The use of cling film to facilitate shower after total knee replacement surgery
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 1
Abstract
Background: Total knee replacement (TKR) surgeries are arguably the most successful procedure in recent times. However, personal hygiene remains a big issue, especially in the immediate post operative period. The patients are not allowed to take shower for almost three weeks, due to the fear of wound wetting and eventual surgical site infection. We wished to report that in our institution, for all post operative patients, we use sterile occlusive dressings followed by the use of cling films and allow patients to take shower. Materials and methods: We studied 100 consecutive patients who underwent TKR surgeries at our hospital. All patients, after wound closure, received sterile occlusive dressings. Further, on post-operative day two, on removing the compression dressings, all operated knee joints were wrapped with cling film in order to allow patients to take proper shower. In this study group, we looked for the following outcomes; surgical site infections (SSI), number of change in dressing required before the completion of wound healing at 3 weeks post surgery. The overall patient satisfaction assessed by visual analogue scale (VAS;10 being happiest and 1 being most unhappy) at the end of two weeks. Results: In our study, there were no incidences of SSI, no change in dressing requirement till two weeks post surgery. The mean VAS score at end of two weeks were 8 out 10 indicating that most of our patients were happy with this arrangement. Conclusion: Use of cling film for allowing shower in patients undergoing total joint arthroplasty is a good option to maintain overall personal hygiene and high patient satisfaction rate.
Authors and Affiliations
Varun Gupta, Mridul Arora, Nikhil Shetty, Ashutosh Dongre, Vijay Shetty
Missed monteggia dislocation with plastic deformation of ulna
Background: isolated radial head dislocation with plastic deformation of ulna is a frequently missed injury in pediatric age group. Most common error is incomplete X-Ray survey in initial medical attention. Proximal ulna...
Sacroiliac screw fixation for pelvic ring fractures: A cross sectional study
Pelvic ring fractures are the most difficult to treat fractures in adults, with the increase in prevalence of road traffic accidents, the number of pelvic fractures is increasing over the period of time. The mortality in...
AO type C distal femur fracture: results of operative management in 52 patients
Background: Intraarticular distal femur fractures are severe injuries posses many challenges in management and associated large number of complications like infection, knee stiffness, delayed union, nonunion, instability...
Arthroscopic fixation of anterior cruciate ligament tibial avulsion fractures using fibre wire with endobutton
Purpose: Most tibial eminence fractures are avulsion fractures of the anterior cruciate ligament (ACL) from its tibial insertion. The most common fixation techniques for tibial avulsion fractures of the anterior cruciate...
Congenital radio ulnar synostosis, analysis of functional outcome using double rotation osteotomy and osteotomy at synostosis site
Aim: To evaluate the functional outcome using double rotation osteotomy and osteotomy at synostosis site in congenital radio ulnar synostosis Materials and methods: A prospective study has been done in Institute of child...