NEGATIVE-PRESSURE WOUND THERAPY IN THE TREATMENT OF COMPLEX INJURIES AFTER TOTAL KNEE ARTHROPLASTY
Carregando...
Citações na Scopus
12
Tipo de produção
article
Data de publicação
2017
Título da Revista
ISSN da Revista
Título do Volume
Editora
ATHA COMUNICACAO & EDITORA
Citação
ACTA ORTOPEDICA BRASILEIRA, v.25, n.2, p.85-88, 2017
Resumo
Objective: To present an experience with negative-pressure wound therapy (NPWT) in the treatment of surgical wounds in patients treated for infections after total knee arthroplasty (TKA) with or without dehiscence and prophylaxis in wounds considered at risk of healing problems. Methods: We prospectively evaluated patients with TKA infection with or without surgical wound dehiscence and patients with risk factors for infection or surgical wound complications treated with Pico (R) device for NPWT in addition to standard treatment of infection or dehiscence in our institution. We considered as an initial favorable outcome the resolution of the infectious process and the closure of the surgical wound dehiscences in the treated cases and the good progression of the wound without complicating events in the prophylactic cases. Results: We evaluated 10 patients who used Pico (R) in our service. All patients had a favorable outcome according to established criteria. No complications were identified regarding the use of the NPWT device. The mean follow-up of the patients after the use of the device was 10.5 months. Conclusion: The NPWT can be safely used in wound infections and complications following TKA with promising results. Long-term randomized prospective studies should be conducted to prove its effectiveness.
Palavras-chave
Negative-pressure wound therapy, Arthroplasty, replacement knee, Surgical wound dehiscence, Infection
Referências
- Ahmad Z, 2013, INT J LOW EXTR WOUND, V12, P16, DOI 10.1177/1534734612474305
- Anderson Deverick J, 2014, Infect Control Hosp Epidemiol, V35 Suppl 2, pS66, DOI 10.1086/676022
- Chen Shao-Zong, 2005, Asian J Surg, V28, P211, DOI 10.1016/S1015-9584(09)60346-8
- Cooper HJ, 2016, J ARTHROPLASTY, V31, P1047, DOI 10.1016/j.arth.2015.11.010
- Dal-Paz K, 2010, BRAZ J INFECT DIS, V14, P356, DOI 10.1590/S1413-86702010000400008
- Gillespie BM, 2015, SURG INNOV, V22, P488, DOI 10.1177/1553350615573583
- Hansen E, 2013, CLIN ORTHOP RELAT R, V471, P3230, DOI 10.1007/s11999-013-2937-3
- Helito CP, 2015, PROSTHET ORTHOT INT, V39, P463, DOI 10.1177/0309364614543548
- Helito CP, 2014, CLINICS, V69, P735, DOI 10.6061/clinics/2014(11)05
- Howell RD, 2011, CURR ORTHOP PRACT, V22, P176, DOI 10.1097/BCO.0b013e31820b3e21
- Hudson DA, 2015, INT WOUND J, V12, P195, DOI 10.1111/iwj.12080
- Jaberi FM, 2008, CLIN ORTHOP RELAT R, V466, P1368, DOI 10.1007/s11999-008-0214-7
- Karlakki S, 2013, BONE JOINT RES, V2, P276, DOI 10.1302/2046-3758.212.2000190
- Kelm J, 2009, INT J MED SCI, V6, P241
- Kirr R, 2006, ZBL CHIR, V131, pS79, DOI 10.1055/s-2005-921501
- Kurtz SM, 2007, J BONE JOINT SURG AM, V89A, P144, DOI 10.2106/JBJS.G.00587
- Lehner B, 2006, ZBL CHIR, V131, pS160, DOI 10.1055/s-2006-921513
- Lima Ana Lucia Lei Munhoz, 2010, Rev. bras. ortop., V45, P520, DOI [10.1016/S2255-4971(15)30296-2, 10.1590/S0102-36162010000600002]
- Matsumoto T, 2015, FOOT ANKLE INT, V36, P787, DOI 10.1177/1071100715574934
- Morykwas MJ, 2006, PLAST RECONSTR SURG, V117, p121S, DOI 10.1097/01.prs.0000225450.12593.12
- Pachowsky M, 2012, INT ORTHOP, V36, P719, DOI 10.1007/s00264-011-1321-8
- Patel VP, 2007, J BONE JOINT SURG AM, V89A, P33, DOI 10.2106/JBJS.F.00163
- Payne Caroline, 2014, Eplasty, V14, pe20
- Pellino G, 2014, INT J SURG, V12, pS64, DOI 10.1016/j.ijsu.2014.08.378
- Rezzadeh KS, 2015, J SURG RES, V199, P726, DOI 10.1016/j.jss.2015.06.004
- Saleh K, 2002, J ORTHOPAED RES, V20, P506, DOI 10.1016/S0736-0266(01)00153-X
- Siqueira Marcelo Bp, 2016, World J Orthop, V7, P30, DOI 10.5312/wjo.v7.i1.30
- Vince K, 2007, J ARTHROPLASTY, V22, P39, DOI 10.1016/j.arth.2007.03.014
- Wilkes RP, 2012, SURG INNOV, V19, P67, DOI 10.1177/1553350611414920