Cleveland Clinic Foundation, Cleveland, OH, USA.
J Arthroplasty. 2012 Dec;27(10):1783-8. doi: 10.1016/j.arth.2012.05.022.
We performed a prospective, randomized clinical trial to evaluate the efficacy of using a bidirectional barbed suture compared with traditional sutures in the deep closure of primary total hip (25) and knee (35) arthroplasties. Complications, time to closure, and length of surgery were evaluated. Closure was noted to be significantly faster (9.3 vs 13.6 minutes, P < .005) in the barbed suture group. Wound-related complications were similar (3 cases) in both groups at 3-month follow-up. Although this study supports the use of barbed technology as a functionally comparable and more efficient modality of wound closure with the potential for costs savings based on reduced operative time, the cost-effectiveness of its adoption is institution dependent and will rely on the optimization of all other perioperative factors.
我们进行了一项前瞻性、随机临床试验，以评估使用双向倒刺缝线与传统缝线在初次全髋关节（25 例）和全膝关节（35 例）置换术深部关闭中的疗效。评估了并发症、关闭时间和手术时长。倒刺缝线组的关闭速度明显更快（9.3 分钟比 13.6 分钟，P<.005）。在 3 个月的随访中，两组的伤口相关并发症相似（3 例）。虽然这项研究支持使用倒刺技术作为一种功能上相当且更有效的伤口闭合方式，并且基于缩短手术时间可能具有成本节约优势，但它的采用的成本效益取决于机构，并将依赖于所有其他围手术期因素的优化。
