title: Randomized controlled trial of conventional versus modern surgical dressings following primary total hip and knee replacement.
abstract: OBJECTIVE
  We prospectively compared two types of dressing (conventional gauze-based versus absorbing hydrofibre) after primary total hip (THA) or knee (TKA) arthroplasties.
  
  
  METHODS
  Eighty candidates for THA (n = 40) or TKA (s = 40) were randomized: gauze-based versus hydrofibre absorbing (Aquacel®, ConvaTec). The two groups were comparable at baseline.
  
  
  RESULTS
  There was a statistically significant decrease of dressing changes in the hydrofibre group (p = 0.0006). Two patients from the conventional group presented minor wound complications. Nurses' satisfaction was significantly higher in the hydrofibre group considering the adherence (p = 0.04) and flexibility (p = 0.03). Patients experienced a higher satisfaction with respect to ease of movement (p = 0.01) in the hydrofibre group. The cosmetic appearance of the scars six weeks after surgery was found to be similar between groups.
  
  
  CONCLUSIONS
  Our findings support an overall improved comfort for the patients and the medical staff by using hydrofibre dressings after primary THA and TKA. The reduction of required dressing changes was observed also.
authors: Department of Orthopaedic and Trauma Surgery, Hôpital Cochin, Université Paris-Descartes, Assistance Publique-Hôpitaux de Paris, 27 Rue du Faubourg St Jacques, 75014, Paris, France, jeangast@gmail.com.
authors: Jean
authors: J
authors: Langlois
authors: Amine
authors: A
authors: Zaoui
authors: Camille
authors: C
authors: Ozil
authors: Jean-Pierre
authors: JP
authors: Courpied
authors: Philippe
authors: P
authors: Anract
authors: Moussa
authors: M
authors: Hamadouche
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects* / Q000379:methods; D001458:Bandages; D002921:Cicatrix; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D013530:Surgical Wound Infection; D055815:Young Adult