The effectiveness of prophylactic closed incision negative pressure wound therapy compared to conventional dressings in the prevention of periprosthetic joint infection post hip and knee revision arthroplasty surgery: A systematic review
Date
2024
Authors
Morgan, T.
Page, T.
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Journal article
Citation
International Journal of Orthopaedic and Trauma Nursing, 2024; 53:101048-1-101048-8
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Tracy Morgan, Tamara Page
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Abstract
Objective: To evaluate the effectiveness of prophylactic closed incision negative pressure wound therapy (ciNPWT) compared to conventional dressings in the prevention of periprosthetic joint infection (PJI) post hip and knee revision arthroplasty surgery. Method: Five databases (MEDLINE, Embase., Emcare, CINAHL and Scopus) were searched with no date or language limits. Two independent reviewers assessed articles against the inclusion criteria and methodological quality of the 3 included studies. Data was extracted using a customised data tool and included the intervention, study methods and outcomes of interest. A meta-analysis was performed, and results presented in narrative form with forest plots. Findings: The three studies, one randomized control trial and two quasi-experimental studies, included 136 intervention and 228 control participants (Sample 364). The PJI rate decreased in the ciNPWT cohort compared to the conservative dressing cohort (2 [1.47%] vs 27 [11.84%]). The reoperation rate was lower in the ciNPWT cohort versus the conventional cohort (4 [2.94%] vs 35 [15.35%]). The rate of wound complications was significantly decreased in the ciNPWT cohort compared to the conventional dressing cohort (14 [10.29%] v 85 [37.28), p=<0.001). Conclusion: Prophylactic application of ciNPWT may be effective in reducing wound complications, PJI and reoperation post hip and knee revision arthroplasty surgery. The added cost of ciNPWT may be justified in the reduction of wound complications, PJI and reoperation. Ongoing trials determining if the prophylactic application of ciNPWT post hip and knee revision arthroplasty surgery is beneficial in preventing PJI particularly in high risk patients with additional comorbidities are warranted.
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Dissertation Note
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Available online 1 September 2023.
Corrected by: Corrigendum to “The effectiveness of prophylactic closed incision negative pressure wound therapy compared to conventional dressings in the prevention of periprosthetic joint infection post hip and knee revision arthroplasty surgery: A systematic review” [Int. J. Orthopaed. Trauma Nurs. 53 (2024) 101048], in Volume 55, November 2024, 101125, DOI: https://doi.org/10.1016/j.ijotn.2024.101125. The authors regret that there was an omission of an author [Dr Zaneta Smith] on the title page and an error in number of final papers detailed on the PRISMA uploaded to the original article submission. The author is added in the corrigendum and the revised PRISMA flow chart is uploaded. The corrections do not influence the method, results, descriptions and conclusion of the original article (see Fig. 1). The authors would like to apologise for any inconvenience caused.
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Crown Copyright © 2023 Published by Elsevier Ltd. All rights reserved.