Knee

Use of the PICO System following knee implant:

A 77-year old man, suffering from hypertension and osteoarthritis, had surgery for a knee implant. His wound was closed with sutures.

The patient was given a PICO System with the 10cm x 30cm dressing in the operating room.

After one day, the dressing needed changing. However, the wound was already seen to be progressing to closure at this point.

On day three, moderate exudate levels were noted. The dressing remained intact and continued to deliver NPWT.

The routine dressing change on day six showed the wound to be progressing to closure. The surrounding skin appeared healthy and intact.

At the next routine dressing change on day thirteen, the wound was found to be closed.

Enlarge Image
Fig 1. 77-year-old male patient after suturing of knee wound in the operating theatre

Fig 1. 77-year old male patient after suturing of knee wound in the operating theatre

Fig 1. 77-year old male patient after suturing of knee wound in the operating theatre

Enlarge Image
Fig 2. The PICO system in place over knee on day 4 showing exudate on the lower part of the dressing

Fig 2. The PICO System in place over knee on day 4 showing exudate on the lower part of the dressing

Fig 2. The PICO System in place over knee on day 4 showing exudate on the lower part of the dressing

Enlarge Image
Fig 3. Wound closed at dressing change on day 13

Fig 3. Wound closed at dressing change on day 13

Fig 3. Wound closed at dressing change on day 13

Use of the PICO System following knee implant:

A 48-year old woman was treated with the PICO System after knee implant surgery.

Her dressing was easy to apply and treatment continued uneventfully until her routine dressing change on day six, where her wound was seen to be progressing well.

On day ten, the dressing was changed and the wound was found to be closed and no further treatment was needed.

Enlarge Image
Fig 1. Knee immediately post surgery

Fig 1. Knee immediately post-surgery

Fig 1. Knee immediately post-surgery

Enlarge Image
Fig 2. Knee wound at dressing change on day 6

Fig 2. Knee wound at dressing change on day 6

Fig 2. Knee wound at dressing change on day 6

Enlarge Image
Fig 3.Knee wound at dressing change on day 10

Fig 3.Knee wound at dressing change on day 10

Fig 3.Knee wound at dressing change on day 10

Use of the PICO System after revision of knee replacement:

A 61-year old man had surgery for a knee implant revision.

The wound measuring 23cm x 0.1cm, had been closed with a suture fixed with Steri-Strips™. His wound had light exudate and was not clinically infected.

A PICO System with the 10cm x 30cm dressing was applied in the operating room, without difficulties. Treatment continued normally for five days, with the patient able to go home on day three. On day five, a small amount of exudate at the base and middle of the dressing was noted. But at the routine dressing change on day six, the wound was shown to be progressing to closure.

On day seven, the patient mentioned that the dressing felt tighter than it had previously. At the routine dressing change on day ten, the patient reported a mild pain on dressing removal. The wound was seen to be closed at this point.

Overall the clinician was very satisfied with the PICO System, commenting that it provided fast wound healing and good management of exudate in comparison with advanced wound dressings.

Enlarge Image
Fig 1. Knee immediately post surgery with tourniquet in place

Fig 1. Knee immediately post-surgery with tourniquet in place

Fig 1. Knee immediately post-surgery with tourniquet in place

Enlarge Image
Fig 2. Wound at dressing change on day 6

Fig 2. Wound at dressing change on day 6

Fig 2. Wound at dressing change on day 6

Enlarge Image
Fig 3. Day 10, wound is almost completely healed

Fig 3. Day 10, wound is almost completely healed

Fig 3. Day 10, wound is almost completely healed

Resource