Perfusion Assessment of Wound Closure Techniques in Primary Total Knee Arthroplasty
Status: | Recruiting |
---|---|
Conditions: | Orthopedic |
Therapuetic Areas: | Orthopedics / Podiatry |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 5/3/2014 |
Start Date: | August 2013 |
Assessment of Wound Closure Techniques in Primary Total Knee Arthroplasty Using SPY Intra-operative Angiography
This study will assess which of the three most common methods of wound closure in primary
total knee arthroplasty (staples, interrupted vertical mattress, or running subcuticular
suture) provide the best wound vascular perfusion. This can be achieve by using SPY
intra-operative vascular angiography, which is commonly used in clinical practice to assess
perfusion of wound closure at the clinic. By understanding the differences in perfusion
afforded by different closure techniques, surgeons will then be able to select the technique
that optimizes this parameter so as to avoid complications such as tissue necrosis, wound
dehiscence, or infection.
total knee arthroplasty (staples, interrupted vertical mattress, or running subcuticular
suture) provide the best wound vascular perfusion. This can be achieve by using SPY
intra-operative vascular angiography, which is commonly used in clinical practice to assess
perfusion of wound closure at the clinic. By understanding the differences in perfusion
afforded by different closure techniques, surgeons will then be able to select the technique
that optimizes this parameter so as to avoid complications such as tissue necrosis, wound
dehiscence, or infection.
Inclusion Criteria:
- ≥ 18 years old
- Primary diagnosis of osteoarthritis
- Surgical indication for index total knee arthroplasty
Exclusion Criteria:
- Previous surgery about the knee
- Systemic corticosteroid use
- Active infection of any kind or chronic infection with HIV, Hepatitis C, or
Syphilis
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