NEGATIVE-PRESSURE WOUND THERAPY IN THE TREATMENT OF COMPLEX INJURIES AFTER TOTAL KNEE ARTHROPLASTY

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author HELITO, Camilo Partezani FMUSP-HC
BUENO, Daniel Kamura FMUSP-HC
GIGLIO, Pedro Nogueira FMUSP-HC
BONADIO, Marcelo Batista FMUSP-HC
PECORA, Jose Ricardo FMUSP-HC
DEMANGE, Marco Kawamura FMUSP-HC
dc.date.issued 2017
dc.identifier.citation ACTA ORTOPEDICA BRASILEIRA, v.25, n.2, p.85-88, 2017
dc.identifier.issn 1413-7852
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/21378
dc.description.abstract 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.
dc.language.iso eng
dc.publisher ATHA COMUNICACAO & EDITORA
dc.relation.ispartof Acta Ortopedica Brasileira
dc.rights openAccess
dc.subject Negative-pressure wound therapy; Arthroplasty, replacement knee; Surgical wound dehiscence; Infection
dc.subject.other vacuum-assisted closure; surgical incision; hip-arthroplasty; economic-impact; infection; drainage; surgery; complications; management; dressings
dc.title NEGATIVE-PRESSURE WOUND THERAPY IN THE TREATMENT OF COMPLEX INJURIES AFTER TOTAL KNEE ARTHROPLASTY
dc.type article
dc.rights.holder Copyright ATHA COMUNICACAO & EDITORA
dc.description.group LIM/41
dc.identifier.doi 10.1590/1413-785220172502169053
dc.identifier.pmid 28642657
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author HELITO, Camilo Partezani:HC:IOT
hcfmusp.author BUENO, Daniel Kamura:HC:IOT
hcfmusp.author GIGLIO, Pedro Nogueira:HC:PAHC
hcfmusp.author BONADIO, Marcelo Batista:FM:
hcfmusp.author PECORA, Jose Ricardo:HC:IOT
hcfmusp.author DEMANGE, Marco Kawamura:FM:MOT
hcfmusp.origem.id WOS:000402464100005
hcfmusp.origem.id 2-s2.0-85018744575
hcfmusp.origem.id SCIELO:S1413-78522017000200085
hcfmusp.publisher.city SAO PAULO SP
hcfmusp.publisher.country BRAZIL
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dc.description.index PubMed
dc.identifier.eissn 1809-4406
hcfmusp.citation.scopus 7


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