Ethicon Studies Identifies Best Practices for TKA and THA

Johnson & Johnson MedTech company, Ethicon, has published two studies in the Journal of Arthroplasty, which identify best practice approaches to wound closure and dressing management in total knee arthroplasty (TKA) and total hip arthroplasty (THA). 
 
The published studies feature insights from 20 international orthopaedic surgeons who identified key interventions in both TKA and THA that focus on patient safety and improved outcomes. 
 
Identified best practices include utilizing mesh adhesives over other skin closure methods, using barbed sutures over non-barbed sutures, and using triclosan-coated sutures over non-antimicrobial-coated sutures. 
 
These interventions were associated with a lower risk of surgical site infection, lower rates of wound complications, and lower rates of readmission. 
 
“The biggest problem that we have in terms of revisions or morbidity following total knee and total hip arthroplasty is infection, and approximately half of the infections are attributable to wound healing problems,” commented study co-author Michael A. Mont. “With the consensus reached by the participating orthopaedic surgeons, we now have a guide that may help reduce the variability between surgeons and centers, promote standardization, and improve outcomes for patients after knee and hip replacements.”
 
The studies used the Delphi technique which is an iterative process to collect opinions and reach an agreement among the panel. Current standards of care in TKA and THA have been developed from limited literature and a lack of evidence in systemic reviews. 
 
These consensus studies help serve as a foundation for education and knowledge, identifying gaps that require further research. 
 
J&J MedTech Global President, Wound Closure & Healing and Biosurgery, Nisha Johnson said, “As industry leaders with a legacy in medical technologies focused on proper healing and wound care, we are committed to partnering with experts and surgeons to elevate the standards of care in the field. The ongoing review of approaches to wound healing during arthroplasty procedures is a key element to improving patient outcomes with reduced risks of infection.”