The primary objective of this investigation is to evaluate the performance of a self-adhesive absorbent post-operative dressing coated with a soft silicone layer in minimize the risk of the development of blistering in subjects after hip or knee arthroplasty or spinal surgery in comparison to a standard wound dressing The secondary objectives are to evaluate: * the performance of the dressing * the comfort, conformability and the acceptability of the dressing * pain before, during and after dressing removal * the overall cost regarding dressing wear time, time to do dressing change and personal resources needed
A monocentre, post CE-mark, randomized clinical trial will be conducted at the University of Cologne, Department of Orthopedics and Trauma Surgery. Male or female subjects, 18 years and above, undergoing hip, knee or spinal surgery with an expected hospital stay for 4 days or more will be included in the trial. Individual trial duration will be for 7 days (follow-up). Two hundred subjects will be included in the trial, i.e. 100 subjects per arm. The treatment arm (either new or standard wound dressing) will be assigned by randomization stratified by type of surgery (i.e. hip, knee or spine). AEs/ADEs/unexpected events with the device may be documented by relevant photos at time. All photos shall include a sticker marked with subject code, visit number/date and time. Outcome Measures Primary variable: • Development of blistering from day 0 to day 6 post surgery Photo documentation will be evaluated in a blinded manner by the Clinical Evaluation Committee (CEC). Secondary variables: * Other wound complications (i.e. leakage, inflammation, infection) * Number of dressing changes * Pain before, during and after dressing removal (VA scale) * Performance and acceptability of the dressing (4 point rating scale)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
200
wound dressing with Mepilex® Border Post-Op with Safetac®Technology, self-adherent soft silicone surgical dressing
standard wound dressing after hip-knee or spinal surgery
University Hospital Cologne
Cologne, Germany
Blistering
Development of blistering from day 0 to day 6 post surgery Photo documentation will be evaluated in a blinded manner by the Clinical Evaluation Committee (CEC).
Time frame: 0-6 days
wound complications
Other wound complications (i.e. leakage, inflammation, infection)
Time frame: 0-6 days
dressing changes
Number of dressing changes
Time frame: 0-6 days
pain
Pain before, during and after dressing removal (VA scale)
Time frame: 0-6 days
performance and acceptability
Performance and acceptability of the dressing (4 point rating scale)
Time frame: 0-6 days
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