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The efficacy of using self-adhesive silicone gel waterproof dressings versus conventional gauze dressings for recovery after total joint arthroplasty (TJA) remains unclear. In our study, we conducted a prospective, randomized controlled trial to compare these two types of dressings. Patients were divided into two groups following TJA, and we collected primary outcome measures such as skin infection rate and re-operation rate. Additionally, we gathered blood inflammatory indicators, including C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR), to evaluate the effectiveness of the two treatments. Finally, we perform one year follow up including REEDA score, MSS score to evaluate the recovery of the skin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Self-adhesive silicone gel waterproof dressing group | Experimental | Self-adhesive silicone gel waterproof dressing is used after artificial joint replacement surgery |
|
| Sterile gauze dressing group | Active Comparator | Sterile gauze dressing is used after artificial joint replacement surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Self-adhesive silicone gel waterproof dressing | Device | Self-adhesive silicone gel waterproof dressing is used after artificial joint replacement surgery. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Infection control rate | Calculate the infection control rate in the two groups | One month and three month after surgery |
| Redness, Edema, Ecchymosis, Discharge, and Approximation score (REEDA score) | The REEDA score is a clinical tool used to assess the healing of perineal wounds and other skin wounds, particularly after childbirth. REEDA stands for Redness, Edema, Ecchymosis, Discharge, and Approximation. Each of these five parameters is scored on a scale from 0 to 3, with higher scores indicating more severe symptoms. The total REEDA score can range from 0 to 15. | One day before surgery, three month after surgery |
| Modified Severity Score (MSS) | This score is often used in dermatology to evaluate the severity of conditions such as atopic dermatitis or other chronic skin disorders. The MSS score helps clinicians to quantify the extent and severity of skin involvement, aiding in treatment decisions and monitoring progress. | One day before surgery, three month after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| X-ray | X-ray of surgery site. | One day before surgery and three months after surgery. |
| American Knee Society Score (AKS score) | American Knee Society Score is used to evaluate the outcomes of knee replacement surgery. This scoring system consists of two main components: the knee score and the function score. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Long Hua | Contact | +8615099182364 | hualong_xmu@163.com | |
| Li Cao | Contact | +8613909915960 | xjbone@sina.com |
| Name | Affiliation | Role |
|---|---|---|
| Li Cao | The first affliated hospital, Xinjiang medical university | Study Chair |
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Other researchers can contact the corresponding author after the research publishing.
Other researchers can contact the corresponding author after the research publishing.
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| Sterile gauze dressing | Device | Sterile gauze dressing is used after artificial joint replacement surgery. |
|
| One day before surgery and three months after surgery. |
| The Harris Hip Score (HHS) | The Harris Hip Score (HHS) is a widely used clinical tool for assessing the outcomes of hip surgeries, particularly hip replacements. Developed by Dr. William Harris in 1969, it evaluates various aspects of hip function and pain to provide an overall score that reflects the patient's condition. The higher the score, the better the result is. | One day before surgery and three months after surgery. |
| Visual Analog Scale (VAS score) | The VAS score, or Visual Analog Scale, is a tool commonly used to measure a person's level of pain. The VAS is a simple, subjective measure that consists of a straight line, typically 10 centimeters long, anchored by two endpoints. One end of the line represents "no pain" and the other end represents "worst pain imaginable." For example, if the VAS line is 10 cm long and the patient's mark is at 7 cm from the "no pain" end, their pain score would be 7 out of 10. | One day before surgery and three months after surgery. |
| Alanine Aminotransferase (ALT) | An enzyme found in the liver that helps convert proteins into energy. Elevated levels indicate liver damage. Normal range: 10 to 40 units per liter (U/L) | One day before surgery and one day after surgery |
| Aspartate Aminotransferase (AST) | An enzyme found in the liver and other tissues. High levels can indicate liver damage but are less specific than ALT. Normal range: 10 to 40 units per liter (U/L) | One day before surgery and one day after surgery |
| Serum Creatinine | Measures the level of creatinine in the blood. Elevated levels can indicate impaired kidney function. Normal range: 62 to 115 micromoles per liter (µmol/L). | One day before surgery and one day after surgery |
| Blood Urea Nitrogen （BUN） | Measures the amount of nitrogen in the blood that comes from urea. Elevated BUN levels can indicate impaired kidney function. Normal range: 2.5 to 7.1 millimoles per liter (mmol/L). | One day before surgery and one day after surgery |