One hundred ninety-six patients undergoing revision total hip arthroplasty (rTHA) were randomized to receive closed incision negative-pressure therapy (ciNPT) (n=105) or silver-impregnated dressings (n=95). The primary outcome of interest was wound complications, including surgical site infection (SSI), periprosthetic joint infection (PJI), prolonged drainage, superficial wound healing delay, and hematoma formation. Secondary outcomes included reoperation rates for wound-related complications. Outcomes were assessed over a minimum of 90 days. Overall, the study revealed no significant differences in wound complication rates (p=0.95) or reoperations (p=0.37) between the ciNPT and control groups. These findings suggest that ciNPT may not provide significant advantages over conventional silver-impregnated dressings for wound management following rTHA.