Evidence map›Paper›PMID 40678786›Full record

ArticleArthroplasty today2025

Identifying Critical Evidence Gaps in Wound Closure and Incision Management After Total Hip Arthroplasty: Delphi Panel Insights.

Margaret H Ainslie-Garcia, Lucas A Anderson, Benjamin V Bloch, Tim N Board, Antonia F Chen, Samantha Craigie, Walter Danker, Najmuddin Gunja, James Harty, Victor H Hernandez and 19 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Arthroplasty today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors.

Margaret H Ainslie-GarciaDepartment of Value and Evidence, EVERSANA, Burlington, Ontario, Canada.
Lucas A AndersonDepartment of Orthopaedic Surgery, University of Utah Orthopaedic Center, Salt Lake City, UT, USA.
Benjamin V BlochNottingham Elective Orthopaedic Service, City Hospital, Nottingham, UK.
Tim N BoardProfessor of Orthopaedics, Centre for Hip Surgery, Wrightington Hospital, Wigan, Appley Bridge, UK.
Antonia F ChenDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Samantha CraigieDepartment of Value and Evidence, EVERSANA, Burlington, Ontario, Canada.
Walter DankerHealth Economics and Market Access, J&J MedTech, Raritan, NJ, USA.
Najmuddin GunjaHealth Economics and Market Access, J&J MedTech, Raritan, NJ, USA.
James HartyTrauma and Orthopaedics Department, Cork University Hospital, Cork, Ireland.
Victor H HernandezDepartment of Orthopaedic Surgery and Rehabilitation, University of Miami/Jackson Memorial Hospital, Miami, FL, USA.
Kate LebedevaDepartment of Value and Evidence, EVERSANA, Burlington, Ontario, Canada.
Mitchell K NgLifeBridge Health, Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopedics, Baltimore, MD, USA.
Daniel HameedLifeBridge Health, Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopedics, Baltimore, MD, USA.
Michael A MontLifeBridge Health, Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopedics, Baltimore, MD, USA.
Ryan M NunleyDepartment of Orthopaedic Surgery, Washington University, St Louis, MO, USA.
Javad ParviziDepartment of Orthopaedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA.
Sean B SequeiraDepartment of Orthopaedic Surgery, Medstar Union Memorial Hospital Baltimore, Baltimore, MD, USA.
Carsten PerkaCentrum für Muskuloskeletale Chirurgie, Orthopädische Universitätsklinik der Charité, Berlin, Deutschland.
Nicolas S PiuzziDepartment of Orthopedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA.
Ola RolfsonDepartment of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Joshua RychlikDepartment of Value and Evidence, EVERSANA, Burlington, Ontario, Canada.
Emilio RomaniniDepartment of Orthopaedic Surgery, Centre for Hip and Knee Arthroplasty, Rome, Italy.
Pablo Sanz-RuizDepartment of Surgery, Faculty of Medicine, Universidad Complutense de Madrid (UCM), Madrid, Spain.
Rafael J SierraDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Linda SuleimanDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Eleftherios TsiridisAcademic Orthopedic Unit, Aristotle University Medical School, General Hospital Papageorgiou, Thessaloniki, Greece.
Pascal-André VendittoliDepartment of Surgery, Maisonneuve-Rosemont Hospital, Montreal University, Montreal, Quebec, Canada.
Helge WangenDepartment of Orthopaedic Surgery, Elverum, Innlandet Hospital Trust, Elverum, Norway.
Luigi ZagraHip Department, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In total hip arthroplasty (THA), proper management of surgical incisions is essential for optimal wound healing and patient outcomes. Despite advances in surgical techniques, significant challenges remain in preventing complications and infections. This study aimed to identify evidence gaps in THA wound care, including presurgical preparation, intraoperative practices, and postsurgical complications. Methods: Using a modified Delphi method, 20 expert orthopedic surgeons from Europe and North America participated in a 3-phase consensus process from April 1 to September 30, 2023. This included a preliminary questionnaire, a remote conference, and a final online survey. The panel reviewed literature and achieved agreement on 18 consensus statements regarding wound care in THA. A secondary aim was to identify critical gaps in current wound care knowledge. Results: Consensus was reached on 18 statements. Key gaps were identified in the effectiveness of mesh-adhesive dressings, optimal closure methods (skin adhesives, staples, sutures), cost benefit of barbed sutures, and appropriate use of negative pressure wound therapy. These findings highlight the need for further research to validate best practices and guide standardized evidence-based protocols. Conclusions: Addressing these evidence gaps is essential to improve THA wound care methods. Future studies should compare closure techniques and new technologies to develop more efficient patient-centered strategies. Bridging these gaps may reduce complications, enhance outcomes, and lower the burden of wound-related issues in THA.

Indexed as

Delphi techniqueMesh-adhesiveStaplesSuturesTotal hip arthroplastyWound management

Identifiers

PMID40678786
PMCPMC12270644

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.