Barbed sutures reduce arthrotomy closure duration compared to interrupted conventional sutures for total knee arthroplasty: a randomized controlled trial.

Musculoskeletal Surgery
K SundaramV Krebs

Abstract

The broad aim of this study was to compare the safety and efficacy of using barbed sutures versus standard-of-care sutures for closure of arthrotomy during total knee arthroplasty. Specifically, we compared the duration of arthrotomy closure, the number of sutures utilized for arthrotomy closure, and 90-day outcomes, including wound-related readmission, reoperation, and complications. A total of 60 patients undergoing primary total knee arthroplasty were enrolled in a prospective, blinded trial and randomized to receive either running closure of the arthrotomy with barbed sutures (n = 30) or interrupted closure with standard-of-care sutures (n = 30). Arthrotomy closure time was significantly shorter in the barbed suture group (3 min ± 2 min) versus the standard-of-care group (13 min ± 5 min, p < 0.001). The average suture utilization for arthrotomy closure was 1 suture (range 1-2) versus 3 sutures (range 2-4) in the standard-of-care group (p < 0.001). The overall number of wound-related complications in the barbed suture group was 3/30 (10%) versus 3/30 (10%) in the standard-of-care group (p = 1.00). There was one dehiscence 1/30 (3%) in the standard-of-care group versus zero in the barbed suture group (p = 1.00). The rate of s...Continue Reading

Associated Clinical Trials

References

Sep 8, 2010·The Journal of Arthroplasty·Jeffrey J VakilHarpal S Khanuja
Feb 19, 2011·The Journal of Knee Surgery·Tom Eickmann, Erika Quane
Sep 29, 2011·Clinical Orthopaedics and Related Research·Jeremy M GilillandChristopher L Peters
Oct 8, 2011·The Journal of Arthroplasty·Russell C WrightShahan V Yacoubian
Nov 29, 2011·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Muiris T KennedyMark Dolan
Jul 20, 2012·Clinical Orthopaedics and Related Research·William L HealyJess H Lonner
Sep 25, 2012·Clinical Orthopaedics and Related Research·John R FowlerAllan L Truant
Nov 5, 2013·The Journal of Arthroplasty·Abigail L CampbellJeffrey A Geller
Nov 28, 2013·The Journal of Arthroplasty·Eric L SmithElizabeth G Matzkin
Apr 26, 2014·The Journal of Knee Surgery·Aditya V MaheshwariVijay J Rasquinha
Jun 30, 2014·The Journal of Arthroplasty·Jeremy M GilillandChristopher L Peters
May 16, 2015·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Sanjay MeenaBuddhadev Chowdhury
Nov 18, 2015·International Orthopaedics·Robert W BorzioAditya V Maheshwari
Aug 13, 2017·Clinical Orthopaedics and Related Research·Daniel C AustinKarl M Koenig
Oct 27, 2017·The Journal of Arthroplasty·Viktor E KrebsMichael A Mont
Jan 3, 2018·The Journal of Knee Surgery·Mhamad FaourMichael A Mont
Jan 5, 2018·Annals of Translational Medicine·Randa K ElmallahMichael A Mont
Jun 16, 2018·The Journal of Arthroplasty·Andrew J LuzziJavad Parvizi

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