Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Hip
Abstract number: 26509
TISSUE ADHESIVE AS AN ADJUVANT TO WOUND CLOSURE IN TOTAL HIP
REPLACEMENT
Saravana Vail KARUPPIAH, Sophie GRAY, Scott POPHAM
Grampian University Hospital NHS Trust, Aberdeen (UNITED KINGDOM)
Background: Post operative in total hip replacement may require repeated change of
dressing secondary to wound leak. Using a simple tissue adhesive may help provide
an inital seal to the wound improving wound care. Objective: This study sought to
assess the use of tissue adhesive on wound closure in hip replacement patients.
Methods: Patients undergoing hip replacement were randomly selected to receive
either subcuticular monocryl stitch, tissue adhesive and tegaderm dressing (Group I),
or subcuticular monocryl stitch and tegaderm dressing only (Group II) for wound
closure. Wounds were inspected over the following 5 days and documented how
many dressing changes were required. Both groups were assessed using Hollander
score and patient satisfaction score at 3 month follow-up. Results: 50 patients
participated in this study; 25 received adhesive and 25 received no adhesive. At 5
days post operatively, patients in Group I required minimum dressing change
(average 0.22) as compared to patients in Group II a minimum of 2 dressing change
(average 3.4). 70% of patients in Group I required no dressing changes as opposed
to 20% of patients in Group II. There was no difference in the cosmetic appearance
of scars, Hollander scores were similar at an average of 4.5 (range 0-6) in both
groups. Patient satisfaction (range 0-10) was higher (score 9) in Group I as opposed
to Group II (score 7) (p