Total Hip Replacement, Total Knee Replacement
Conditions
Keywords
Hip arthroplasty, Hip replacement, Knee arthroplasty, Knee replacement, Musculoskeletal, Enhanced recovery after surgery, ERAS, Surgical wound
Brief summary
The goal of this prospective observational cohort study is to investigate dressing-related experiences and surgical site self-care in patients who are undergoing a total hip or knee replacement. The main objectives of the study are: * To evaluate patient adherence to the ISWCAP self-care checklist after total hip or knee replacement within an ERAS pathway. * To explore patient-reported outcomes related to the performance and comfort of advanced dressings. * To assess the perceived adequacy and usefulness of post-discharge wound care education. * To identify the incidence and types of wound-related complications in the 12 weeks following surgery. Participants will give informed consent before surgery and will start the study once the dressing has been applied following surgery. There will be follow up study visits at discharge, 7 days, 12 days, 6 weeks and 12 weeks post-surgery. Data relating to vital signs, medical history, surgery and medication will be taken from routine data.
Interventions
The study will investigate any wound dressing applied as part of routine care. Advanced wound dressings are highly absorbent, flexible and comfortable for surgical wounds, and offer up to 14 days wear time. The adhesive moulds to the skin without sticking to the wound, thus protecting the skin and wound from damage. They support patient mobilisation by being comfortable, and thereby minimising painful skin damage such as blisters.
Sponsors
Bournemouth University
Nuffield Health Bournemouth
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults (18+) undergoing primary total hip or knee replacement * Enrolled in an ERAS protocol * Willing and able to provide informed consent
Exclusion criteria
* Requiring revision replacement * Unable to provide informed consent (cognitive disorder such as dementia, psychiatric illness) * Unable to understand written English
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of participants responding "yes" to each item of the ISWCAP checklist at 6-weeks post-surgery | 6-weeks post surgery |
Secondary
| Measure | Time frame |
|---|---|
| Incidence and types of wound complications such as infection, dehiscence (as measured by the Sandy Grading System for surgical wound dehiscence classification), and blistering in the 12-weeks following surgery | From surgery until the 12-week follow-up appointment |
| Bluebelle Wound Healing Questionnaire, completed at Visits 5 (12-days post-surgery) and 6 (6-weeks post-surgery) | 12-days post-surgery and 6-weeks post-surgery |
| Dressing Comfort and Usability Survey completed at Visits 4 (7-days post-surgery) and 5 (12-days post-surgery) | 7- and 12-days post-surgery |
Countries
United Kingdom
Contacts
CONTACTTikki Immins
CONTACTChloe Bascombe
PRINCIPAL_INVESTIGATORThomas Wainwright
Bournemouth University
Outcome results
None listed