Authors (including presenting author) :
Kan LHJ (1), Wong KS (1)
Affiliation :
(1)Department of Orthopaedics and Traumatology, Tseung Kwan O Hospital
Introduction :
Total joint arthroplasty (TJA) is a standard surgical procedure for osteoarthritis that significantly improves patients’ quality of life. However, some patients suffer from wound complications post-surgery, which can hinder recovery and delay rehabilitation. These complications are often linked to periprosthetic joint
infections, resulting in increased morbidity and healthcare costs. Emerging evidence suggests that negative pressure wound therapy (NPWT) can effectively reduce the occurrence of wound complications.
Objectives :
To evaluate the evidence regarding the use of NPWT in minimizing wound complications among TJA patients.
Methodology :
A literature search was conducted between September 2024 and November 2024 using two electronic databases: PubMed and EMBASE. The search included keywords such as “total joint arthroplasty”, “total joint replacement”, “negative pressure wound therapy,” “vacuum-assisted closure,” and “wound complications.” Five studies were identified for data extraction and critically appraised using
The Scottish Intercollegiate Guidelines Network (SIGN) Checklist.
Result & Outcome :
Wound complications were defined by the presence of hematoma/seroma, drainage, oedema, dehiscence, and blister or tape trauma in the search. The findings from the five studies indicated that NPWT could achieve a statistically significant reduction in wound complications without adversely affecting the rehabilitation process. Minor issues like tape trauma and blistering were reported, these were considered safe and required minimal medical attention.
Therefore, developing an evidence-based practice guideline for implementing NPWT in local settings should be considered. Nurses should be provided with clear guidance on incorporating this intervention into standard wound care
for TJA patients in the long term.
