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Effect of postoperative use of nasal oxygen catheter supplementation in wound healing following total knee arthroplasty
Helito, Camilo Partezani; Junqueira, Jader Joel Machado; Gobbi, Ricardo Gomes; Angelini, Fábio Janson; Rezende, Marcia Uchoa; Tírico, Luis Eduardo Passarelli; Demange, Marco Kawamura; Albuquerque, Roberto Freire da Mota e; Pécora, José Ricardo; Camanho, Gilberto Luis.
Affiliation
  • Helito, Camilo Partezani; Faculdade de Medicina da Universidade de São Paulo. Orthopaedic and Traumatology Institute. Knee Surgery Department. São Paulo. BR
  • Junqueira, Jader Joel Machado; Faculdade de Medicina da Universidade de São Paulo. Orthopaedic and Traumatology Institute. Knee Surgery Department. São Paulo. BR
  • Gobbi, Ricardo Gomes; Faculdade de Medicina da Universidade de São Paulo. Orthopaedic and Traumatology Institute. Knee Surgery Department. São Paulo. BR
  • Angelini, Fábio Janson; Faculdade de Medicina da Universidade de São Paulo. Orthopaedic and Traumatology Institute. Knee Surgery Department. São Paulo. BR
  • Rezende, Marcia Uchoa; Faculdade de Medicina da Universidade de São Paulo. Orthopaedic and Traumatology Institute. Knee Surgery Department. São Paulo. BR
  • Tírico, Luis Eduardo Passarelli; Faculdade de Medicina da Universidade de São Paulo. Orthopaedic and Traumatology Institute. Knee Surgery Department. São Paulo. BR
  • Demange, Marco Kawamura; Faculdade de Medicina da Universidade de São Paulo. Orthopaedic and Traumatology Institute. Knee Surgery Department. São Paulo. BR
  • Albuquerque, Roberto Freire da Mota e; Faculdade de Medicina da Universidade de São Paulo. Orthopaedic and Traumatology Institute. Knee Surgery Department. São Paulo. BR
  • Pécora, José Ricardo; Faculdade de Medicina da Universidade de São Paulo. Orthopaedic and Traumatology Institute. Knee Surgery Department. São Paulo. BR
  • Camanho, Gilberto Luis; Faculdade de Medicina da Universidade de São Paulo. Orthopaedic and Traumatology Institute. Knee Surgery Department. São Paulo. BR
Clinics ; 69(11): 735-739, 11/2014. tab
Article in English | LILACS | ID: lil-731107
Responsible library: BR1.1
ABSTRACT

OBJECTIVES:

Healing is an event that is fundamental to the success of total knee arthroplasty. The aims of the present study were to compare the rates of complications related to wound healing between two groups of volunteers submitted to total knee arthroplasty and to evaluate the effects of postoperative oxygen supplementation by means of a nasal catheter.

METHOD:

A total of 109 patients who underwent total knee arthroplasty were randomized into two groups, namely, groups that did and did not receive postoperative oxygen supplementation via a nasal catheter. The surgical wound was monitored every day during the hospital stay and on the 7th, 14th, 21st, 30th and 42nd postoperative days. Characteristics related to healing were observed, including hyperemia, dehiscence, necrosis, phlyctenules and deep and superficial infection.

RESULTS:

There were no cases of deep infection. Hyperemia was statistically correlated with the total number of complications in the groups, with oxygen demonstrated to be a protective factor against hyperemia. Approximately 30% of the patients who exhibited hyperemia had other complications, independent of oxygen supplementation.

CONCLUSION:

Oxygen supplementation following total knee arthroplasty was shown to be effective in diminishing hyperemia around the operative wound. The development of hyperemia was a precursor to other complications, irrespective of whether oxygen supplementation was used. .
Subject(s)


Full text: Available Collection: International databases Health context: SDG3 - Health and Well-Being Health problem: Target 3.4: Reduce premature mortality due to noncommunicable diseases Database: LILACS Main subject: Oxygen Inhalation Therapy / Postoperative Complications / Wound Healing / Arthroplasty, Replacement, Knee Type of study: Controlled clinical trial / Etiology study / Risk factors Limits: Aged / Aged, 80 and over / Female / Humans / Male Language: English Journal: Clinics Journal subject: Medicine Year: 2014 Document type: Article Affiliation country: Brazil Institution/Affiliation country: Faculdade de Medicina da Universidade de São Paulo/BR

Full text: Available Collection: International databases Health context: SDG3 - Health and Well-Being Health problem: Target 3.4: Reduce premature mortality due to noncommunicable diseases Database: LILACS Main subject: Oxygen Inhalation Therapy / Postoperative Complications / Wound Healing / Arthroplasty, Replacement, Knee Type of study: Controlled clinical trial / Etiology study / Risk factors Limits: Aged / Aged, 80 and over / Female / Humans / Male Language: English Journal: Clinics Journal subject: Medicine Year: 2014 Document type: Article Affiliation country: Brazil Institution/Affiliation country: Faculdade de Medicina da Universidade de São Paulo/BR
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