Silver-impregnated occlusive dressing is associated with a lower rate of acute surgical site infection after direct anterior total hip arthroplasty - Summary - MDSpire
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Silver-impregnated occlusive dressing is associated with a lower rate of acute surgical site infection after direct anterior total hip arthroplasty
To evaluate whether the use of a silver-impregnated occlusive dressing is associated with a lower incidence of acute surgical site infection compared with standard sterile dressing in patients undergoing direct anterior total hip arthroplasty.
Approach:
Patient Selection: Retrospective review of 321 patients who underwent primary THA via DAA from September 2020 to December 2025, excluding certain cases to mitigate early learning-curve effects.
Surgical Technique: All procedures performed by a single surgeon using a lateralized incision to reduce inguinal fold contact.
Dressing Protocol: Standard sterile gauze was used until August 2021, after which AQUACEL® Ag SURGICAL was implemented, with dressing changes every 7 days.
Outcome Measures: Primary outcome was acute surgical site infection within 30 days; secondary outcomes included periprosthetic joint infection and return to OR for wound-related complications within 90 days.
Data Analysis: Data analyzed using IBM SPSS Statistics; comparisons made using appropriate statistical tests.
Key Findings:
The use of silver-impregnated occlusive dressings was associated with a lower incidence of acute surgical site infections compared to standard sterile dressings.
The study included a total of 321 patients with a follow-up period of at least three months.
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