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Avoiding Postoperative Wound Complications in Total Joint Arthroplasty.

Giles R Scuderi1

  • 1Northwell Orthopedic Institute, New York, NY.

The Journal of Arthroplasty
|February 25, 2018
PubMed
Summary

Preventing wound complications after total joint arthroplasty is crucial. Addressing patient risk factors, surgical technique, and drainage management can help avoid deep periprosthetic infections.

Keywords:
periprosthetic infectiontotal joint arthroplastytotal knee arthroplastywound complicationswound drainage

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Area of Science:

  • Orthopedic Surgery
  • Wound Management
  • Infection Prevention

Background:

  • Early wound complications after total joint arthroplasty can range from minor drainage to severe soft tissue necrosis.
  • Persistent wound drainage poses a significant risk for developing deep periprosthetic infections, a serious complication.
  • Effective management strategies are essential to ensure successful patient outcomes.

Purpose of the Study:

  • To highlight the critical importance of avoiding early wound complications in total joint arthroplasty.
  • To outline key steps in the clinical and perioperative pathway for preventing and managing wound issues.
  • To emphasize strategies for mitigating the risk of deep periprosthetic infection.

Main Methods:

  • Review of clinical and perioperative pathways for total joint arthroplasty.
  • Identification of modifiable patient risk factors.
  • Emphasis on meticulous surgical technique.
  • Application of an algorithmic approach for managing persistent wound drainage.

Main Results:

  • Successful avoidance of early wound complications is directly linked to the overall success of total joint arthroplasty.
  • Persistent wound drainage is a precursor to potential deep periprosthetic infections.
  • Proactive management of risk factors and surgical technique are key preventative measures.

Conclusions:

  • Meticulous attention to the clinical and perioperative pathway is vital for preventing wound complications.
  • Addressing modifiable patient risk factors is a critical first step.
  • Implementing a structured approach to manage persistent wound drainage can avert severe outcomes like deep periprosthetic infection.