Back to Search
Start Over
A better strategy using barbed sutures for wound closure in total knee arthroplasty
- Source :
- Journal of Comparative Effectiveness Research. 8:799-814
- Publication Year :
- 2019
- Publisher :
- Becaris Publishing Limited, 2019.
-
Abstract
- Aim: The purpose of this study was to conduct a meta-analysis to systematically compare the clinical outcomes between knee barbed sutures (KBS) and knee traditional sutures (KTS) for wound closure in total knee arthroplasty (TKA). Method: This study retrieved potential academic articles comparing the clinical outcomes between KBS and KTS in TKA from the MEDLINE database, the PubMed database, the EMBASE database and the Cochrane Library. The reference articles for the identified studies were carefully reviewed to ensure that all available documents were represented in the study. Results: A total of 14 articles (eight randomized controlled trials [RCTs], six non-RCTs) were involved in our study. The overall participants of barbed Sutures group were 1255, whereas it was 1247 in the traditional sutures. Our meta-analysis showed that KBS is preferable for wound closure of TKA as its shorter lower total cost (weighted mean difference [WMD] = -276.281, 95% CI = -480.281 to -72.280; p = 0.008) and wound closure time (WMD = -4.895,95% CI = -6.105 to -3.685; p < 0.001). However, there was no difference in any complications (p = 0.572), wound complications (p = 0.550), superficial infection (p = 0.918), deep infection (p = 0.654), wound dehiscence (p = 0.649), suture abscess (p = 0.939), arthrofibrosis (p = 0.970), needle sticks (p = 0.158), suture breakage (p = 0.371) and knee society scores (KSS; p = 0.073). Conclusion: The use of KBS in TKA is associated with significantly shortened wound closure times and total closure cost without increased risk of intraoperative needle sticks and suture breakage and postoperative incision complications. Given the relevant possible biases in our study, adequately powered and more RCTs with long-term follow-up are needed to compare the efficacy and safety between KBS and KTS.
- Subjects :
- medicine.medical_specialty
Databases, Factual
Knee Joint
Total knee arthroplasty
Cochrane Library
law.invention
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Suture (anatomy)
Randomized controlled trial
law
medicine
Humans
030212 general & internal medicine
Arthroplasty, Replacement, Knee
Abscess
Arthrofibrosis
030222 orthopedics
Sutures
Wound dehiscence
business.industry
Health Policy
Suture Techniques
Middle Aged
medicine.disease
Surgery
Treatment Outcome
Female
Wound closure
business
Subjects
Details
- ISSN :
- 20426313 and 20426305
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- Journal of Comparative Effectiveness Research
- Accession number :
- edsair.doi.dedup.....a2a229e24a64ba94694f95b4d86bd412