Consensus document on the management of wound closure in orthopaedic surgery

Wounds in orthopaedic surgery differ from wounds in other surgical fields in various ways. Tissues that are highly affected due to the trauma itself, the presence of an orthopaedic implant and the performance of prosthetic surgery in patients with many comorbidities make these wounds need special co...

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Main Authors: Pablo Sanz-Ruiz, José Ramón Caeiro-Rey, Juan Carlos Martínez-Pastor, José Luis Martín-Alguacil, Antonio Murcia-Asensio, Jesús Moreta
Format: Article
Language:English
Published: Bioscientifica 2025-02-01
Series:EFORT Open Reviews
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Online Access:https://eor.bioscientifica.com/view/journals/eor/10/2/EOR-2024-0002.xml
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author Pablo Sanz-Ruiz
José Ramón Caeiro-Rey
Juan Carlos Martínez-Pastor
José Luis Martín-Alguacil
Antonio Murcia-Asensio
Jesús Moreta
author_facet Pablo Sanz-Ruiz
José Ramón Caeiro-Rey
Juan Carlos Martínez-Pastor
José Luis Martín-Alguacil
Antonio Murcia-Asensio
Jesús Moreta
author_sort Pablo Sanz-Ruiz
collection DOAJ
description Wounds in orthopaedic surgery differ from wounds in other surgical fields in various ways. Tissues that are highly affected due to the trauma itself, the presence of an orthopaedic implant and the performance of prosthetic surgery in patients with many comorbidities make these wounds need special consideration. Complications of the surgical wound in orthopaedic surgery are not unusual, being the main cause of medical care and readmission in the first 90 days. There is no consensus on the best way to perform closure in orthopaedic surgery. The national ‘Adequate Wound Management in Orthopaedic Surgery’ survey has shown interindividual variability in wound closure and soft tissue management in orthopaedic surgery at the local level. This consensus document, generated by a group of experts in soft tissue management in orthopaedic surgery, proposes recommendations based on evidence (using the GRADE methodology) to promote best practices in this field. This document considers recommendations for surgical wound closure, dressing management and haemostasis. In addition, some of the 32 questions in the national survey, plus others relevant to the subject, were taken as a starting point for developing the contents.
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spelling doaj-art-b552e9e83de94f6193846f137707e7a32025-02-09T12:01:58ZengBioscientificaEFORT Open Reviews2058-52412025-02-01102829410.1530/EOR-24-00021Consensus document on the management of wound closure in orthopaedic surgeryPablo Sanz-Ruiz0José Ramón Caeiro-Rey1Juan Carlos Martínez-Pastor2José Luis Martín-Alguacil3Antonio Murcia-Asensio4Jesús Moreta5Department of Orthopaedic Surgery and Traumatology, Hospital General Universitario Gregorio Marañón, Madrid, SpainDepartment of Orthopaedic Surgery and Traumatology, Complejo Hospitalario Universitario de Santiago de Compostela (CHUS), Santiago de Compostela, SpainDepartment of Surgery, School of Medicine, Universidad de Santiago de Compostela, Santiago de Compostela, SpainOrthopaedic Surgery and Traumatology Department, Martín Gómez Clinic, Hospital Vithas la Salud, Granada, SpainDepartment of Orthopaedic Surgery and Traumatology, Hospital General Universitario Reina Sofía, Murcia, SpainOrthopaedic Surgery and Traumatology Department, Hospital Universitario Galdakao-Usansolo (Bizkaia), Bizkaia, SpainWounds in orthopaedic surgery differ from wounds in other surgical fields in various ways. Tissues that are highly affected due to the trauma itself, the presence of an orthopaedic implant and the performance of prosthetic surgery in patients with many comorbidities make these wounds need special consideration. Complications of the surgical wound in orthopaedic surgery are not unusual, being the main cause of medical care and readmission in the first 90 days. There is no consensus on the best way to perform closure in orthopaedic surgery. The national ‘Adequate Wound Management in Orthopaedic Surgery’ survey has shown interindividual variability in wound closure and soft tissue management in orthopaedic surgery at the local level. This consensus document, generated by a group of experts in soft tissue management in orthopaedic surgery, proposes recommendations based on evidence (using the GRADE methodology) to promote best practices in this field. This document considers recommendations for surgical wound closure, dressing management and haemostasis. In addition, some of the 32 questions in the national survey, plus others relevant to the subject, were taken as a starting point for developing the contents.https://eor.bioscientifica.com/view/journals/eor/10/2/EOR-2024-0002.xmlwound closuresoft tissue managementorthopaedic surgeryconsensusrecommendations
spellingShingle Pablo Sanz-Ruiz
José Ramón Caeiro-Rey
Juan Carlos Martínez-Pastor
José Luis Martín-Alguacil
Antonio Murcia-Asensio
Jesús Moreta
Consensus document on the management of wound closure in orthopaedic surgery
EFORT Open Reviews
wound closure
soft tissue management
orthopaedic surgery
consensus
recommendations
title Consensus document on the management of wound closure in orthopaedic surgery
title_full Consensus document on the management of wound closure in orthopaedic surgery
title_fullStr Consensus document on the management of wound closure in orthopaedic surgery
title_full_unstemmed Consensus document on the management of wound closure in orthopaedic surgery
title_short Consensus document on the management of wound closure in orthopaedic surgery
title_sort consensus document on the management of wound closure in orthopaedic surgery
topic wound closure
soft tissue management
orthopaedic surgery
consensus
recommendations
url https://eor.bioscientifica.com/view/journals/eor/10/2/EOR-2024-0002.xml
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