The effect of 2 adhesive products on skin integrity used for fixation of hip and knee surgical dressings: a randomized controlled trial.
OBJECTIVE
The aim of this study was to compare effects of 2 adhesive products, a nonwoven porous adhesive bandage (NPAB) and transparent film adhesive bandage (TFAB), on skin integrity for fixation of hip and knee surgical dressings.


METHODS
A prospective, randomized study was conducted on 300 patients who underwent hip and knee surgery (arthroplasty, fixation of fractures, tumor operations, etc). Participants were randomized into 2 equal groups according to the applied surgical dressing fixation product (NPAB or TFAB). Skin changes (edema, erythema, blister, peeling of blister, mechanical peeling, and maceration), drying of incision, serous discharge, and early infection symptoms were evaluated.


RESULTS
The skin integrity was found to be impaired in 4.0% (n = 6) of the 150 NPAB patients and in 10.7% (n = 16) of the 150 TFAB patients (P = .02). Logistic regression analysis showed that the risk of impaired skin integrity increased 2.5-fold when TFAB was applied (P = .03).


CONCLUSIONS
The NPAB was associated with a reduced likelihood of impaired skin integrity following hip and knee surgery.
Nergiz Ter, PhD, Quality Unit, Ege University Faculty of Medicine Hospital, Izmir, Turkey. Meryem Yavuz, PhD, Department of Surgical Diseases Nursing, Ege University Faculty of Nursing, Izmir, Turkey. Semih Aydoğdu, MD, Department of Orthopedics and Traumatology, Ege University Faculty of Medicine, Izmir, Turkey. Elcil Kaya Biçer, MD, Department of Orthopedics and Traumatology, Ege University Faculty of Medicine Hospital, Izmir, Turkey.
Nergiz
N
Ter
Meryem
M
Yavuz
Semih
S
Aydoğdu
Elcil
E
Kaya Biçer
D000269:Adhesives / Q000009:adverse effects / Q000627:therapeutic use*; D000369:Aged, 80 and over; D001458:Bandages / Q000009:adverse effects / Q000592:standards*; D005260:Female; D006615:Hip / Q000601:surgery*; D006801:Humans; D007717:Knee / Q000601:surgery*; D008297:Male; D008422:Materials Testing / Q000379:methods; D008875:Middle Aged; D009779:Occlusive Dressings / Q000009:adverse effects*; D011446:Prospective Studies
D000269:Adhesives