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MUSCULOSKELETAL SURGERY

Erschienen in:

07.03.2020 | Original Article

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

verfasst von: K. Sundaram, J. A. Warren, A. Klika, N. S. Piuzzi, M. A. Mont, V. Krebs

Erschienen in: MUSCULOSKELETAL SURGERY | Ausgabe 3/2021

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Abstract

Background

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.

Materials and methods

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).

Results

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 superficial surgical site infection was 1/30 (3%) in barbed suture versus zero in the standard-of-care groups (p = 1.00).

Conclusion

These results suggest barbed suture utilization may be faster and more resource-efficient than the use of standard-of-care sutures for arthrotomy closure in primary total knee arthroplasty without increased complications.

ClinicalTrials.gov Identifier

NCT03285529

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Titel: Barbed sutures reduce arthrotomy closure duration compared to interrupted conventional sutures for total knee arthroplasty: a randomized controlled trial
verfasst von: K. Sundaram
J. A. Warren
A. Klika
N. S. Piuzzi
M. A. Mont
V. Krebs
Publikationsdatum: 07.03.2020
Verlag: Springer Milan
Erschienen in: MUSCULOSKELETAL SURGERY / Ausgabe 3/2021
Print ISSN: 2035-5106
Elektronische ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-020-00654-y

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Abstract

Background

Materials and methods

Results

Conclusion

ClinicalTrials.gov Identifier

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