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The paired\u2010matched, open, randomised controlled trial was conducted from September 2022 to July 2024. The participants were composed of the patient and the staff groups. Sixty patients were paired\u2010matched to the intervention and control groups. Before painting the resting area with an antiseptic, the ankle presented non\u2010blanchable erythema, which was recorded as a pressure injury. The intervention group showed significantly lower pressure injury (0% vs. 76.6%, <jats:italic>p<\/jats:italic>\u2009=\u20090.001) than the control group, with a relative risk of 5.29 (95% CI: 2.71\u201310.30). Both groups exhibited no significant difference in surgical site infection. However, the relative risk of surgical site infection in the control group was 2.03 (95% CI: 1.57\u20132.64). Thirty staff participants were purposively sampled to evaluate the effects of both leg lifting methods and assess their satisfaction with the leg prepper. The overall satisfaction with the rotating\u2010leg prepper was 4.87\u2009\u00b1\u20090.22. Rotating\u2010leg preppers can reduce pressure injury and prevent surgical site infections in patients' legs during heart surgery.<\/jats:p>","DOI":"10.1111\/iwj.70371","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T02:39:06Z","timestamp":1744857546000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of a Rotating\u2010Leg Prepper for Reducing Pressure Injury and Preventing Surgical Site Infection in Patients Undergoing Heart Surgery: Paired Matching Randomised Controlled Trial"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6616-6623","authenticated-orcid":false,"given":"Natthacha","family":"Chiannilkulchai","sequence":"first","affiliation":[{"name":"Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital Mahidol University  Bangkok 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