Do surgical site complications after ankle fracture surgery reduce with Aquacel Extra Ag ® ?
Ankle fractures account for up to 10% of total fractures. Most of them require surgical fixation, which involves an important risk of wound complications. The aim of this study was to determine whether a silver-impregnated occlusive surgical dressing (Aquacel Ag Extra ) was effective in reducing the...
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| Veröffentlicht in: | Revista española de cirugía ortopédica y traumatología 2019-09, Vol.63 (5), p.342-345 |
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| container_title | Revista española de cirugía ortopédica y traumatología |
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| creator | Luque-Valenzuela, M Sánchez-Aguilera, A J Martín-Vivaldi-Jiménez, A Jódar-Graus, R Prados-Olleta, N |
| description | Ankle fractures account for up to 10% of total fractures. Most of them require surgical fixation, which involves an important risk of wound complications. The aim of this study was to determine whether a silver-impregnated occlusive surgical dressing (Aquacel Ag Extra
) was effective in reducing the rates of wound complications after ankle fracture open reduction and internal fixation compared to standard sterile dressing.
We prospectively reviewed 233 patients who underwent ankle fracture open reduction and internal fixation. Surgeons switched from using a standard dressing to an Aquacel Ag Extra
from July 2017 to February 2018, without other major changes in perioperative management. We compared skin complications between both groups after 3 months' follow-up.
The statistical analysis showed that there is no difference in the prevalence of skin complications between both groups.
The theoretical advantages of silver impregnated dressings need further prospective randomized controlled studies to assess the appropriate indications for their use in orthopaedic surgery. |
| doi_str_mv | 10.1016/j.recot.2019.04.003 |
| format | Article |
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) was effective in reducing the rates of wound complications after ankle fracture open reduction and internal fixation compared to standard sterile dressing.
We prospectively reviewed 233 patients who underwent ankle fracture open reduction and internal fixation. Surgeons switched from using a standard dressing to an Aquacel Ag Extra
from July 2017 to February 2018, without other major changes in perioperative management. We compared skin complications between both groups after 3 months' follow-up.
The statistical analysis showed that there is no difference in the prevalence of skin complications between both groups.
The theoretical advantages of silver impregnated dressings need further prospective randomized controlled studies to assess the appropriate indications for their use in orthopaedic surgery.</description><identifier>EISSN: 1988-8856</identifier><identifier>EISSN: 2173-576X</identifier><identifier>DOI: 10.1016/j.recot.2019.04.003</identifier><identifier>PMID: 31235393</identifier><language>eng ; spa</language><publisher>Spain</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Ankle Fractures - surgery ; Anti-Infective Agents - therapeutic use ; Carboxymethylcellulose Sodium - therapeutic use ; Female ; Follow-Up Studies ; Fracture Fixation, Internal ; Humans ; Incidence ; Male ; Middle Aged ; Occlusive Dressings ; Open Fracture Reduction ; Postoperative Care - methods ; Prospective Studies ; Silver - therapeutic use ; Surgical Wound Dehiscence - epidemiology ; Surgical Wound Dehiscence - prevention & control ; Surgical Wound Infection - epidemiology ; Surgical Wound Infection - prevention & control ; Treatment Outcome ; Young Adult</subject><ispartof>Revista española de cirugía ortopédica y traumatología, 2019-09, Vol.63 (5), p.342-345</ispartof><rights>Copyright © 2019 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31235393$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luque-Valenzuela, M</creatorcontrib><creatorcontrib>Sánchez-Aguilera, A J</creatorcontrib><creatorcontrib>Martín-Vivaldi-Jiménez, A</creatorcontrib><creatorcontrib>Jódar-Graus, R</creatorcontrib><creatorcontrib>Prados-Olleta, N</creatorcontrib><title>Do surgical site complications after ankle fracture surgery reduce with Aquacel Extra Ag ® ?</title><title>Revista española de cirugía ortopédica y traumatología</title><addtitle>Rev Esp Cir Ortop Traumatol</addtitle><description>Ankle fractures account for up to 10% of total fractures. Most of them require surgical fixation, which involves an important risk of wound complications. The aim of this study was to determine whether a silver-impregnated occlusive surgical dressing (Aquacel Ag Extra
) was effective in reducing the rates of wound complications after ankle fracture open reduction and internal fixation compared to standard sterile dressing.
We prospectively reviewed 233 patients who underwent ankle fracture open reduction and internal fixation. Surgeons switched from using a standard dressing to an Aquacel Ag Extra
from July 2017 to February 2018, without other major changes in perioperative management. We compared skin complications between both groups after 3 months' follow-up.
The statistical analysis showed that there is no difference in the prevalence of skin complications between both groups.
The theoretical advantages of silver impregnated dressings need further prospective randomized controlled studies to assess the appropriate indications for their use in orthopaedic surgery.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ankle Fractures - surgery</subject><subject>Anti-Infective Agents - therapeutic use</subject><subject>Carboxymethylcellulose Sodium - therapeutic use</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fracture Fixation, Internal</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Occlusive Dressings</subject><subject>Open Fracture Reduction</subject><subject>Postoperative Care - methods</subject><subject>Prospective Studies</subject><subject>Silver - therapeutic use</subject><subject>Surgical Wound Dehiscence - epidemiology</subject><subject>Surgical Wound Dehiscence - prevention & control</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Surgical Wound Infection - prevention & control</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1988-8856</issn><issn>2173-576X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1UM1Kw0AYXASxNfoEguzRS-J-u8k2e5JS6w8UvOhRwmbzpaYmTbo_aF_Kh_DJDFpPw8DMMDOEXABLgIG83iQWTe8TzkAlLE0YE0dkCirP4zzP5IScOrdhTKag4IRMBHCRCSWm5PW2py7YdWN0S13jkZq-G9qR-qbfOqprj5bq7XuLtLba-GDx14B2Ty1WwSD9aPwbne-CNtjS5ae3ms7X9PuL3pyR41q3Ds8PGJGXu-Xz4iFePd0_LuareAAufQwcZ1klUelK12XKRSkgw1pplkk1q0wuKxBKIS9lLQQgMGN0rkEIg9KMWyNy9Zc72H4X0Pmia9zYptVb7IMrOE-lGteP0RG5PEhD2WFVDLbptN0X_5eIH7bBY8o</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Luque-Valenzuela, M</creator><creator>Sánchez-Aguilera, A J</creator><creator>Martín-Vivaldi-Jiménez, A</creator><creator>Jódar-Graus, R</creator><creator>Prados-Olleta, N</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201909</creationdate><title>Do surgical site complications after ankle fracture surgery reduce with Aquacel Extra Ag ® ?</title><author>Luque-Valenzuela, M ; Sánchez-Aguilera, A J ; Martín-Vivaldi-Jiménez, A ; Jódar-Graus, R ; Prados-Olleta, N</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p126t-12e75d6e9adafb423b315ef9a05697dc86d1399e2b6f331e10cca8a133ce6c003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; spa</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ankle Fractures - surgery</topic><topic>Anti-Infective Agents - therapeutic use</topic><topic>Carboxymethylcellulose Sodium - therapeutic use</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fracture Fixation, Internal</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Occlusive Dressings</topic><topic>Open Fracture Reduction</topic><topic>Postoperative Care - methods</topic><topic>Prospective Studies</topic><topic>Silver - therapeutic use</topic><topic>Surgical Wound Dehiscence - epidemiology</topic><topic>Surgical Wound Dehiscence - prevention & control</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Surgical Wound Infection - prevention & control</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luque-Valenzuela, M</creatorcontrib><creatorcontrib>Sánchez-Aguilera, A J</creatorcontrib><creatorcontrib>Martín-Vivaldi-Jiménez, A</creatorcontrib><creatorcontrib>Jódar-Graus, R</creatorcontrib><creatorcontrib>Prados-Olleta, N</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revista española de cirugía ortopédica y traumatología</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luque-Valenzuela, M</au><au>Sánchez-Aguilera, A J</au><au>Martín-Vivaldi-Jiménez, A</au><au>Jódar-Graus, R</au><au>Prados-Olleta, N</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do surgical site complications after ankle fracture surgery reduce with Aquacel Extra Ag ® ?</atitle><jtitle>Revista española de cirugía ortopédica y traumatología</jtitle><addtitle>Rev Esp Cir Ortop Traumatol</addtitle><date>2019-09</date><risdate>2019</risdate><volume>63</volume><issue>5</issue><spage>342</spage><epage>345</epage><pages>342-345</pages><eissn>1988-8856</eissn><eissn>2173-576X</eissn><abstract>Ankle fractures account for up to 10% of total fractures. Most of them require surgical fixation, which involves an important risk of wound complications. The aim of this study was to determine whether a silver-impregnated occlusive surgical dressing (Aquacel Ag Extra
) was effective in reducing the rates of wound complications after ankle fracture open reduction and internal fixation compared to standard sterile dressing.
We prospectively reviewed 233 patients who underwent ankle fracture open reduction and internal fixation. Surgeons switched from using a standard dressing to an Aquacel Ag Extra
from July 2017 to February 2018, without other major changes in perioperative management. We compared skin complications between both groups after 3 months' follow-up.
The statistical analysis showed that there is no difference in the prevalence of skin complications between both groups.
The theoretical advantages of silver impregnated dressings need further prospective randomized controlled studies to assess the appropriate indications for their use in orthopaedic surgery.</abstract><cop>Spain</cop><pmid>31235393</pmid><doi>10.1016/j.recot.2019.04.003</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | EISSN: 1988-8856 |
| ispartof | Revista española de cirugía ortopédica y traumatología, 2019-09, Vol.63 (5), p.342-345 |
| issn | 1988-8856 2173-576X |
| language | eng ; spa |
| recordid | cdi_pubmed_primary_31235393 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adolescent Adult Aged Aged, 80 and over Ankle Fractures - surgery Anti-Infective Agents - therapeutic use Carboxymethylcellulose Sodium - therapeutic use Female Follow-Up Studies Fracture Fixation, Internal Humans Incidence Male Middle Aged Occlusive Dressings Open Fracture Reduction Postoperative Care - methods Prospective Studies Silver - therapeutic use Surgical Wound Dehiscence - epidemiology Surgical Wound Dehiscence - prevention & control Surgical Wound Infection - epidemiology Surgical Wound Infection - prevention & control Treatment Outcome Young Adult |
| title | Do surgical site complications after ankle fracture surgery reduce with Aquacel Extra Ag ® ? |
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