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International Orthopaedics

, Volume 36, Issue 4, pp 719–722 | Cite as

Negative pressure wound therapy to prevent seromas and treat surgical incisions after total hip arthroplasty

  • Milena Pachowsky
  • Johannes Gusinde
  • Andrea Klein
  • Siegfried Lehrl
  • Stefan Schulz-Drost
  • Philipp Schlechtweg
  • Johannes Pauser
  • Kolja Gelse
  • Matthias H. BremEmail author
Original Paper

Abstract

Purpose

The purpose of this study was to evaluate the use of negative pressure wound therapy (NPWT) to improve wound healing after total hip arthroplasty (THA) and its influence on the development of postoperative seromas in the wound area.

Materials

The study is a prospective randomised evaluation of NPWT in patients with large surgical wounds after THA, randomising patients to either a standard dressing (group A) or a NPWT (group B) over the wound area. The wound area was examined with ultrasound to measure the postoperative seromas in both groups on the fifth and tenth postoperative days.

Results

There were 19 patients randomised in this study. Ten days after surgery, group A (ten patients, 70.5 ± 11.01 years of age) developed seromas with an average size of 5.08 ml and group B (nine patients, 66.22 ± 17.83 years of age) 1.97 ml. The difference was significant (p = 0.021).

Conclusion

NPWT has been used on many different types of traumatic and non traumatic wounds. This prospective, randomised study has demonstrated decreased development of postoperative seromas in the wound and improved wound healing.

Keywords

Closed Wound Wound Area Negative Pressure Wound Treatment Improve Wound Healing Total Ankle Replacement 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

Matthias H. Brem gave scientific presentations for KCI. The PREVENATM wound treatment system was provided by KCI free of charge.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Milena Pachowsky
    • 1
  • Johannes Gusinde
    • 1
  • Andrea Klein
    • 1
  • Siegfried Lehrl
    • 2
  • Stefan Schulz-Drost
    • 1
  • Philipp Schlechtweg
    • 3
  • Johannes Pauser
    • 4
  • Kolja Gelse
    • 1
  • Matthias H. Brem
    • 1
    Email author
  1. 1.Department of Surgery, Division of Trauma Surgery and Orthopaedic SurgeryFriedrich-Alexander University Erlangen-NurembergErlangenGermany
  2. 2.Department of Psychiatry and PsychotherapyFriedrich-Alexander University Erlangen-NurembergErlangenGermany
  3. 3.Department of RadiologyFriedrich-Alexander University Erlangen-NurembergErlangenGermany
  4. 4.Department of Orthopaedic RhumatologyFriedrich-Alexander University Erlangen-NurembergErlangenGermany

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