Miller Adam G, Swank Michael L
Orthopaedics, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Am J Orthop (Belle Mead NJ). 2010 Oct;39(10):476-8.
The goals of wound closure are a low infection rate and timely healing. Total joint arthroplasty (TJA) requires mobile recovery, and, therefore, a high-tension wound care environment. We conducted a study to compare the efficacy of high-viscosity Dermabond (Ethicon, Somerville, New Jersey) and the efficacy of surgical staples in healing high-tension, mobile surgical sites of TJA. Of 236 total knee arthroplasties and 223 total hip arthroplasties (459 surgeries total), 250 were performed with Dermabond and 209 with staples. According to χ2 analysis, case and control infection rates were equivalent. Signs of acute inflammation (redness, drainage, dehiscence) also were statistically equivalent. Absence of staples accounted for a significant decrease in tape blisters and skin abscesses. Dermabond is superior to staples in high-tension wound care.
伤口闭合的目标是低感染率和及时愈合。全关节置换术（TJA）需要可活动的恢复，因此需要一个高张力的伤口护理环境。我们进行了一项研究，比较高粘度皮肤粘合剂（德美邦，强生公司，新泽西州萨默维尔）与手术缝合钉在TJA高张力、可活动手术部位愈合中的疗效。在236例全膝关节置换术和223例全髋关节置换术（共459例手术）中，250例使用皮肤粘合剂，209例使用缝合钉。根据χ2分析，病例组和对照组的感染率相当。急性炎症迹象（发红、引流、裂开）在统计学上也相当。没有缝合钉导致胶带水泡和皮肤脓肿显著减少。在高张力伤口护理方面，皮肤粘合剂优于缝合钉。
