Open AccessJournal Article
Fracture Blisters After Primary Total Knee Arthroplasty.
TLDR
The patient was treated with leg elevation, loosely applied nonadhesive dressings, and a short course of oral antibiotics after skin desquamation, and the patient was able to resume intensive rehabilitation after resolution of the blisters.Abstract:
Fracture blisters are tense vesicles that arise on markedly swollen skin overlying traumatized soft tissue. While this relatively uncommon complication has been well described in the trauma literature, this article reports for the first time a case of fracture blisters after primary total knee arthroplasty. The fracture blisters developed within 36 hours of surgery and were associated with profound swelling and erythema. There was no evidence of vascular injury, compartment syndrome, iatrogenic fracture, or deep venous thrombosis. The patient was treated with leg elevation, loosely applied nonadhesive dressings, and a short course of oral antibiotics after skin desquamation. Blood-filled blisters required longer time to reepithelialization than fluid-filled blisters. Knee stiffness developed because of pain and fear of participation with physical therapy, but the patient was able to resume intensive rehabilitation after resolution of the blisters. Patient factors, surgical factors, and review of the literature are discussed.read more
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Acute compartment syndrome: Cause, diagnosis, and new viewpoint.
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Comparing Steri-Strip and surgical staple wound closures after primary total knee arthroplasties
TL;DR: Wound closure with Steri-Strips after a TKA does not require postoperative material removal and may have improved safety, comfort, cosmesis and cost-effectiveness compared with traditional skin closures.
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Open-label randomized controlled trial to compare wound dressings for patients undergoing hip and knee arthroplasty: study protocol for a randomized controlled trial
Maria López-Parra,Dolors Gil-Rey,Esmeralda López-González,Eva-Maria González-Rodríguez,Isabel Simó-Sánchez,Francisco Zamora-Carmona,Lidia Roqueta-Andreu,Marta Arizu-Puigvert,Dolors Abril-Sabater,Àngels Moreno-Álvarez,Àngels López-Bonet,Gisela López-Hidalgo,Helena Costa-Ventura,Laura García-Pardo,Mireia Rico-Liberato,Miriam García-Borràs,Maria Teresa Arnal-Leris,Mònica Sianes-Gallén,Roser Vives +18 more
TL;DR: The results of this study will be useful for clinical decision making by giving information on the contribution of the dressings studied to the outcome of the wound and may also show which dressing offers better results depending on the characteristics of patients.
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Wound healing after total knee arthroplasty
Venus Vakhshori,Jay R. Lieberman +1 more
TL;DR: Thorough knowledge of preoperative risk factors, meticulous surgical technique and wound closure, along with careful postoperative wound monitoring can prevent wound complications or lead to their resolution without subsequent morbidity after total knee arthroplasty.
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Massive haemorrhagic blister formation following total knee arthroplasty.
TL;DR: Skin blistering following trauma is not uncommon; however, large haemorrhagic bullous blisters following total knee arthroplasty is relatively rare and not widely documented in the literature.
References
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Michael R. Madden,Eileen Nolan,Jerome L. Finkelstein,Roger W. Yurt,Jane Smeland,Cleon W. Goodwin,John M. Hefton,Lisa Staiano-Coico +7 more
TL;DR: Three consecutive studies were performed in 58 patients evaluating the effect of occlusion on the healing of partial-thickness wounds and exudate collected beneath the DuoDerm and Op-site on donor sites resulted in a modest increase in keratinocyte proliferation.
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Impact of obesity on venous hemodynamics of the lower limbs
Torsten Willenberg,Anette Schumacher,Beatrice Amann-Vesti,Vincenzo Jacomella,Christoph Thalhammer,Nicolas Diehm,Iris Baumgartner,Marc Husmann +7 more
TL;DR: Lower limb venous flow parameters differ significantly between healthy obese and nonobese individuals and support the mechanical role of abdominal adipose tissue potentially leading to elevated risk for both venous thromboembolism and chronic venous insufficiency.
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Obesity and Impaired Venous Function
TL;DR: The CEAP clinical stage of venous disease is more advanced in obese patients than non-obese patients with comparable anatomical patterns of venOUS incompetence, which may be the result of raised intra-abdominal pressure reported in previous studies.
Journal ArticleDOI
Treatment of fracture blisters: a prospective study of 53 cases.
TL;DR: The present practice is to leave all fracture blisters intact, if the blisters rupture spontaneously, they are deroofed and covered with a nonadherent dressing.
Journal ArticleDOI
Blisters associated with lower-extremity fracture: results of a prospective treatment protocol.
TL;DR: Treatment of fracture blisters with a silver sulfadiazine (Silvadene) regimen proved to be successful in minimizing soft-tissue complications by promoting re-epithelialization in all nondiabetic patients.