Here - EWMA 2013

POSTER PRESENTATIONS
P 194
SUPPURATIVE ARTHRITIS TREATED WITH NEGATIVE PRESSURE WOUND
TREATMENT – A COMPARATIVE STUDY
Vitaly Kozhevnikov 1
1 General Surgeon, septic surgery, Non state healthcare Institution “Railway Clinical
Hospital” (St.Petersburg, Russia).
Aim: Suppurative arthritis, acute infection of the synovial membranes, may lead to
damage and disability. The retrospective study compared clinical efficacy of *negative
pressure wound treatment [CNP] with traditional treatment (joint drainage with antiseptic
lavages [chlorhexidine] in N=18 patients with suppurative arthritis.
Methods: Patients had either osteomyelitis of the foot, knee joint, septic arthritis with
atherosclerotic lesions and ischemia or joint damage due to trauma. All patients received
surgical treatment, gradational necrosectomy and antibiotics. For local treatment the
patients were divided into two groups, n=10/18 received CNP and n=8/18, the control
group, received traditional local treatment. The results of this group were retrospectively
evaluated using medical records. Clinical efficacy was evaluated by the following:
duration of infection eradication; length of hospital stay; quality of the final result.
Results: The mean time for wound cleansing was significantly [p