has been introduced into arthroplasty. This study was designed to review the clinical benefits of the application of ciNPWT in revision arthroplasty. Methods This was a single-centre retrospective comparative study approved by the Institutional Review Board. Patients, who underwent revision total knee arthroplasty or revision total hip arthroplasty at the author’s institution from January 2016 to October 2019, were included in this study. The ciNPWT cohort included all eligible patients, who underwent operations from January 2018 to October 2019, with the use of ciNPWT(n = 36). The control cohort included all eligible patients, who underwent operations from January 2016 to December 2017 with the use of conventional dressing(n = 48). The incidences of wound complications were compared to both cohorts. Results There was a statistically significant difference in the rate of superficial surgical site infection (SSI) between control cohort and ciNPWT cohort (12.5% in control vs 0% in ciNPWT, p = 0.035). However, there was no statistically significance of the overall wound complication rate for both cohorts. (14.6% in control vs 8.3% in ciNPWT, p = 0.504). Conclusions The application of ciNPWT could result in a lower rate of superficial surgical site infection when compared with conventional dressing among the patients undergoing revision total knee and total hip arthroplasties. Trial registration UW19-706Ping Keung ChanWing Chiu FungKar Hei LamWinnie ChanVincent Wai Kwan ChanHenry FuAmy CheungMan Hong CheungChun Hoi YanKwong Yuen ChiuBMCarticleClosed-incisional negative pressure wound therapySurgical site infectionPeriprosthetic joint infectionArthroplastyOrthopedic surgeryRD701-811ENArthroplasty, Vol 3, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Closed-incisional negative pressure wound therapy Surgical site infection Periprosthetic joint infection Arthroplasty Orthopedic surgery RD701-811
spellingShingle	Closed-incisional negative pressure wound therapy Surgical site infection Periprosthetic joint infection Arthroplasty Orthopedic surgery RD701-811 Ping Keung Chan Wing Chiu Fung Kar Hei Lam Winnie Chan Vincent Wai Kwan Chan Henry Fu Amy Cheung Man Hong Cheung Chun Hoi Yan Kwong Yuen Chiu The application of close incisional negative pressure wound therapy in revision arthroplasty among asian patients: a comparative study
description	Abstract Introduction Peri-prosthetic joint infection (PJI) was one of the main causes of revision of arthroplasty. In order to reduce wound complications and surgical site infections, close incisional negative pressure wound therapy (ciNPWT) has been introduced into arthroplasty. This study was designed to review the clinical benefits of the application of ciNPWT in revision arthroplasty. Methods This was a single-centre retrospective comparative study approved by the Institutional Review Board. Patients, who underwent revision total knee arthroplasty or revision total hip arthroplasty at the author’s institution from January 2016 to October 2019, were included in this study. The ciNPWT cohort included all eligible patients, who underwent operations from January 2018 to October 2019, with the use of ciNPWT(n = 36). The control cohort included all eligible patients, who underwent operations from January 2016 to December 2017 with the use of conventional dressing(n = 48). The incidences of wound complications were compared to both cohorts. Results There was a statistically significant difference in the rate of superficial surgical site infection (SSI) between control cohort and ciNPWT cohort (12.5% in control vs 0% in ciNPWT, p = 0.035). However, there was no statistically significance of the overall wound complication rate for both cohorts. (14.6% in control vs 8.3% in ciNPWT, p = 0.504). Conclusions The application of ciNPWT could result in a lower rate of superficial surgical site infection when compared with conventional dressing among the patients undergoing revision total knee and total hip arthroplasties. Trial registration UW19-706
format	article
author	Ping Keung Chan Wing Chiu Fung Kar Hei Lam Winnie Chan Vincent Wai Kwan Chan Henry Fu Amy Cheung Man Hong Cheung Chun Hoi Yan Kwong Yuen Chiu
author_facet	Ping Keung Chan Wing Chiu Fung Kar Hei Lam Winnie Chan Vincent Wai Kwan Chan Henry Fu Amy Cheung Man Hong Cheung Chun Hoi Yan Kwong Yuen Chiu
author_sort	Ping Keung Chan
title	The application of close incisional negative pressure wound therapy in revision arthroplasty among asian patients: a comparative study
title_short	The application of close incisional negative pressure wound therapy in revision arthroplasty among asian patients: a comparative study
title_full	The application of close incisional negative pressure wound therapy in revision arthroplasty among asian patients: a comparative study
title_fullStr	The application of close incisional negative pressure wound therapy in revision arthroplasty among asian patients: a comparative study
title_full_unstemmed	The application of close incisional negative pressure wound therapy in revision arthroplasty among asian patients: a comparative study
title_sort	application of close incisional negative pressure wound therapy in revision arthroplasty among asian patients: a comparative study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/3531f451aab7464599c9dfbaf929e54f
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The application of close incisional negative pressure wound therapy in revision arthroplasty among asian patients: a comparative study

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