A Single-Center Randomized Prospective Study Investigating the Efficacy of Various Wound Closure Devices in Reducing Postoperative Wound Complications
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2021;9(15):12 Arthroplast Today. 2021 May 31;9: 83-88.¿Qué significa esto para mi consulta?
The results of this study suggest that the use of synthetic absorbable monofilament suture plus adhesive may reduce closure time vs surgical zipper and suture plus mesh wound closure, particularly in patients undergoing total hip arthroplasty, with no notable differences in the rate of infection or drainage between the 3 techniques. This study was limited by the learning curve associated with learning a new suture technique which may have affected the results, lack of cost analysis, and the use of the direct posterior approach only in THA which may not be generalizable to other approaches. Future studies are required to further explore the efficacy of new suture techniques in total joint arthroplasty.
Resumen del estudio
One hundred and sixty-two patients undergoing a total joint arthroplasty (TJA; total hip or knee arthroplasty) were randomized to receive one of 3 new wound closure techniques: surgical zipper (n=54), monofilament suture plus adhesive (n=55), or monofilament suture plus polyester mesh with adhesive (n=53). The primary outcome of interest was closure time. Secondary outcomes of interest included peri-operative complication rates, 90-day readmission, and emergency room visit rates. Results revealed no significant differences in closure time between the 3 techniques; however, when analyzing total hip arthroplasty patients, only the closure time was significantly faster in the suture plus adhesive group (p=0.032). No significant differences between groups in the incidence of infection or drainage were observed, and no cases of 90-day readmission or emergency room visits were reported.
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