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The Strathprints institutional repository is a digital archive of University of Strathclyde's Open Access research outputs. Strathprints provides access to thousands of Open Access research papers by University of Strathclyde researchers, including by researchers from the Department of Computer & Information Sciences involved in mathematically structured programming, similarity and metric search, computer security, software systems, combinatronics and digital health.

The Department also includes the iSchool Research Group, which performs leading research into socio-technical phenomena and topics such as information retrieval and information seeking behaviour.

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Raising standards of orthopaedic wound care : a prospective, comparative evaluation of a modern dressing design

Clarke, J.V. and Dillon, J.M. and Sayer, R.L. and McLean, I.P. (2008) Raising standards of orthopaedic wound care : a prospective, comparative evaluation of a modern dressing design. Wound Repair and Regeneration, 16 (6). A69. ISSN 1524-475X

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Abstract

Introduction: Prevention of infection in orthopaedics remains a constant challenge. In spite of increasing evidence to support use of modern dressings many units use traditional adhesive dressings, which can cause wound healing problems. Our modern dressing design hydrofibre/hydrocolloid (HF/HC) was highly effective following hip and knee replacements in a national arthroplasty unit. The aim of this study was to evaluate this dressing in a district hospital to see if similar clinical outcomes could be achieved. Methods: Prospective evaluation of the modern dressing involved 89 consecutive elective and trauma patients from October 2007–January 2008. Outcome measures included blistering, wear time, dressing changes, delayed discharge and SSI rate. Results were compared to a traditional dressing currently used. Results: 65 patients HF/HC group, 24 Traditional group. CUSUM tool set an upper alert limit of 5% blister rate. Traditional group breached upper alert limit after 8 cases. It was decided unethical to continue after 24 cases. Comparison of HF/HC with Traditional showed blistering 1.5% versus 16.7%, wear time 4.8 versus 1.4 days and dressing changes 0.9 versus 2.8. Delayed discharge 0% compared with 4.2%. SSI rates 0% versus 4.2%. All outcome differences were statistically significant except delayed discharge (p<0.05, Mann Whitney, chi-square tests). Conclusion: Implementation of evidence-based modern wound care into a district general orthopaedic department achieved improved clinical outcomes with elective and trauma patients, similar to those of a national arthroplasty unit.This supports the use of the dressing and highlights the ongoing concerns of traditional dressings used in orthopaedics.