{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T08:08:43Z","timestamp":1790064523399,"version":"4.0.1"},"reference-count":28,"publisher":"EDP Sciences","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":264,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SICOT-J"],"accepted":{"date-parts":[[2026,7,18]]},"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>\n                    <jats:italic>Background:<\/jats:italic>\n                    Surgical site complications remain an important cause of morbidity following total hip and knee arthroplasty. While international guidelines support the selective use of prophylactic single-use negative pressure wound therapy (sNPWT) in appropriately selected high-risk patients and surgical incisions, these recommendations are largely derived from studies performed in highly standardized healthcare environments. Differences in patient characteristics, healthcare delivery, perioperative pathways, resource utilization, and postoperative surveillance may influence their applicability across diverse healthcare systems. Consequently, pragmatic, context-specific recommendations are needed to translate the available evidence into routine clinical practice in India and other countries with similar healthcare settings.\n                    <jats:italic>Methods<\/jats:italic>\n                    <jats:bold>:<\/jats:bold>\n                    A modified Delphi process was conducted involving 10 experienced arthroplasty surgeons from across India. An exploratory meeting identified key clinical questions and developed candidate statements. Subsequently, nine experts independently evaluated 13 statements using anonymous four-point Likert-scale voting. Consensus was predefined as \u226575% agreement.\n                    <jats:italic>Results:<\/jats:italic>\n                    Twelve of the 13 candidate statements achieved consensus (agreement 77.8%\u2013100%). The expert panel agreed that prophylactic sNPWT may be considered in selected high-risk situations, including revision arthroplasty involving implant removal, prolonged operative time (&gt;120\u00a0min), morbid obesity (BMI\u00a0&gt;\u00a040\u00a0kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    ), uncontrolled diabetes (HbA1c\u00a0&gt;\u00a08%), and high-tension wounds. Consensus was also achieved on key contraindications and practical application principles. These recommendations represent consensus-informed clinical guidance rather than definitive evidence-based recommendations.\n                    <jats:italic>Conclusion:<\/jats:italic>\n                    This modified Delphi consensus translates the available evidence and collective expert experience into practical recommendations for the selective use of prophylactic sNPWT following hip and knee arthroplasty. By providing a structured framework for patient selection and application, it aims to support consistent, evidence-informed decision-making in routine clinical practice, particularly in healthcare settings where context-specific implementation of international recommendations is required. Prospective clinical and health economic studies are needed to further validate these recommendations.\n                  <\/jats:p>","DOI":"10.1051\/sicotj\/2026060","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:55:55Z","timestamp":1790063755000},"page":"56","source":"Crossref","is-referenced-by-count":0,"title":["Indian expert consensus on prophylactic incisional single-use negative pressure wound therapy in hip and knee arthroplasty: A modified Delphi study"],"prefix":"10.1051","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3009-3485","authenticated-orcid":false,"given":"Vaibhav","family":"Bagaria","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Sir H N Reliance Foundation Hospital","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachin","family":"Tapasvi","sequence":"additional","affiliation":[{"name":"The Orthopaedic Speciality Clinic","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anjali","family":"Tiwari","sequence":"additional","affiliation":[{"name":"Global Research Cell, Dr D.Y. Patil Dental College & Hospital, Dr D. Y. Patil Vidyapeeth (Deemed to Be University)","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"250","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"issue":"Suppl 1","key":"R1","first-page":"46","volume":"55","author":"Vaidya","year":"2020","journal-title":"Indian J Orthop"},{"issue":"12","key":"R2","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1302\/2046-3758.212.2000190","volume":"2","author":"Karlakki","year":"2013","journal-title":"Bone Joint Res"},{"key":"R3","unstructured":"National Institute for Health and Care Excellence (2018) PICO Negative Pressure Wound Dressings for Closed Surgical Incisions. NICE."},{"key":"R4","unstructured":"World Health Organization (2018) Global Guidelines for the Prevention of Surgical Site Infection. WHO."},{"key":"R5","unstructured":"World Union of Wound Healing Societies (2016) Closed surgical incision management: understanding the role of SNPWT. Wounds International."},{"issue":"1","key":"R6","first-page":"e76874","volume":"17","author":"Das","year":"2025","journal-title":"Cureus"},{"issue":"4","key":"R7","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/j.techfore.2005.09.005","volume":"73","author":"Gordon","year":"2006","journal-title":"Technol Forecast Soc Change"},{"issue":"8","key":"R8","first-page":"1485","volume":"28","author":"Reddy","year":"2022","journal-title":"Foot Ankle Surg"},{"issue":"6","key":"R9","first-page":"1234","volume":"37","author":"Scigliano","year":"2022","journal-title":"J Arthroplasty"},{"issue":"4","key":"R10","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1016\/j.arth.2016.12.003","volume":"32","author":"Duchman","year":"2017","journal-title":"J Arthroplasty"},{"issue":"5","key":"R11","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1016\/j.arth.2014.07.024","volume":"30","author":"D'Apuzzo","year":"2015","journal-title":"J Arthroplasty"},{"issue":"9","key":"R12","first-page":"763","volume":"95","author":"McElroy","year":"2013","journal-title":"J Bone Joint Surg Am"},{"key":"R13","first-page":"1","volume":"12","author":"Kong","year":"2017","journal-title":"J Orthop Surg Res"},{"issue":"12","key":"R14","first-page":"1323","volume":"12","author":"Wu","year":"2014","journal-title":"Int J Surg"},{"issue":"7","key":"R15","doi-asserted-by":"crossref","first-page":"2210","DOI":"10.3390\/jcm9072210","volume":"9","author":"Kim","year":"2020","journal-title":"J Clin Med"},{"issue":"7","key":"R16","first-page":"1119","volume":"30","author":"Ponnusamy","year":"2015","journal-title":"J Arthroplasty"},{"key":"R17","first-page":"1","volume":"17","author":"Wang","year":"2022","journal-title":"J Orthop Surg Res"},{"issue":"7","key":"R18","first-page":"2430","volume":"36","author":"Chung","year":"2021","journal-title":"J Arthroplasty"},{"issue":"1","key":"R19","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.arth.2015.08.028","volume":"31","author":"Bohl","year":"2016","journal-title":"J Arthroplasty"},{"issue":"9","key":"R20","first-page":"1585","volume":"30","author":"Walls","year":"2015","journal-title":"J Arthroplasty"},{"issue":"5","key":"R21","first-page":"1042","volume":"19","author":"Hsiao","year":"2022","journal-title":"Int Wound J"},{"key":"R22","first-page":"CD009261","volume":"4","author":"Norman","year":"2022","journal-title":"Cochrane Database Syst Rev"},{"issue":"4","key":"R23","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1007\/s00264-011-1321-8","volume":"36","author":"Pachowsky","year":"2012","journal-title":"Int Orthop"},{"issue":"12","key":"R24","doi-asserted-by":"crossref","first-page":"2223","DOI":"10.1007\/s43465-022-00765-7","volume":"56","author":"Tuteja","year":"2022","journal-title":"Indian J Orthop"},{"key":"R25","unstructured":"Sharpe A (2023) PICO single use negative pressure wound therapy non-healing wound clinical practice pathway. Wounds, UK, 19."},{"key":"R26","doi-asserted-by":"crossref","first-page":"tkab018","DOI":"10.1093\/burnst\/tkab018","volume":"9","author":"Ji","year":"2021","journal-title":"Burns Trauma"},{"key":"R27","unstructured":"Aetna (n.d.) Negative pressure wound therapy medical clinical policy bulletins. Aetna."},{"key":"R28","unstructured":"Banky B, Raimond E, Veverkova L, et al. (2023) sNPWT VivereX: choosing single-use negative pressure wound therapy for hospital and home. Wounds Int."}],"container-title":["SICOT-J"],"original-title":[],"link":[{"URL":"https:\/\/www.sicot-j.org\/10.1051\/sicotj\/2026060\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:56:05Z","timestamp":1790063765000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.sicot-j.org\/10.1051\/sicotj\/2026060"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":28,"alternative-id":["sicotj260080"],"URL":"https:\/\/doi.org\/10.1051\/sicotj\/2026060","relation":{},"ISSN":["2426-8887"],"issn-type":[{"value":"2426-8887","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}