Occlusive Dressings, Nursing, Knee Surgery, Hip Surgery
Conditions
Brief summary
Surgical wounds are covered to prevent bleeding, absorb the exudates and provide a barrier against external contamination. Currently, in Corporació PT after orthopedic surgery, traditional occlusive dressing of sterile gauze and non-woven hypoallergenic adhesive tape is placed. In many cases the appearance of blistering caused by the use of these conventional dressings is observed, which increases the risk of infection, pain and the final cost of the procedure. There are other types of dressings that could improve these aspects but comparative data are not currently available. Main objective: to identify the dressing that better preserves the integrity of the skin. Design: Prospective randomized comparative study of 5 types of dressings used in total knee and hip arthroplasty surgical wounds (TKA and THA). Secondary Objectives: To identify the dressing that provides greater advantages and minor inconveniences in TKA and THA surgery. Study population: Patients older than 18 years undergoing fast track primary TKA or THA. 110 patients
Interventions
Measuring the skin integrity with each dressing and the patient satisfaction
Measuring the skin integrity with each dressing and the patient satisfaction
Measuring the skin integrity with each dressing and the patient satisfaction
Measuring the skin integrity with each dressing and the patient satisfaction
Measuring the skin integrity with each dressing and the patient satisfaction
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients older than 18 years * operated on primary TKA and THA in the fast track circuit * adequate cognitive ability.
Exclusion criteria
* damaged skin * no self-care capacity or caregiver * inadequate cognitive ability to consent freely * patients who will not undergo fast track surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Skin integrity | 2 weeks after surgery | Skin integrity is a composite endpoint including absence of any of the following items: blisters, erosion, erythema, maceration, swelling, wound dehiscence, purulent exudate) in the area of the surgical wound, measured by wound inspection |
Countries
Spain