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本文引用的文献

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Closure of hip wound, clips or subcuticular sutures: does it make a difference?髋部伤口闭合，使用夹子或皮下缝合：有区别吗？
Eur J Orthop Surg Traumatol. 2006 Jun;16(2):124-129. doi: 10.1007/s00590-005-0043-2. Epub 2006 Mar 23.
2
The effect of postoperative wound infections on functional outcome following intra-articular calcaneal fractures.术后伤口感染对跟骨关节内骨折术后功能结局的影响。
Arch Orthop Trauma Surg. 2015 Aug;135(8):1045-52. doi: 10.1007/s00402-015-2219-5. Epub 2015 Apr 26.
3
[Metal staples versus conventional suture for wound closure in total knee arthroplasty].[全膝关节置换术中金属吻合钉与传统缝线用于伤口闭合的比较]
Acta Chir Orthop Traumatol Cech. 2014;81(3):233-7.
4
Incidence, secular trends, and outcomes of prosthetic joint infection: a population-based study, olmsted county, Minnesota, 1969-2007.人工关节感染的发病率、长期趋势和结局：明尼苏达州奥姆斯特德县，1969-2007 年的一项基于人群的研究。
Infect Control Hosp Epidemiol. 2012 Dec;33(12):1207-12. doi: 10.1086/668421. Epub 2012 Oct 23.
5
Sutures versus sterile strips for closure of ankle arthroscopy portals: prospective crossover trial.缝线与无菌条带在踝关节镜入路关闭中的比较：前瞻性交叉试验。
Foot Ankle Int. 2012 Mar;33(3):190-5. doi: 10.3113/FAI.2012.0190.
6
Economic burden of periprosthetic joint infection in the United States.美国人工关节置换术后感染的经济负担。
J Arthroplasty. 2012 Sep;27(8 Suppl):61-5.e1. doi: 10.1016/j.arth.2012.02.022. Epub 2012 May 2.
7
Symptomatic in-hospital deep vein thrombosis and pulmonary embolism following hip and knee arthroplasty among patients receiving recommended prophylaxis: a systematic review.接受推荐预防措施的髋膝关节置换术后住院患者的症状性深静脉血栓形成和肺栓塞：系统评价。
JAMA. 2012 Jan 18;307(3):294-303. doi: 10.1001/jama.2011.2029.
8
Gender and prevalence of knee osteoarthritis types in elderly Koreans.老年韩国人群的膝关节骨关节炎类型与性别和患病率。
J Arthroplasty. 2011 Oct;26(7):994-9. doi: 10.1016/j.arth.2011.01.007. Epub 2011 Mar 16.
9
Skin closure after total hip replacement: a randomised controlled trial of skin adhesive versus surgical staples.全髋关节置换术后的皮肤闭合：皮肤粘合剂与手术吻合钉的随机对照试验
J Bone Joint Surg Br. 2009 Jun;91(6):725-9. doi: 10.1302/0301-620X.91B6.21831.
10
Correlation of maximum flexion with clinical outcome after total knee replacement in Asian patients.亚洲患者全膝关节置换术后最大屈曲度与临床结局的相关性
J Bone Joint Surg Br. 2007 May;89(5):604-8. doi: 10.1302/0301-620X.89B5.18117.

在全膝关节置换术中，拉链式皮肤缝合器与传统的缝合钉相比，伤口愈合情况更好吗？

Do zip-type skin-closing devices show better wound status compared to conventional staple devices in total knee arthroplasty?

机构信息

Department of Orthopaedic Surgery, Yonsei University, College of Medicine, Seoul, Korea.

Department of Traumatology, Neurosurgery, and Military Field Surgery, Samarkand State Medical Institute, Samarqand, Uzbekistan.

出版信息

Int Wound J. 2017 Feb;14(1):250-254. doi: 10.1111/iwj.12596. Epub 2016 Mar 28.

DOI:10.1111/iwj.12596
PMID:27019972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7949581/
Abstract

This study compared the pain score, cosmetic outcome and wound complication rate between zip-type skin-closing device and conventional staple device. Forty-five subjects with zip-type skin-closing device (the zip group) and 45 subjects with the conventional staple device (the staple group) after total knee arthroplasty were compared. Visual analogue scale score was significantly higher on postoperative (PO) 1, 3, 14 day (D) in the staple group compared to the zip group (P < 0·05). The Vancouver scar score was significantly better in the zip group compared to that of the staple group (4·6 ± 0·7 versus 6·9 ± 1·3, P = 0·043) on PO 90D. There was no significant wound complication rate between the two groups. The zip-type skin-closing device showed less pain PO 14D, especially during dressing and removal of the device, and better cosmetic outcome 3 months after surgeries. Surgeons may consider using the zip-type skin-closing device for patients who want less pain and better cosmetic outcome.

摘要

本研究比较了 Zip 型皮肤闭合装置和传统钉合器在疼痛评分、美容效果和伤口并发症发生率方面的差异。共有 45 例接受全膝关节置换术的患者使用 Zip 型皮肤闭合装置（Zip 组），45 例使用传统钉合器（钉合组）。与 Zip 组相比，钉合组术后 1、3、14 天（D）的视觉模拟评分（VAS）显著更高（P < 0.05）。Zip 组温哥华瘢痕评分在术后 90 天（PO）显著优于钉合组（4.6 ± 0.7 比 6.9 ± 1.3，P = 0.043）。两组的伤口并发症发生率无显著差异。Zip 型皮肤闭合装置在术后 14 天，尤其是在更换敷料和去除装置时，疼痛程度较低，术后 3 个月美容效果更好。对于希望减轻疼痛和获得更好美容效果的患者，外科医生可以考虑使用 Zip 型皮肤闭合装置。