Skin closure after total hip replacement: a randomised controlled trial of skin adhesive versus surgical staples
| Autor: | Ashley W Blom, C. M. Estela, Ian D. Learmonth, S. Descamps, Vikki Wylde, Gordon C. Bannister, Christine Livesey |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual analogue scale medicine.medical_treatment Arthroplasty Replacement Hip Dermatologic Surgical Procedures Scars Cicatrix Patient satisfaction Surgical Stapling Medicine Humans Orthopedics and Sports Medicine Aged Aged 80 and over Wound Healing integumentary system business.industry Cosmesis Middle Aged Arthroplasty Surgery Plastic surgery Treatment Outcome Patient Satisfaction Orthopedic surgery Female Tissue Adhesives medicine.symptom business |
| Zdroj: | The Journal of bone and joint surgery. British volume. 91(6) |
| ISSN: | 2044-5377 |
| Popis: | We undertook a randomised controlled trial to compare the outcomes of skin adhesive and staples for skin closure in total hip replacement. The primary outcome was the cosmetic appearance of the scar at three months using a surgeon-rated visual analogue scale. In all, 90 patients were randomised to skin closure using either skin adhesive (n = 45) or staples (n = 45). Data on demographics, surgical details, infection and oozing were collected during the in-patient stay. Further data on complications, patient satisfaction and evaluation of cosmesis were collected at three-month follow-up, and a photograph of the scar was taken. An orthopaedic and a plastic surgeon independently evaluated the cosmetic appearance of the scars from the photographs. No significant difference was found between groups in the cosmetic appearance of scars at three months (p = 0.172), the occurrence of complications (p = 0.3), or patient satisfaction (p = 0.42). Staples were quicker and easier to use than skin adhesive and also less expensive. Skin adhesive and surgical staples are both effective skin closure methods in total hip replacement. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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