Abstract
The likelihood of periprosthetic infection in high-risk patients (obesity and diabetes mellitus) after revisional arthroplasty is extremely high. The authors conducted a pilot prospective comparative study of clinical and economical efficacy of interactive absorbing dressings based on carboxymethyl cellulose impregnated with silver ions and single-use vacuum assisted dressings in prevention of surface surgical site infections in high-risk patients.
Highlights
Perprosthetic infection is the most common complication and basic issue in replacement arthroplasty [1], “infections associated with total hip replacement are a devastating complication with far reaching consequences both for patients and forhealth care system” [2]
The incidence of infectious complications occurring after surgical implant placement reaches 3 to 12 per cent [6], while surgical site infections (SSI) following the replacement of big joints is observed in 2.5 per cent of cases [7], in addition, the risk of periprosthetic infection increases 3.3 times in case of revisional prosthetic repair [8]
The number of joint replacement surgeries is on the rise across the world, the incidence of infectious complications associated with this kind of intervention gains even more momentum [9]
Summary
Perprosthetic infection is the most common complication and basic issue in replacement arthroplasty [1], “infections associated with total hip replacement are a devastating complication with far reaching consequences both for patients and forhealth care system” [2]. The incidence of infectious complications occurring after surgical implant placement reaches 3 to 12 per cent [6], while surgical site infections (SSI) following the replacement of big joints is observed in 2.5 per cent of cases [7], in addition, the risk of periprosthetic infection increases 3.3 times in case of revisional prosthetic repair [8]. The number of joint replacement surgeries is on the rise across the world, the incidence of infectious complications associated with this kind of intervention gains even more momentum [9]. Among the risk factors for periprosthetic infection are immunosuppression, alcohol abuse, systemic use of corticosteroids, inadequate use of antibiotics in disease prevention, obesity, diabetes mellitus, oncological diseases, duration of surgery, intraoperative transfusion of blood components, infectious arthropathies, joint repair and periprosthetic infections in past medical history as well as surface surgical site infections [5,10,11,12,13,14,15,16,17,18]
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call