VIDEO: Consensus on dressing, wound management improves standardization, outcomes of TJA
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Key takeaways:
- An expert panel developed a consensus regarding surgical dressings and wound care for patients undergoing hip or knee arthroplasty.
- Recommendations for wound care will continue to evolve with more research.
In this video, Michael A. Mont, MD, FAAOS, discussed a recent consensus on wound and dressing management and how it can reduce variability, advance standardization and improve outcomes for patients undergoing total joint arthroplasty.
“There is no standard of care for wound closure after hip or knee arthroplasty,” Mont said. “You can poll 10 or 20 different surgeons, and they’re going to tell you 10 or 20 different ways that they close wounds. So, we felt this was an appropriate topic for a Delphi panel.”
Mont and 19 orthopedic surgeons from North America and Europe reviewed 26 statements from a targeted literature review to achieve consensus on surgical dressings and wound care for patients undergoing total hip and knee arthroplasty.
The consensus included recommendations on range of motion after wound closure, use of aspirin, barbed vs. non-barbed sutures, silver-impregnated dressings, negative pressure wound therapy and triclosan-coated sutures.
“There will be upcoming articles on future directions,” Mont said. “The field is not static. This is a great [consensus] to read to know the state-of-the-art, at-this-point-in-time [recommendations]. But I think in 2 or 3 years from now, we’ll have more answers to more questions.”
References:
Ainslite-Garcia M, et al. J Arthroplasty. 2024;doi:10.1016/j.arth.2023.12.032.
Ainslite-Garcia M, et al. J Arthroplasty. 2024;doi:10.1016/j.arth.2024.01.047.
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