Do wound protectors reduce contamination in total shoulder arthroplasty? A randomized controlled trial.
Mitchell S Kirkham, Hunter B Carlson, Emma Merrill et al.
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In 30 seconds
This randomized controlled trial evaluated the impact of a wound protector on bacterial colonization in 100 patients undergoing total shoulder arthroplasty. The study found no significant difference in positive cultures for Cutibacterium acnes (15% vs. 21%, P = .593) between the wound protector and control groups. However, the wound protector group exhibited significantly lower soft tissue injury scores for the deltoid and pectoralis muscles.
Key findings
- No significant difference in positive cultures for C acnes: 15% vs. 21%, P = .593.
- No significant difference in total bacterial culture positivity: 15% vs. 26%, P = .304.
- Wound protector group had better soft tissue injury scores for deltoid and pectoralis muscles, P < .001.
Why it matters
Understanding the effectiveness of wound protectors in reducing bacterial colonization is crucial for preventing infections in shoulder arthroplasty. Additionally, minimizing soft tissue injury can enhance recovery and outcomes for patients.