Wound treatment in orthopedic surgery; a prospective randomised study of Aquacel Surgical versus Curapor after total knee and total hip surgey.

From figures from the database Deventer Hospital, Department of Orthopedics,
that stores information on all patients in the last 6 years a total hip
replacement or total knee replacement processes is shown that 20% of 600
patients each year a new total hip prosthesis or total knee replacement has
been wound leakage or blistering has occurred. This wound leakage was still
there afther the expected date of discharge.This is reason for us to start an
investigation to see if a new dressing material herein will have a positive
effect. To date, all patients postoperatively treated with respect curapor.
This is under sterile conditions applied to the operating room. In the course
of the recording, the patient daily vliwazell absorbent dressing or curapor
related to the surgical site. Experience has shown that frequent dressing
changes are necessary due to wound leakage, both blood and wound fluid.
Particularly when removing the patch / relationships between the edematous skin
blistering occurs.

This research aims to conduct blistering and reduce freguent dressing changes
in patients undergoing total hip replacement or total knee replacement have
undergone in the use of Aquacel Surgical dressing.
This compares with the usual method of wound postoperatively. First curapor the
link that normally is applied postoperatively after which change over to
vliwazell absorbent dressing, Aquacel Surgical other new context which is
applied postoperatively and normally 4 days postoperatively, until the day of
discharge remains in place. It also will show whether the use of Aquacel
Surgical hospitalization was not any extension will occur.

Base population, 600 elective hip and knee operations in 2010.
200 subjects with 100 test subjects Aquacel Surgical connection and started
using 100 test subjects curapor keep using it.
50 test subjects that an elective total hip replacement and 50 test persons who
have an elective total knee replacement, on the operating room with a Aquacel
Surgical plaster on the wound.
50 test subjects that an elective total hip replacement and 50 test persons who
have an elective total knee replacement, on the operating room with a curapor
plaster on the wound.
The Aquacel Surgical patch will remain there until dismissal. If serious
leakage is wound, the bandage is replaced.
Curapor the patch will be removed 24 hours postoperatively and replaced by
vliwazell 10x20 cm. Depending on the wound will spill absorbent dressing at
least once a day to be replaced.

The research is conducted with patients admitted to the ward the following
specialty: Orthopedics. The study will be a period of 6-12 months and take
place in 2012.
The control group consisting of 100 test persons; 50 elective total hip
arthroplasty and 50 elective total knee replacements will receive a curapor
link during OK. 24 hours after that it will be replaced by vliwazell 10x20 cm.
with leukopor. It depents on the woundlekage if dressing change is nessesary.
If extreme woundlekage occured than we all so use a celstofmatje 40x60 cm.
This belongs to the standard of woundcare.
100 Test Persons; 50 elective total hip arthroplasty and 50 elective total knee
replacements will receive a one time Surgical dressing Aquacel OK to dismissal.
The treatment effect is measured through the so-called product evaluation forms
to be completed after each dressing change.

All test subjects have to complete the evaluation form at the first and third
day after surgery.