Abstract:
BACKGROUND:Various types of dressing materials are available for wound care following hip and knee arthroplasty. However, it is unclear if one material is more beneficial than the others in terms of wound complications and fluid handling capacity. RESEARCH QUESTIONS:We performed a meta-analysis of randomized controlled trials comparing alternative wound dressing materials for the post-operative management of wounds following THA and TKA with respect to (1) incidence of wound complications including infection and (2) fluid handling capacity. METHODS:Randomized controlled trials comparing alternative dressing materials, for post-operative management of wounds following TKA and THA were included in the review. Databases searched included the MEDLINE and the EMBASE from inception to February 2017. Two authors performed study selection, risk of bias assessment and data extraction. Where levels of clinical and statistical heterogeneity permitted, data were pooled for meta-analysis. RESULTS:Twelve randomized trials with data for the primary outcome were identified. Data were available for meta-analysis for two comparisons. Wounds managed with film dressings (odds ratio, 0.35; 95% confidence interval [CI], 0.21-0.57) or with hydrofiber dressings (odds ratio, 0.28; 95% confidence interval [CI], 0.20-0.40) were significantly less likely to have wound complications than those managed with passive dressings. There was no evidence that any dressing significantly reduced surgical-site infection rates compared with any other dressing. Hydrofibre dressings showed better fluid handling capacity than passive dressings in terms of mean number of dressing changes (mean difference 1.36; 95% confidence interval [CI], 0.15-2.57) and number of patients requiring early dressing change (odds ratio, 8.60; 95% confidence interval [CI], 4.68-15.83). CONCLUSION:The evidence available in the current literature suggests that advanced dressings such as film and Hydrofibre dressings have fewer wound complications and better fluid handling capacity. However, insufficient evidence is available to determine whether the use of these advanced dressings reduce periprosthetic joint infection.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Sharma G,Lee SW,Atanacio O,Parvizi J,Kim TKdoi
10.1007/s00264-017-3484-4subject
Has Abstractpub_date
2017-07-01 00:00:00pages
1295-1305issue
7eissn
0341-2695issn
1432-5195pii
10.1007/s00264-017-3484-4journal_volume
41pub_type
杂志文章,meta分析,评审abstract:PURPOSES:We performed a retrospective, cohort study to compare uncemented tibial fixation with cemented tibial fixation in distal femoral replacement (DFR). METHODS:Sixty-two cases with uncemented tibial fixation and 58 cases with cemented tibial fixation were included. Inter-group comparisons were performed for basel...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3847-5
更新日期:2018-09-01 00:00:00
abstract::A clinical and radiological follow-up investigation with at least 20 years observation time was made of 255 persons with lumbar spondylolysis with or without spondylolisthesis. The main purposes were to study the relationship between clinical and radiological features and to look for radiological and other variables o...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00269912
更新日期:1984-01-01 00:00:00
abstract::This paper reports the long term results of 3 patients with lumbosacral spondyloptosis who were treated by closed reduction, followed by 6 to 12 weeks plaster cast immobilisation, posterior fusion and finally anterior fusion after a further 3 to 6 months. The follow up was from 7.5 to 10.5 years. Spondyloptosis was di...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180118
更新日期:1990-01-01 00:00:00
abstract::Four cases of the anterior interosseous nerve syndrome, which were treated by neurolysis, are added to the sixty-five already described in the literature. The onset of symptoms is usually spontaneous and electrophysiological examination is of value in making the diagnosis. The most frequent cause of the entrapment is ...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/BF00268047
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abstract::We analysed and determined retrospectively the location, age, gender and side of the body of humeral fractures from 258 antero-posterior radiographs of all patients aged 3-81 years over a 5-year period. It was observed that 160 fractures occurred on the left side while 98 were on the right side with 156 occurring in m...
journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s00264-002-0360-6
更新日期:2002-01-01 00:00:00
abstract::The aim of this prospective study was to assess the safety and efficacy of the greater trochanter slide osteotomy approach for resurfacing hip arthroplasty. Fifty consecutive hips (47 patients) with degenerative joint disease were enrolled in the study. Serial clinical and radiological assessments were performed after...
journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2009-04-01 00:00:00
abstract:PURPOSE:This study was undertaken to prospectively analyse, at a mean five-year follow-up, the clinical, functional, and radiographic outcomes in patients who developed postoperative acute septic knee arthritis following anterior cruciate ligament (ACL) reconstruction using hamstring autograft. We also assessed the eff...
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pub_type: 杂志文章
doi:10.1007/s00264-013-2123-y
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00181106
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pub_type: 杂志文章
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更新日期:2016-10-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2265-y
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pub_type: 杂志文章
doi:10.1007/s00264-013-1900-y
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journal_title:International orthopaedics
pub_type: 杂志文章,评审
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更新日期:2020-05-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1463-8
更新日期:2012-06-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3700-2
更新日期:2018-02-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00195220
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050074
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journal_title:International orthopaedics
pub_type: 传,历史文章,杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章,评审
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更新日期:2011-06-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180230
更新日期:1994-10-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-004-0566-x
更新日期:2004-10-01 00:00:00
abstract:PURPOSE:The most common long-term complication of joint arthroplasty is aseptic loosening. The proinflammatory cytokines secreted by macrophages are involved in aseptic loosening. Recently, a novel proinflammatory cytokine IL-17C was reported to participate in inflammatory diseases by synergising with proinflammatory c...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-1812-x
更新日期:2013-05-01 00:00:00
abstract::A retrospective review of complications with the gamma nail has been carried out in 152 patients with stable and unstable pertrochanteric fractures. Operative complications occurred in 10 patients. Screws penetrated the femoral neck in 3, immediate varus was associated with a short screw in 2, diaphyseal fractures occ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050026
更新日期:1996-01-01 00:00:00
abstract::Glomus tumours of the hand are benign tumours that arise from the neuromyoarterial apparatus. The most common site for a glomus tumour is in the distal phalanx. They frequently display a classic triad of symptoms-pain, tenderness and temperature sensitivity. Ten treated cases examined with magnetic resonance imaging (...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050093
更新日期:1996-01-01 00:00:00
abstract::Total hip arthroplasty (THA) is one of the most successful operations that can restore function and relieve pain. Although a majority of the patients achieve significant pain relief after THA, there are a number of patients that develop chronic pain for unknown reasons. A literature search was performed looking for ch...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-012-1711-6
更新日期:2013-01-01 00:00:00
abstract::Following manipulation of frozen shoulders under general anaesthesia, we reviewed 74 shoulders at an average of 3 weeks and again at an average of 33 months following the manipulation. We used an adjusted Constant score by excluding the abduction strength measurement. The maximum score was therefore 75 points. The ave...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-002-0348-2
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Intramedullary calcaneal nailing is used to treat displaced intra-articular calcaneal fractures. The main goal of the study was to assess the reduction of tomography and secondary goals were patient functional scores and complication rates. METHODS:The functional outcome and restoration of the radiographic ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-019-04381-3
更新日期:2019-12-01 00:00:00