Wound healing in total joint replacement

http://www.bjj.boneandjoint.org.uk/content/95-B/11_Supple_A/144.abstract

Wound healing in total joint replacement

1. R. E. Jones, MD, Professor, Department of Orthopaedic Surgery1;
2. R. D. Russell, MD, Resident, Department of Orthopaedic Surgery1; and
3. M. H. Huo, MD, Professor, Department of Orthopaedic Surgery1

+Author Affiliations

1. 1University of Texas Southwestern Medical Center, 1801 Inwood Rd, Dallas, Texas, 75390, USA.

1. Correspondence should be sent to Dr M. H. Huo; e-mail:Michael.huo@utsouthwestern.edu

Abstract

Satisfactory primary wound healing following total joint replacement is essential. Wound healing problems can have devastating consequences for patients. Assessment of their healing capacity is useful in predicting complications. Local factors that influence wound healing include multiple previous incisions, extensive scarring, lymphoedema, and poor vascular perfusion. Systemic factors include diabetes mellitus, inflammatory arthropathy, renal or liver disease, immune compromise, corticosteroid therapy, smoking, and poor nutrition. Modifications in the surgical technique are necessary in selected cases to minimise potential wound complications. Prompt and systematic intervention is necessary to address any wound healing problems to reduce the risks of infection and other potential complications.

Cite this article: Bone Joint J 2013;95-B, Supple A:144–7.

Footnotes

• No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
  This paper is based on a study which was presented at the 29th Annual Winter 2012 Current Concepts in Joint Replacement® meeting held in Orlando, Florida, 12th – 15th December.

• Received September 7, 2013.
• Accepted September 8, 2013.

• ©2013 The British Editorial Society of Bone & Joint Surgery