A New Dressing System Reduces the Number of Dressing Changes in the Primary Total Knee Arthroplasty: A Randomized Controlled Trial
PurposeWe devised a novel dressing system to accelerate the recovery after total knee arthroplasty (TKA). The purpose of this study was to assess the clinical outcomes and economic expenses of the new dressing system.MethodsIn this randomized and controlled trial, we enrolled 98 patients who underwe...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.800850/full |
| _version_ | 1828776905615081472 |
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| author | Shilong Su Shilong Su Juan He Chenggong Wang Fawei Gao Da Zhong Da Zhong Pengfei Lei Pengfei Lei Pengfei Lei |
| author_facet | Shilong Su Shilong Su Juan He Chenggong Wang Fawei Gao Da Zhong Da Zhong Pengfei Lei Pengfei Lei Pengfei Lei |
| author_sort | Shilong Su |
| collection | DOAJ |
| description | PurposeWe devised a novel dressing system to accelerate the recovery after total knee arthroplasty (TKA). The purpose of this study was to assess the clinical outcomes and economic expenses of the new dressing system.MethodsIn this randomized and controlled trial, we enrolled 98 patients who underwent the first unilateral TKA between September 2020 and June 2021. The patients were randomly assigned to one of two groups: the intervention (the new dressing system group) or the control (the traditional gauze dressing) group. We gathered and evaluated patient data including age, gender, body mass index, surgical side, number of dressing changes, post-operative hospital stay, dressing-related expense, satisfaction, pain and function scores, wound scores and wound-related complications.ResultsThe number of dressing changes and post-operative hospital stay in the intervention group were significantly less than in the control group (p = 0.000, p = 0.002). Satisfaction in the intervention group was significantly higher than in the control group's (p = 0.000). There were no significant differences between the two groups in dressing-related expense, pain and function scores. During the one month follow-up, the intervention group's Stony Brook Scar Evaluation Scale (SBSES) was considerably higher than the control group's (p = 0.012).ConclusionThe new dressing system can reduce the number of dressing changes and post-operative hospital stays while increasing patient satisfaction with no difference in medical costs in TKA. This wound dressing system has potential for application in TKAClinical Trial Registrationhttps://clinicaltrials.gov, identifier ChiCTR2000033814. |
| first_indexed | 2024-12-11T16:09:32Z |
| format | Article |
| id | doaj.art-01cbd3f51f574b6aaa6299f15f60c191 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-11T16:09:32Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-01cbd3f51f574b6aaa6299f15f60c1912022-12-22T00:59:06ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-05-01910.3389/fsurg.2022.800850800850A New Dressing System Reduces the Number of Dressing Changes in the Primary Total Knee Arthroplasty: A Randomized Controlled TrialShilong Su0Shilong Su1Juan He2Chenggong Wang3Fawei Gao4Da Zhong5Da Zhong6Pengfei Lei7Pengfei Lei8Pengfei Lei9Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Orthopedics, The First Hospital of Changsha, Changsha, ChinaCollege of Stomatology, Changsha Medical University, Changsha, ChinaDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, ChinaHunan Key Laboratary of Aging Biology, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Orthopedics, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, ChinaHunan Engineering Research Center of Biomedical Metal and Ceramic Implants, Xiangya Hospital, Central South University, Changsha, ChinaPurposeWe devised a novel dressing system to accelerate the recovery after total knee arthroplasty (TKA). The purpose of this study was to assess the clinical outcomes and economic expenses of the new dressing system.MethodsIn this randomized and controlled trial, we enrolled 98 patients who underwent the first unilateral TKA between September 2020 and June 2021. The patients were randomly assigned to one of two groups: the intervention (the new dressing system group) or the control (the traditional gauze dressing) group. We gathered and evaluated patient data including age, gender, body mass index, surgical side, number of dressing changes, post-operative hospital stay, dressing-related expense, satisfaction, pain and function scores, wound scores and wound-related complications.ResultsThe number of dressing changes and post-operative hospital stay in the intervention group were significantly less than in the control group (p = 0.000, p = 0.002). Satisfaction in the intervention group was significantly higher than in the control group's (p = 0.000). There were no significant differences between the two groups in dressing-related expense, pain and function scores. During the one month follow-up, the intervention group's Stony Brook Scar Evaluation Scale (SBSES) was considerably higher than the control group's (p = 0.012).ConclusionThe new dressing system can reduce the number of dressing changes and post-operative hospital stays while increasing patient satisfaction with no difference in medical costs in TKA. This wound dressing system has potential for application in TKAClinical Trial Registrationhttps://clinicaltrials.gov, identifier ChiCTR2000033814.https://www.frontiersin.org/articles/10.3389/fsurg.2022.800850/fulldressing changetotal knee arthroplastysatisfactionwounddressing |
| spellingShingle | Shilong Su Shilong Su Juan He Chenggong Wang Fawei Gao Da Zhong Da Zhong Pengfei Lei Pengfei Lei Pengfei Lei A New Dressing System Reduces the Number of Dressing Changes in the Primary Total Knee Arthroplasty: A Randomized Controlled Trial Frontiers in Surgery dressing change total knee arthroplasty satisfaction wound dressing |
| title | A New Dressing System Reduces the Number of Dressing Changes in the Primary Total Knee Arthroplasty: A Randomized Controlled Trial |
| title_full | A New Dressing System Reduces the Number of Dressing Changes in the Primary Total Knee Arthroplasty: A Randomized Controlled Trial |
| title_fullStr | A New Dressing System Reduces the Number of Dressing Changes in the Primary Total Knee Arthroplasty: A Randomized Controlled Trial |
| title_full_unstemmed | A New Dressing System Reduces the Number of Dressing Changes in the Primary Total Knee Arthroplasty: A Randomized Controlled Trial |
| title_short | A New Dressing System Reduces the Number of Dressing Changes in the Primary Total Knee Arthroplasty: A Randomized Controlled Trial |
| title_sort | new dressing system reduces the number of dressing changes in the primary total knee arthroplasty a randomized controlled trial |
| topic | dressing change total knee arthroplasty satisfaction wound dressing |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.800850/full |
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