Objective: The present study aimed to evaluate the effects of Aquacel Ag® Surgical Dressing on wound site infections and patient comfort in total knee arthroplasty.
Methods: The study included a total of 274 patients who were diagnosed with primary gonarthrosis and underwent total knee arthroplasty (TKA) at our clinic during 2016 and 2017. Aquacel Ag® Ag Surgical Dressing was applied in 139 patients (Group 1), and conventional gauze sponge was used in 135 patients (Group 2). Patient outcomes including the frequency of changing the dressing, pain due to dressing change, patient satisfaction, wound site infections, and formation of blisters were compared between groups retrospectively.
Results: Blister formation (p=0.770), and superficial infections (p=0.500) were similar in both groups. Duration of hospital stay (p<0.001), and number of dressing change (p<0.001) were significantly higher in conventional gauze dressing group. Patient satisfaction was significantly higher and pain scores during dressing change were significantly lower in the Aquacel Ag® group (p<0.001 for both). Also, the number of patients who could take a shower during the first three days of surgery was significantly higher in the Aquacel Ag® group (p<0.001).
Conclusion: The results of the present study showed that Aquacel Ag® Surgical Dressing significantly improves patient outcomes after TKA surgeries by decreasing postoperative complications, and enhancing patient satisfaction