A randomized controlled trial comparing EUSOL versus antibiotic loaded collagen granules as dressing agents in the management of traumatic infected wounds
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 2
Abstract
Background: Traumatic wounds are common cause of morbidity in Orthopaedic patients. There can be associated injury to various vital structures i.e bones, muscles, tendons, nerves and vessels. Despite recent advances in wound care, the challenge of managing chronic wounds remains compounded by a lack of consensus on clearly defined wound care principles. Methods: A randomised controlled trial was used to enrol 130 patients, out of which 65 underwent EUSOL dressing and 65 underwent collagen granules dressing, all the cases were admitted in Orthopaedics ward and were only discharge at the end of treatment or study period whichever was earlier, so there was no loss to follow up. Assessment of wound was done every week for a period of 4 weeks in terms of slough, discharge, granulation tissue, outcome and coverage. Results: Discharge from the wound was found to be lesser in collagen granules group and by the end of 3rd and 4th week it was significantly lesser in collagen granules group (P value <0.05). Floor area covered with slough were lesser in collagen granules group, as early as 1st week (P value <0.05). Healthy granulation tissue, final outcome and coverage appeared earlier with collagen granules group. P value<0.05 by the end of 2nd and 3rd week. Total cost of therapy was less and patient compliance was better with collagen granules group.
Authors and Affiliations
Shah AB, Maharjan R, Shrestha BP, Chaudhary P
Keywords
Related Articles
- EP ID EP500646
- DOI 10.22271/ortho.2017.v3.i2c.24
- Views 128
- Downloads 0
Ulnar hemimelia in deformed left forearm treated with ilizarov fixator
Introduction: Ulnar hemimelia is a congenital ulnar deficiency of the forearm characterized by complete or partial absence of the ulna bone. History and Examination: 18 years female presented to us with deformed left up...
Evaluation of molecular tests in diagnosis of osteoarticular tuberculosis
Osteoarticular tuberculosis is a relatively uncommon type of extrapulmonary tuberculosis. It is an important cause of mortality and morbidity and accounts for approximately 10-15% of all extrapulmonary forms of tuberculo...
Non-surgical treatment of knee ligamentous lesions
Introduction: Knee trauma is very common and sometimes compromises its stability. The treatment of these lesions is more and more surgical, but nonsurgical treatment remain having an importance in the management. The pur...
Proximal humeral internal locking osteosynthesis for surgical fixation for displaced two part to four part fractures: A prospective study
Secure fixation of displaced proximal fractures of the humerus is a challenging problem. Proximal humeral fractures constitute about 5 percent of all upper extremity fractures. They are often considerably displaced and c...
Paraosteal osteochondromatosis proliferation (Nora’s lesion) of the great toe
Parosteal osteochondromatous proliferation also called Nora’s lesion is a rare tumor which occurs on the proximal/distal phalanx, metacarpals, metatarsals of hand (more commonly) and feet. These lesions show 50% recurren...