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Do surgical site complications after ankle fracture surgery reduce with Aquacel Extra Ag®?
M Luque-Valenzuela1, A J Sánchez-Aguilera1, A Martín-Vivaldi-Jiménez1
1Hospital Universitario Virgen de las Nieves, Granada, España.
Introduction:
Ankle fractures account for up to 10% of total fractures. Most of them require surgical fixation, which involves an important risk of wound complications. The aim of this study was to determine whether a silver-impregnated occlusive surgical dressing (Aquacel Ag Extra®) was effective in reducing the rates of wound complications after ankle fracture open reduction and internal fixation compared to standard sterile dressing.
Methods:
We prospectively reviewed 233 patients who underwent ankle fracture open reduction and internal fixation. Surgeons switched from using a standard dressing to an Aquacel Ag Extra® from July 2017 to February 2018, without other major changes in perioperative management. We compared skin complications between both groups after 3 months' follow-up.
Results:
The statistical analysis showed that there is no difference in the prevalence of skin complications between both groups.
Conclusions:
The theoretical advantages of silver impregnated dressings need further prospective randomized controlled studies to assess the appropriate indications for their use in orthopaedic surgery.
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