Barbed Sutures in Total Knee Arthroplasty: Are They Really Useful? A Randomized Controlled Trial
| Autor: | Pedro Hinarejos, Raúl Torres-Claramunt, Paula Serrano-Chinchilla, Juan Sánchez-Soler, Carlo Gamba, Joan Leal-Blanquet, Joan Carles Monllau |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Operative Time law.invention 03 medical and health sciences 0302 clinical medicine Suture (anatomy) Randomized controlled trial law medicine Deformity Humans Orthopedics and Sports Medicine Range of Motion Articular Vicryl Arthroplasty Replacement Knee Intraoperative Complications Artroplàstia Aged Flexion contracture 030222 orthopedics Sutures Wound dehiscence business.industry Genolls--Malalties Equipment Design 030229 sport sciences medicine.disease Surgery Sutures (Cirurgia) Coronal plane Female medicine.symptom business Range of motion |
| Zdroj: | The Journal of Knee Surgery. 33:927-930 |
| ISSN: | 1938-2480 1538-8506 |
| DOI: | 10.1055/s-0039-1688922 |
| Popis: | Bidirectional barbed sutures (BBSs) have recently been investigated in total knee arthroplasty (TKA). The contrasting results from the scarce literature suggest that BBSs are safe, save time and money, and give results comparable to traditional sutures. The purpose of the study is to test the real effect of BBSs on closure time in TKA and assess the functional results as well as the complications related to them. It was a randomized controlled trial. Eighty-five patients undergoing primary TKA were assigned to receive traditional closure with Vicryl (V-group) or with BBSs (Q-group). The exclusion criteria were significant coronal deformity, flexion contracture, or the need for stem and/or augmentation. The closure time for the capsule and that for the subcutaneous layer were registered separately. Intraoperative incidences were recorded. The follow-up was up to 1 month, during which the range of motion (ROM), superficial or deep infection, and wound dehiscence were assessed. There was a significant reduction in the capsule layer (27 seconds; p = 0.02) and global time closure (51 seconds; p = 0.01) in the Q-group. No differences were found in the subcutaneous layer (24 seconds; p = 0.055). There were more intraoperative suture breakages in the Q-group, mainly in the subcutaneous layer (p |
| Databáze: | OpenAIRE |
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