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Closed-incision negative-pressure therapy linked with fewer wound complications, SSIs
Use of closed-incision negative-pressure therapy was associated with fewer wound complications and surgical site infections in patients who underwent revision hip or knee surgery, according to results.
Researchers performed a retrospective quality improvement analysis of 138 consecutive revision hip or knee operations performed during a 34-month period. According to researchers, closed-incision negative-pressure therapy was used in 30 higher-risk patients who had multiple risk factors for surgical site infections, while antimicrobial dressings (Aquacel Ag; ConvaTec) were used in 108 patients. Researchers compared rates of wound complications, surgical site infections and reoperations between the two groups.
Compared with 26.9% of patients treated with antimicrobial dressings, results showed 6.7% of patients treated with closed-incision negative-pressure therapy developed a postoperative wound complication. Similarly, 18.5% of patients treated with antimicrobial dressings developed a surgical site infection vs. 3.3% of patients treated with closed-incision negative-pressure therapy, according to results. Researchers found patients treated with closed-incision negative-pressure therapy trended toward a lower rate of superficial wound dehiscence, fewer deep periprosthetic joint infections and fewer reoperations. – by Casey Tingle
Disclosures: Cooper is a paid consultant for Zimmer, Smith & Nephew, Medacta and KCI USA; received research support from KCI USA; and is on the multimedia education committee for the American Academy of Orthopaedic Surgeons. Please see the full study for a list of all other authors’ relevant financial disclosures.