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A Modified Technique for Applying Closed Incision Negative Pressure Therapy Dressing Following Total Joint
Shane Dowling1,2, Timothy B Alton1
1Adult Reconstruction, Proliance Orthopedic Associates, Renton, USA.
Closed incision negative pressure therapy (ciNPT) can reduce surgical site complications after joint replacement. This technique ensures proper application for effective incisional management and improved patient outcomes.
Area of Science:
- Orthopedic Surgery
- Wound Management
- Medical Devices
Background:
- Postoperative incisional management is crucial after total joint replacement arthroplasty.
- Closed incision negative pressure therapy (ciNPT) has shown positive outcomes in orthopedic procedures.
- Surgical site complications (SSCs) can impact patient recovery and healthcare costs.
Purpose of the Study:
- To describe a technique for applying ciNPT to closed incisions following joint arthroplasty.
- To demonstrate how ciNPT can reduce the incidence of surgical site complications.
- To provide guidance on addressing challenges associated with ciNPT application and removal.
Main Methods:
- Describing the application of ciNPT dressings to knee and hip arthroplasty incisions.
- Utilizing specific techniques like the total knee bump for optimal dressing placement.
- Ensuring proper adherence and tension of the dressing to the skin.
Main Results:
- The described technique facilitates the application of ciNPT to various joint arthroplasty incisions.
- Proper application of ciNPT may reduce the risk of delayed incisional healing and SSCs.
- Effective ciNPT use can potentially decrease the need for additional postoperative visits.
Conclusions:
- Postoperative ciNPT is a valuable tool for managing closed incisions after joint replacement.
- Careful application technique is essential for maximizing the benefits of ciNPT.
- Implementing ciNPT can lead to improved patient outcomes and more efficient healthcare delivery.
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