Sutton Nadia, Schmitz Niels-Derrek, Johnston Stephen S
Johnson & Johnson Services Inc., 501 George Street, #JH2226, New Brunswick, NJ 08901, USA.
Ethicon, Johnson & Johnson, Research & Development Medical Affairs, Norderstedt, Germany.
J Comp Eff Res. 2018 Oct;7(10):975-987. doi: 10.2217/cer-2018-0047. Epub 2018 Aug 2.
To compare outcomes between barbed sutures and conventional sutures among patients undergoing knee or hip arthroplasty.
MATERIALS & METHODS: Retrospective study of patients (aged ≥18 years) undergoing elective knee/hip arthroplasty for osteoarthritis between 1 January 2013 and 1 September 2015. Patients were classified as: any Stratafix™ Knotless Tissue Control Devices (barbed suture group) used for closure vs. conventional sutures only (conventional suture group).
Compared with the conventional suture group, the barbed suture group had statistically significant: shorter length of stay, knee = 0.2 d; hip = 0.3 d and operating room time, knee = 7 min; hip = 22 min and lower rate of discharge to skilled nursing facility/nonhome setting (knee = 3.0%; hip = 6.8%).
Use of barbed sutures was associated with shorter length of stay, operating room time and less resource intensive discharge status as compared with conventional sutures alone.
比较接受膝关节或髋关节置换术的患者使用倒刺缝线和传统缝线的效果。
对2013年1月1日至2015年9月1日期间因骨关节炎接受择期膝关节/髋关节置换术的患者（年龄≥18岁）进行回顾性研究。患者分为：使用任何Stratafix™无结组织控制装置（倒刺缝线组）进行缝合与仅使用传统缝线（传统缝线组）。
与传统缝线组相比，倒刺缝线组在统计学上有显著差异：住院时间更短，膝关节置换术为0.2天；髋关节置换术为0.3天；手术室时间更短，膝关节置换术为7分钟；髋关节置换术为22分钟；转至专业护理机构/非家庭环境的出院率更低（膝关节置换术为3.0%；髋关节置换术为6.8%）。
与单独使用传统缝线相比，使用倒刺缝线与住院时间缩短、手术室时间缩短以及资源密集型出院状态减少相关。
