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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Language: | English |
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Bioscientifica
2025-02-01
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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. |
format | Article |
id | doaj-art-b552e9e83de94f6193846f137707e7a3 |
institution | Kabale University |
issn | 2058-5241 |
language | English |
publishDate | 2025-02-01 |
publisher | Bioscientifica |
record_format | Article |
series | EFORT Open Reviews |
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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