Barbed sutures in total knee arthroplasty: are they really useful? a randomized controlled trial

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• dc.contributor.author Gamba, Carlo
• dc.contributor.author Hinarejos Gómez, Pedro Angel
• dc.contributor.author Serrano-Chinchilla, Paula
• dc.contributor.author Leal Blanquet, Joan
• dc.contributor.author Torres Claramunt, Raúl
• dc.contributor.author Sánchez Soler, Juan Francisco
• dc.contributor.author Monllau García, Juan Carlos
• dc.date.accessioned 2020-05-21T08:58:18Z
• dc.date.available 2020-05-21T08:58:18Z
• dc.date.issued 2020
• dc.description Data de publicació electrónica: 20-05-2019
• dc.description.abstract 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 < 0.001). No differences in terms of dehiscence, infection, and ROM were observed at the 1-month follow-up. BBSs allow for slightly faster wound closure than Vicryl during a TKA. However, the differences observed have minimal clinical repercussions. Moreover, no differences in the infection rate (deep or superficial), dehiscence, or ROM were found.
• dc.format.mimetype application/pdf
• dc.identifier.citation Gamba C, Hinarejos P, Serrano-Chinchilla P, Leal-Blanquet J, Torres-Claramunt R, Sánchez-Soler J. et al. Barbed sutures in total knee arthroplasty: are they really useful? a randomized controlled trial. J Knee Surg. 2020 Sep; 33(9): 927-30. DOI: 10.1055/s-0039-1688922
• dc.identifier.doi http://dx.doi.org/10.1055/s-0039-1688922
• dc.identifier.issn 1538-8506
• dc.identifier.uri http://hdl.handle.net/10230/44637
• dc.language.iso eng
• dc.publisher Thieme Medical
• dc.rights Copyright © 2019, Rights Managed by Georg Thieme Verlag KG Stuttgart. New York
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.other Genolls--Malalties
• dc.subject.other Artroplàstia
• dc.subject.other Sutures (Cirurgia)
• dc.title Barbed sutures in total knee arthroplasty: are they really useful? a randomized controlled trial
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion