Comparative study of innovative postoperative wound dressings after total knee arthroplasty / Andreas DOBBELAERE in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.454-461 Titre : Comparative study of innovative postoperative wound dressings after total knee arthroplasty Type de document : texte imprimé Auteurs : Andreas DOBBELAERE, Auteur ; Nika SCHUERMANS, Auteur ; Steven SMET, Auteur Année de publication : 2015 Article en page(s) : p.454-461 Langues : Anglais (eng) Mots-clés : knee arthroplasty Résumé : Purpose: Postoperative wound complications, especially surgical site infections, influence the outcome after total knee arthroplasty. The purpose of our study was to compare four different wound dressings. Following research questions were asked: (1) Which dressing is associated with least wound complications? (2) Which dressing application is the cheapest? (3) Which dressing is most comfortable for the patient? Methods: 111 patients undergoing a total knee arthroplasty were randomized in 4 groups. Each group received a different dressing with its specific wound management protocol: (1) Zetuvit® with Cosmopor E®, (2) Zetuvit® with Opsite Post-Op Visible®, (3) Aquacel Surgical® and (4) Mepilex Border®. Followup evaluations were performed on the fifth postoperative day and included assessment of the wound, status of the wound dressing and the patient’s own judgment. Cumulative costs were calculated. Results: Clinically Mepilex Border®, a silicone dressing, scored the best. No wound complications were seen in this group. The mean number of dressing renewals was 1.9 for the standard dressing which was significantly higher (p <.0001) compared to the other dressings. Opsite Post-op Visible® was the cheapest dressing. Mepilex Border® had the best scores for pain, freedom of movement and general comfort. Conclusions: Mepilex Border® is the most skinfriendly dressing. The number of dressing renewals is a defining factor to calculate the costs. Mepilex Border® appeared to be the best dressing to use after a total knee arthroplasty. Permalink : ./index.php?lvl=notice_display&id=40921 [article] Comparative study of innovative postoperative wound dressings after total knee arthroplasty [texte imprimé] / Andreas DOBBELAERE, Auteur ; Nika SCHUERMANS, Auteur ; Steven SMET, Auteur . - 2015 . - p.454-461. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.454-461 Mots-clés : knee arthroplasty Résumé : Purpose: Postoperative wound complications, especially surgical site infections, influence the outcome after total knee arthroplasty. The purpose of our study was to compare four different wound dressings. Following research questions were asked: (1) Which dressing is associated with least wound complications? (2) Which dressing application is the cheapest? (3) Which dressing is most comfortable for the patient? Methods: 111 patients undergoing a total knee arthroplasty were randomized in 4 groups. Each group received a different dressing with its specific wound management protocol: (1) Zetuvit® with Cosmopor E®, (2) Zetuvit® with Opsite Post-Op Visible®, (3) Aquacel Surgical® and (4) Mepilex Border®. Followup evaluations were performed on the fifth postoperative day and included assessment of the wound, status of the wound dressing and the patient’s own judgment. Cumulative costs were calculated. Results: Clinically Mepilex Border®, a silicone dressing, scored the best. No wound complications were seen in this group. The mean number of dressing renewals was 1.9 for the standard dressing which was significantly higher (p <.0001) compared to the other dressings. Opsite Post-op Visible® was the cheapest dressing. Mepilex Border® had the best scores for pain, freedom of movement and general comfort. Conclusions: Mepilex Border® is the most skinfriendly dressing. The number of dressing renewals is a defining factor to calculate the costs. Mepilex Border® appeared to be the best dressing to use after a total knee arthroplasty. Permalink : ./index.php?lvl=notice_display&id=40921

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Midterm outcome after AC Tightrope fixation / Andreas DOBBELAERE in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 502-508 Titre : Midterm outcome after AC Tightrope fixation Type de document : texte imprimé Auteurs : Andreas DOBBELAERE, Auteur Année de publication : 2020 Article en page(s) : p. 502-508 Langues : Anglais (eng) Résumé : The purpose of our study was to evaluate the clinical and radiological outcome after a single AC TightRope® fixation in patients with an acute Rockwood type III-VI AC joint dislocation. We performed a retrospective cohort study of patients who underwent AC TightRope® fixation for an acute Rockwood type III-VI AC joint dislocation. During follow-up functional outcome was assessed using the Constant Murley Score (CS) and the UCLA Shoulder Rating Scale. A standard anteroposterior x-ray of both the operated and the contralateral shoulder was performed. The coracoclavicular (CC) distance was measured and compared with the day 1 postoperative x-ray. Twenty-nine patients participated the study. Mean follow-up time after surgery was 43,4 months. Clini- cally the results were excellent : The mean CS was 91, the mean UCLA score was 33. Radiologically a mean loss of reduction of 3.2mm was seen. Fol- lowing radiological findings were seen : Clavicular tunnel widening, coracoclavicular calcifications, and osteolysis at the clavicular button site. Patients treated with a mini-open single AC TightRope® fixation had excellent midterm functional outcomes. Permalink : ./index.php?lvl=notice_display&id=92019 [article] Midterm outcome after AC Tightrope fixation [texte imprimé] / Andreas DOBBELAERE, Auteur . - 2020 . - p. 502-508. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 502-508 Résumé : The purpose of our study was to evaluate the clinical and radiological outcome after a single AC TightRope® fixation in patients with an acute Rockwood type III-VI AC joint dislocation. We performed a retrospective cohort study of patients who underwent AC TightRope® fixation for an acute Rockwood type III-VI AC joint dislocation. During follow-up functional outcome was assessed using the Constant Murley Score (CS) and the UCLA Shoulder Rating Scale. A standard anteroposterior x-ray of both the operated and the contralateral shoulder was performed. The coracoclavicular (CC) distance was measured and compared with the day 1 postoperative x-ray. Twenty-nine patients participated the study. Mean follow-up time after surgery was 43,4 months. Clini- cally the results were excellent : The mean CS was 91, the mean UCLA score was 33. Radiologically a mean loss of reduction of 3.2mm was seen. Fol- lowing radiological findings were seen : Clavicular tunnel widening, coracoclavicular calcifications, and osteolysis at the clavicular button site. Patients treated with a mini-open single AC TightRope® fixation had excellent midterm functional outcomes. Permalink : ./index.php?lvl=notice_display&id=92019

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