A New Dressing System for Wound in Enhanced-Recovery Total Hip Arthroplasty: A Randomized and Controlled Trial

Pengfei Lei; Da Zhong; Honghao Wu; Fawei Gao; Jun Qi; Zhigang Li; Lili Lai; Shilong Su

doi:10.1016/j.arth.2023.02.029

A New Dressing System for Wound in Enhanced-Recovery Total Hip Arthroplasty: A Randomized and Controlled Trial

J Arthroplasty. 2023 Aug;38(8):1565-1570. doi: 10.1016/j.arth.2023.02.029. Epub 2023 Feb 18.

Authors

Pengfei Lei¹, Da Zhong², Honghao Wu³, Fawei Gao⁴, Jun Qi⁴, Zhigang Li⁴, Lili Lai³, Shilong Su⁵

Affiliations

¹ Department of Orthopedics, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China; Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan Province, China; Hunan Engineering Research Center of Biomedical Metal and Ceramic Implants, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
² Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan Province, China; Hunan Key Laboratary of Aging Biology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
³ Department of Orthopedics, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China.
⁴ Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
⁵ Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan Province, China; Department of Orthopedics, Peking University Third Hospital, Beijing, China.

PMID: 36805119
DOI: 10.1016/j.arth.2023.02.029

Abstract

Background: Currently, there is a paucity of recommendations in regards to dressing selection within the enhanced recovery after surgery protocol. We devised a new dressing system to accelerate the recovery after total hip arthroplasty (THA). We aimed to present our experience with this new dressing system as an adjunct to wound management in THA and to evaluate its performance.

Methods: From September 2020 to August 2021, we prospectively enrolled 124 patients who underwent a primary THA. The patients were randomly assigned to the intervention (the new dressing system group) or the control (the traditional gauze dressing) group. The primary outcome measures of this study were numbers of dressing changes, postoperative lengths of stay, wound scores including the Stony Brook Scar Evaluation Scale and ASEPSIS scores and wound-related complications. The secondary outcomes include satisfaction scores, dressing-related costs, and pain and functional recovery scores.

Results: The intervention group numbers of dressing changes and postoperative lengths of stay were significantly less than the control group (P < .001, P < .001). During the one-month follow-up, the Stony Brook Scar Evaluation Scale in the intervention group was significantly better than that in the control group (P < .001). The intervention group satisfaction was significantly higher than that in the control group (P < .001). There were no statistically significant differences between the two groups in terms of dressing-related costs and pain and function scores.

Conclusion: The new dressing system could significantly reduce the number of dressing changes and postoperative lengths of stay and increase patient satisfaction scores, which can be an ideal adjunct to wound management in enhanced-recovery THA.

Keywords: dressing; dressing change; enhanced recovery after surgery; satisfaction; total hip arthroplasty; wound.

Publication types

Randomized Controlled Trial
Research Support, Non-U.S. Gov't

MeSH terms

Arthroplasty, Replacement, Hip* / methods
Bandages
Cicatrix
Humans
Recovery of Function
Surgical Wound Infection

Associated data

ChiCTR/ChiCTR2000033822