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dc.contributor.authorAinslie-Garcia, Margaret
dc.contributor.authorAnderson, Lucas A.
dc.contributor.authorBloch, Benjamin V.
dc.contributor.authorBoard, Tim N.
dc.contributor.authorChen, Antonia F.
dc.contributor.authorCraigie, Samantha
dc.contributor.authorDanker, Walter
dc.contributor.authorGunja, Najmuddin
dc.contributor.authorHarty, James
dc.contributor.authorHernandez, Victor H.
dc.contributor.authorLebedeva, Kate
dc.contributor.authorMont, Michael A.
dc.contributor.authorNunley, Ryan M.
dc.contributor.authorParvizi, Javad
dc.contributor.authorPerka, Carsten
dc.contributor.authorPiuzzi, Nicolas S.
dc.contributor.authorRolfson, Ola
dc.contributor.authorRychlik, Joshua
dc.contributor.authorRomanini, Emilio
dc.contributor.authorSanz-Ruiz, Pablo
dc.contributor.authorSierra, Rafael J.
dc.contributor.authorSuleiman, Linda
dc.contributor.authorTsiridis, Eleftherios
dc.contributor.authorVendittoli, Pascal-André
dc.contributor.authorWangen, Helge
dc.contributor.authorZagra, Luigi
dc.date.accessioned2024-11-15T13:12:34Z
dc.date.available2024-11-15T13:12:34Z
dc.date.created2024-03-19T11:47:59Z
dc.date.issued2024
dc.identifier.citationJournal of Arthroplasty. 2024, 39 (4), 878-883.en_US
dc.identifier.issn0883-5403
dc.identifier.urihttps://hdl.handle.net/11250/3165204
dc.description.abstractBackground: The purpose of this modified Delphi study was to obtain consensus on wound closure and dressing management in total knee arthroplasty (TKA). Methods: The Delphi panel included 20 orthopaedic surgeons from Europe and North America. There were 26 statements identified using a targeted literature review. Consensus was developed for the statements with up to three rounds of anonymous voting per topic. Panelists ranked their agreement with each statement on a five-point Likert scale. An a priori threshold of ≥ 75% was required for consensus. Results: All 26 statements achieved consensus after three rounds of anonymous voting. Wound closure-related interventions that were recommended for use in TKA included: 1) closing in semi-flexion versus extension (superior range of motion); 2) using aspirin for venous thromboembolism prophylaxis over other agents (reduces wound complications); 3) barbed sutures over non-barbed sutures (lower wound complications, better cosmetic appearances, shorter closing times, and overall cost savings); 4) mesh-adhesives over other skin closure methods (lower wound complications, higher patient satisfaction scores, lower rates of readmission); 5) silver-impregnated dressings over standard dressings (lower wound complications, decreased infections, fewer dressing changes); 6) in high-risk patients, negative pressure wound therapy over other dressings (lower wound complications, decreased reoperations, fewer dressing changes); and 7) using triclosan-coated over non-antimicrobial-coated sutures (lower risks of surgical site infection). Conclusions: Using a modified Delphi approach, the panel achieved consensus on 26 statements pertaining to wound closure and dressing management in TKA. This study forms the basis for identifying critical evidence supported by clinical practice for wound management to help reduce variability, advance standardization, and ultimately improve outcomes during TKA. The results presented here can serve as the foundation for knowledge, education, and improved clinical outcomes for surgeons performing TKAs.en_US
dc.description.sponsorshipFunding was provided by Ethicon.en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.subjectDelphi studyen_US
dc.subjectdressing managementen_US
dc.subjectsurgical best practicesen_US
dc.subjecttotal knee arthroplastyen_US
dc.subjectvenous thromboembolism prophylaxisen_US
dc.subjectwound closure techniquesen_US
dc.titleInternational Delphi Study on Wound Closure and Dressing Management in Joint Arthroplasty: Part 1: Total Knee Arthroplastyen_US
dc.title.alternativeInternational Delphi Study on Wound Closure and Dressing Management in Joint Arthroplasty: Part 1: Total Knee Arthroplastyen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright © 2024 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).en_US
dc.source.pagenumber878-883en_US
dc.source.volume39en_US
dc.source.journalJournal of Arthroplastyen_US
dc.source.issue4en_US
dc.identifier.doi10.1016/j.arth.2023.12.032
dc.identifier.cristin2255724
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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Navngivelse 4.0 Internasjonal
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