Conditions requiring knee replacement Musculoskeletal Diseases Conditions requiring knee replacement
Conditions
Interventions
All patients recruited to the study will have a routine Total Knee Replacement as they would normally on the NHS in Weston General Hospital. On admission they will be randomised into one of the two st
Sponsors
Weston Area Health NHS Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 18 years or older 2. Undergoing planned primary Total Knee Replacement surgery in Weston General Hospital
Exclusion criteria
Exclusion criteria: 1. Patients for revision procedures 2. Previous open procedures on the knee 3. Bleeding disorders or medical conditions/complications requiring therapeutic anticoagulation (eg DVT, PE, MI), even if these complications occur post-operatively 4. History of previous trauma to the knee 5. Known allergy to skin adhesives 6. Deviation from post-operative protocol 7. Significant medical condition which has an effect on wound healing (eg diabetes or rheumatological disease) 8. Obesity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Wound ooze on day 1 to day 4, using graph paper printed onto acetate sheets which can by laid onto the dressing, allowing the size of dressing marking to be measured by counting the number of squares on the graph paper which are involved | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The length of inpatient stay (days) following the surgery 2. Whether or not an expensive 'PICO' dressing is required (only if the patient has persistent wound ooze more than 2x2cm at day 4) 3. Patient satisfaction with the appearance and function of the scar as assessed by means of a validated wound scoring system, the Patient and Observer Scar Assessment Scale (POSAS) (the patient assessment part of this questionnaire) at week 4 and week 6 post-operatively | — |
Countries
England, United Kingdom
Outcome results
None listed