Comparison of clinical outcomes of hydrofiber and standard dressings in postoperative knee and hip arthroplasty wounds: a comprehensive meta-analysis
Year: 2025
Type: article
Study designs: Systematic Review, Meta-Analysis
Abstract: Objectives The purpose of this study was to compare the clinical efficacy, safety and cost-effectiveness of hydrofiber dressings and standard dressings in the management of wounds after total knee or hip arthroplasty. Methods This meta-analysis was conducted according the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. We searched PubMed, EMBASE, and the Cochrane Library from inception to January 2025 to identify English-language randomized controlled trials (RCTs) and comparative cohort studies. Studies were included if they compared hydrofiber dressings with traditional or other standard dressings and involved patients undergoing primary hip or knee arthroplasty with an expected postoperative hospital stay of four days or more. The included studies were assessed for methodological quality. A meta-analysis and systematic review were performed on data extracted from these studies. Results Nine RCTs with total 1,223 participants and three cohort studies with total 2,152 participants were included. The results showed that hydrofiber dressings significantly outperformed standard wound dressings in terms of blister formation (RR, 0.48; 95% CI, 0.27–0.87; P = 0.02; I 2 , 51%), periprosthetic joint infection (PJI) rate (RR, 0.27; 95% CI, 0.09–0.75; P = 0.01; I 2 , 0%), total complication rate (RR, 0.46; 95% CI, 0.29–0.75; P = 0.002; I 2 , 61%), number of dressing changes (MD, −1.87; 95% CI, −2.76 to −0.98; P < 0.0001; I 2 , 96%), and the need for dressing change within five days after surgery (RR, 0.55; 95% CI, 0.38–0.79; P = 0.001; I 2 , 43%). The systematic review showed that hydrofiber dressings were superior to standard wound dressings in terms of comfort and average total cost. Conclusion The hydrofiber dressings were superior to standard wound dressings in terms of blistering, PJI rate, total complication rate, number of dressing changes, and need for dressing change within five days after surgery.
Source: Frontiers in Surgery
Authors: Ran Zhang, Rui Sun
Institutions: Tianjin Hospital, Tianjin Chest Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W4417263140