{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T06:38:15Z","timestamp":1765521495840,"version":"3.48.0"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The purpose of this study was to compare the clinical efficacy, safety and cost-effectiveness of hydrofiber dressings and standard dressings in the management of wounds after total knee or hip arthroplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This meta-analysis was conducted according the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. We searched PubMed, EMBASE, and the Cochrane Library from inception to January 2025 to identify English-language randomized controlled trials (RCTs) and comparative cohort studies. Studies were included if they compared hydrofiber dressings with traditional or other standard dressings and involved patients undergoing primary hip or knee arthroplasty with an expected postoperative hospital stay of four days or more. The included studies were assessed for methodological quality. A meta-analysis and systematic review were performed on data extracted from these studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nine RCTs with total 1,223 participants and three cohort studies with total 2,152 participants were included. The results showed that hydrofiber dressings significantly outperformed standard wound dressings in terms of blister formation (RR, 0.48; 95% CI, 0.27\u20130.87;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.02; I\n                      <jats:sup>2<\/jats:sup>\n                      , 51%), periprosthetic joint infection (PJI) rate (RR, 0.27; 95% CI, 0.09\u20130.75;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.01; I\n                      <jats:sup>2<\/jats:sup>\n                      , 0%), total complication rate (RR, 0.46; 95% CI, 0.29\u20130.75;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.002; I\n                      <jats:sup>2<\/jats:sup>\n                      , 61%), number of dressing changes (MD, \u22121.87; 95% CI, \u22122.76 to \u22120.98;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.0001; I\n                      <jats:sup>2<\/jats:sup>\n                      , 96%), and the need for dressing change within five days after surgery (RR, 0.55; 95% CI, 0.38\u20130.79;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.001; I\n                      <jats:sup>2<\/jats:sup>\n                      , 43%). The systematic review showed that hydrofiber dressings were superior to standard wound dressings in terms of comfort and average total cost.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The hydrofiber dressings were superior to standard wound dressings in terms of blistering, PJI rate, total complication rate, number of dressing changes, and need for dressing change within five days after surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2025.1684840","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T06:34:31Z","timestamp":1765521271000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of clinical outcomes of hydrofiber and standard dressings in postoperative knee and hip arthroplasty wounds: a comprehensive meta-analysis"],"prefix":"10.3389","volume":"12","author":[{"given":"Ran","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"780","DOI":"10.2106\/jbjs.f.00222","article-title":"Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030","volume":"89","author":"Kurtz","year":"2007","journal-title":"J Bone Joint Surg Am"},{"key":"B2","doi-asserted-by":"publisher","first-page":"5","DOI":"10.12968\/jowc.2009.18.1.32128","article-title":"A prospective clinical audit of a new dressing design for lower limb arthroplasty wounds","volume":"18","author":"Clarke","year":"2009","journal-title":"J Wound Care"},{"key":"B3","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1080\/17453674.2021.1977532","article-title":"Similar periprosthetic joint infection rates after and before a national infection control program: a study of 45,438 primary total knee arthroplasties","volume":"93","author":"Thompson","year":"2022","journal-title":"Acta Orthop"},{"key":"B4","doi-asserted-by":"publisher","first-page":"11","DOI":"10.5371\/hp.2021.33.1.11","article-title":"Current guideline for diagnosis of periprosthetic joint infection: a review article","volume":"33","author":"Kim","year":"2021","journal-title":"Hip Pelvis"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1524","DOI":"10.1055\/s-0042-1758674","article-title":"Dressing management during total knee arthroplasty: a systematic review and meta-analysis","volume":"35","author":"Chen","year":"2022","journal-title":"J Knee Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"S4","DOI":"10.12968\/bjon.2008.17.Sup6.30705","article-title":"Exploring the concept of moist wound healing and its application in practice","volume":"17","author":"Benbow","year":"2008","journal-title":"Br J Nurs"},{"key":"B7","doi-asserted-by":"publisher","first-page":"685","DOI":"10.1089\/wound.2020.1232","article-title":"Moist wound healing with commonly available dressings","volume":"10","author":"Nuutila","year":"2021","journal-title":"Adv Wound Care"},{"key":"B8","doi-asserted-by":"publisher","first-page":"122","DOI":"10.12968\/jowc.2016.25.3.122","article-title":"The importance of hydration in wound healing: reinvigorating the clinical perspective","volume":"25","author":"Ousey","year":"2016","journal-title":"J Wound Care"},{"key":"B9","doi-asserted-by":"publisher","first-page":"449","DOI":"10.12968\/jowc.2009.18.11.44985","article-title":"Effect of dressing choice on outcomes after hip and knee arthroplasty: a literature review","volume":"18","author":"Tustanowski","year":"2009","journal-title":"J Wound Care"},{"key":"B10","doi-asserted-by":"publisher","first-page":"469","DOI":"10.12968\/jowc.1997.6.10.469","article-title":"The application of a cellulose-based fibre dressing in surgical wounds","volume":"6","author":"Foster","year":"1997","journal-title":"J Wound Care"},{"key":"B11","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1177\/11207000211012669","article-title":"Efficacy of hydrofibre dressing following total joint arthroplasty: a meta-analysis of randomised controlled trials","volume":"33","author":"Mundi","year":"2023","journal-title":"Hip Int"},{"key":"B12","doi-asserted-by":"publisher","first-page":"1295","DOI":"10.1007\/s00264-017-3484-4","article-title":"In search of the optimal wound dressing material following total hip and knee arthroplasty: a systematic review and meta-analysis","volume":"41","author":"Sharma","year":"2017","journal-title":"Int Orthop"},{"key":"B13","doi-asserted-by":"crossref","DOI":"10.1002\/9781119536604","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions","author":"Higgins","year":"2019"},{"key":"B14","doi-asserted-by":"publisher","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1929","DOI":"10.1097\/BRS.0b013e3181b1c99f","article-title":"2009 Updated method guidelines for systematic reviews in the Cochrane back review group","volume":"34","author":"Furlan","year":"2009","journal-title":"Spine"},{"key":"B16","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1016\/j.aott.2018.06.001","article-title":"Is volar locking plate superior to external fixation for distal radius fractures? A comprehensive meta-analysis","volume":"52","author":"Wang","year":"2018","journal-title":"Acta Orthop Traumatol Turc"},{"key":"B17","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1016\/j.jtv.2012.04.002","article-title":"A prospective randomised study comparing the jubilee dressing method to a standard adhesive dressing for total hip and knee replacements","volume":"21","author":"Burke","year":"2012","journal-title":"J Tissue Viability"},{"key":"B18","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1016\/j.joon.2005.09.003","article-title":"A randomised clinical trial of two different wound dressing materials for hip replacement patients","volume":"9","author":"Harle","year":"2005","journal-title":"J Orthop Nurs"},{"key":"B19","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1111\/j.1742-4801.2006.00189.x","article-title":"The management of wounds following primary lower limb arthroplasty: a prospective, randomised study comparing hydrofibre and central pad dressings","volume":"3","author":"Abuzakuk","year":"2006","journal-title":"Int Wound J"},{"key":"B20","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1308\/003588406X82989","article-title":"A prospective, randomised, controlled trial comparing wound dressings used in hip and knee surgery: aquacel and tegaderm versus cutiplast","volume":"88","author":"Ravenscroft","year":"2006","journal-title":"Ann R Coll Surg Engl"},{"key":"B21","first-page":"454","article-title":"Comparative study of innovative postoperative wound dressings after total knee arthroplasty","volume":"81","author":"Dobbelaere","year":"2015","journal-title":"Acta Orthop Belg"},{"key":"B22","doi-asserted-by":"publisher","first-page":"1315","DOI":"10.1007\/s00264-015-2726-6","article-title":"Randomized controlled trial of conventional versus modern surgical dressings following primary total hip and knee replacement","volume":"39","author":"Langlois","year":"2015","journal-title":"Int Orthop"},{"key":"B23","first-page":"415","article-title":"Role of surgical dressings in total joint arthroplasty: a randomized controlled trial","volume":"44","author":"Springer","year":"2015","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"B24","doi-asserted-by":"publisher","first-page":"1262108","DOI":"10.1155\/2017\/1262108","article-title":"AQUACEL\u00ae ag surgical dressing reduces surgical site infection and improves patient satisfaction in minimally invasive total knee arthroplasty: a prospective, randomized, controlled study","volume":"2017","author":"Kuo","year":"2017","journal-title":"BioMed Res Int"},{"key":"B25","doi-asserted-by":"publisher","first-page":"100772","DOI":"10.1016\/j.ijotn.2020.100772","article-title":"A prospective randomized controlled clinical investigation comparing two post-operative wound dressings used after elective hip and knee replacement; Mepilex\u00ae border post-op versus aquacel\u00ae surgical","volume":"38","author":"Beele","year":"2020","journal-title":"Int J Orthop Trauma Nurs"},{"key":"B26","doi-asserted-by":"publisher","first-page":"200","DOI":"10.12968\/jowc.2012.21.4.200","article-title":"Enhancing patient recovery following lower limb arthroplasty with a modern wound dressing: a prospective, comparative audit","volume":"21","author":"Hopper","year":"2012","journal-title":"J Wound Care"},{"key":"B27","doi-asserted-by":"publisher","first-page":"93","DOI":"10.14744\/etd.2019.24482","article-title":"Comparison of the aquacel ag surgical dressing vs standard dressing in the treatment of the wound site infection and patient comfort in total knee arthroplasty","volume":"42","author":"Akdo\u011fan","year":"2020","journal-title":"Erciyes Med J"},{"key":"B28","doi-asserted-by":"publisher","first-page":"1098","DOI":"10.1016\/j.arth.2013.11.012","article-title":"Aquacel surgical dressing reduces the rate of acute PJI following total joint arthroplasty: a case-control study","volume":"29","author":"Cai","year":"2014","journal-title":"J Arthroplasty"},{"key":"B29","doi-asserted-by":"publisher","first-page":"676","DOI":"10.12968\/bjon.1999.8.10.6607","article-title":"An investigation of the benefits of aquacel hydrofibre wound dressing","volume":"8","author":"Williams","year":"1999","journal-title":"Br J Nurs"},{"key":"B30","doi-asserted-by":"publisher","first-page":"1685","DOI":"10.1111\/jocd.15639","article-title":"Effect of silver-containing hydrofiber dressing on burn wound healing: a meta-analysis and systematic review","volume":"22","author":"Wu","year":"2023","journal-title":"J Cosmet Dermatol"},{"key":"B31","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.12968\/jowc.2019.28.Sup9a.S1","article-title":"A multipurpose dressing: a clinical review of the absorption, debridement and healing properties of aquacel foam","volume":"28","author":"Ousey","year":"2019","journal-title":"J Wound Care"},{"key":"B32","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1097\/00000637-199505000-00007","article-title":"Dry, moist, and wet skin wound repair","volume":"34","author":"Vogt","year":"1995","journal-title":"Ann Plast Surg"},{"key":"B33","doi-asserted-by":"publisher","first-page":"2s","DOI":"10.1016\/0002-9610(94)90002-7","article-title":"Overview of wound healing in a moist environment","volume":"167","author":"Field","year":"1994","journal-title":"Am J Surg"},{"key":"B34","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1097\/00152192-199303000-00013","article-title":"Clinical benefit of a hydrocolloid dressing in closed surgical wounds","volume":"20","author":"Hermans","year":"1993","journal-title":"J ET Nurs"},{"key":"B35","doi-asserted-by":"publisher","first-page":"1128","DOI":"10.12968\/bjon.2000.9.17.5464","article-title":"Cost benefits of two dressings in the management of surgical wounds","volume":"9","author":"Moore","year":"2000","journal-title":"Br J Nurs"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1684840\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T06:34:32Z","timestamp":1765521272000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1684840\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,12]]},"references-count":35,"alternative-id":["10.3389\/fsurg.2025.1684840"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1684840","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,12]]},"article-number":"1684840"}}