Malhotra Rajesh, Jain Vaibhav, Kumar Vijay, Gautam Deepak
Department of Orthopedics, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Int Orthop. 2017 Oct;41(10):2061-2066. doi: 10.1007/s00264-017-3529-8. Epub 2017 Jun 21.
This study was conducted to compare the barbed vs. traditional suture technique in capsular closure of total knee arthroplasty in terms of closure time, cost, needle prick injury, post-operative complication, blood loss and post-operative function.
Eighty patients in a barbed suture group and 90 in a traditional group were enrolled in this prospective randomized study.
Barbed suture was associated with 4.1 minutes (P < 0.001) faster closure. It was found to be cheaper in terms of direct material cost [30.4%]. Needle prick injury was found in 6.7% (P = 0.020) of cases in the traditional group. Blood loss, post-operative complication and post-operative function were comparable in both groups.
Barbed suture use in capsular closure of knee arthroplasty is an efficient and cost effective method, and recommended for use in the future.
本研究旨在比较倒刺缝线与传统缝线技术在全膝关节置换术关节囊闭合方面的闭合时间、成本、针刺伤、术后并发症、失血量和术后功能。
本前瞻性随机研究纳入了80例倒刺缝线组患者和90例传统缝线组患者。
倒刺缝线的闭合速度快4.1分钟（P < 0.001）。在直接材料成本方面，倒刺缝线更便宜[30.4%]。传统组6.7%的病例发生针刺伤（P = 0.020）。两组的失血量、术后并发症和术后功能相当。
在膝关节置换术关节囊闭合中使用倒刺缝线是一种高效且具成本效益的方法，建议未来使用。
